Special Care and Paediatric Dental Services

{
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          "name": "Surrey \u0026 Sussex Healthcare NHS Trust"
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  "buyer": {
    "id": "GB-NHS-QXU",
    "name": "NHS SURREY HEARTLANDS INTEGRATED CARE BOARD"
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    {
      "awardID": "018815-2026-1",
      "dateSigned": "2026-02-04T00:00:00Z",
      "id": "018815-2026-1",
      "status": "active",
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        "currency": "GBP"
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  "date": "2026-03-03T10:46:38Z",
  "description": "Award decision-makers:\nAmy Galea, Chief Commissioning Officer, Neighbourhood Health and Partnerships, NHS Surrey Heartlands ICB\nConflicts of Interest have been considered in forums associated with the commissioning of this service; none have arisen and required mitigation. \nKey Criteria are considered of equal value regards this service and the incumbent provider demonstrates fulfilling provision to the standard required and is anticipated to continue doing so.   \nQuality and Innovation\n\u2022Delivery of consistently high-quality care aligned with national clinical standards for Special Care and Paediatric Dentistry.\n\u2022Patient outcomes and experience measures demonstrate effective, safe, and person-centred care.\n\u2022Demonstration of successful management of complex cases\n\u2022Innovation is embedded in clinical practice, demonstrating both quality and efficiency.\n\u2022Diagnostic imaging tools for early detection and complex case planning e.g. OPG/Cone beam).\n\u2022Child-friendly solutions and approaches.\n\u2022Teledentistry for pre-assessment and follow-up, improving access and reducing unnecessary travel.\n\u2022Enhanced and combined sedation techniques for complex cases.\n\u2022Consultants in paediatric and special care dentistry provide training  for the CDS and are available to offer support; SASH is an IASCD-accredited training centre and has a dental sedation working group that meets quarterly. Annual sedation training for all staff ensures practice is aligned to the latest national standards.\n\u2022Trauma-informed care training provided for dental teams to improve patient experience and outcomes.\n\u2022Robust clinical governance e.g.compliance with IACSD standards for conscious sedation, use of audit tools and PROMS.\n\u2022Clinical Excellence: Over 8,300 patients treated in 2024-25 with a case mix ratio of 83%, indicating high complexity care.\n\u2022Patient Satisfaction: Your Care Matters survey scores shared with staff to support service development.   \n\u2022Innovative Sedation Techniques: Nasal spray sedation enables complex procedures in community settings, avoiding hospital admissions.\n\u2022Digital Transformation: Investment in digital records and scheduling systems improved efficiency and patient experience.\n\u2022Award Recognition: Staff nominated for awards, reflecting peer recognition of quality.\n\u2022No SIs and no complaints during 24/25 and year to date.\n\u2022Comprehensive dental audit programme covering a range of topics, including clinical record keeping, sedation-related audits, mouth care audits, and audits focusing on specific clinical areas for both paediatric and adult patients.\nValue\nValue to Patients\n\u2022 Reduced waiting times through effective triage and prioritisation.\n\u2022 Improved experience via trauma-informed care, behavioural support, and accessible environments.\n\u2022 Continuity of care for vulnerable patients, including transitions from paediatric to adult services.\nValue to Providers\n\u2022 Efficient use of clinical time through digital triage, virtual consultations, and streamlined referral pathways.\n\u2022 Workforce development through training in sedation, safeguarding, and special care techniques.\n\u2022 Provider participates in local pilots e.g. DPASS.\n\u2022 Alignment with ICS priorities on reducing health inequalities and improving access.\nValue to the System\n\u2022 Unnecessary referrals to secondary care and reduced hospital admissions minimised.\n\u2022 Sedation pathways reduce reliance on GA, freeing up hospital capacity.\n\u2022 Data-driven service planning using activity reports, patient feedback, and predictive analytics.\n\u2022 Service aligns with ICS priorities on reducing health inequalities and improving access.\n\u2022 Support for integrated care models and shared outcomes across services.\n\u2022 Contribution to population health through early intervention and prevention.\n\u2022 Integrated care models and shared outcomes across services - team works closely with hospital services to manage complex cases e.g. in paediatric trauma, treatment is planned by a consultant, but ongoing care is often provided by community dentists. \n\u2022 DOMS service sees patients at home who may require sedation in hospital, helping to manage their care so they only need to attend hospital once, with transport arranged as needed. Home visits also allow for more thorough assessment of patients with challenging behaviours, supporting clinical decision-making about whether general anaesthesia is required. \n\u2022 Delivery provided at a competitive tariff.\nIntegration, collaboration and service sustainability\n\u2022 Service operates in alignment with ICS priorities and local oral health strategies.\n\u2022 Service embedded within local care pathways, working closely with community services, safeguarding teams, and hospital trusts evidenced by Integrated Community Framework and being part of Surrey\u0027s health system since 2012 with strong established local partnerships.\n\u2022 Active role in multidisciplinary care planning for vulnerable children and adults, involving paediatrics, CAMHS, learning disability services, and social care.\n\u2022 Engagement with safeguarding boards, community dental networks, and ICB-led working groups.\n\u2022 Shared protocols for hospital-based procedures and transitions of care.\n\u2022 Various staffing networks:\n\u2022\tEthnically Diverse / BAME Network \n\u2022\tDisabled Staff Network \n\u2022\tLGBT+ Network \n\u2022\tLiving \u0026 Ageing Well Network \n\u2022\tMen\u0027s Health Network \n\u2022 Strong partnerships forged with health, education, and social care to support holistic care planning.\n\u2022 Participation in local transformation programmes and pilots to improve access and reduce inequalities.\nService Sustainability\n\u2022 Workforce planning and strategies for retention of specialist staff\n\u2022 Ongoing training.\n\u2022 Commitment to environmentally sustainable practices. \n\u2022 Shared care records and interoperable systems support continuity of care.\n\u2022 Contribution to population health goals through prevention, early intervention, and outreach.\nImproving access, reducing health inequalities and facilitating choice\nImproving Access\n\u2022 Multiple clinic locations across the ICB footprint, including outreach and domiciliary services.\n\u2022 Flexible appointments, including extended hours and virtual consultations.\n\u2022 Digital tools to support triage and reduce travel barriers e.g. teledentistry\n\u2022 Reduced Waiting Times: Majority of patients assessed within 12 weeks; nearly all treated within 18 weeks.\nReducing Health Inequalities\n\u2022 Targeted care for underserved populations provided, including:\n\u2022\tChildren with special educational needs.\n\u2022\tAdults with learning disabilities or mental health conditions.\n\u2022\tPatients from socioeconomically disadvantaged backgrounds.\n\u2022 Partnership working with public health teams, community organisations, and social care.\n\u2022 Demographic and outcomes data used to monitor equity and inform improvement.\n\u2022 Vulnerable Groups targeted:  Service is designed for patients with disabilities, neurodivergence, and complex medical needs.\nFacilitating Choice\n\u2022 Clear information provided on service locations, referral pathways, and treatment options e.g. sedation vs GA.\n\u2022 Support provided for informed consent and shared decision-making.\n\u2022 Flexible appointments, choice and control provided.\nSocial Value\nEconomic and Community Value\n\u2022 Service employs local staff and supports skills development through apprenticeships, training, and CPD.\n\u2022 Service engages with local schools, charities, and community groups to promote oral health education.\n\u2022 Participation in flexible commissioning initiatives to address gaps in access and provision.\n\u2022 Inclusive Employment evidenced through SASH\u0027s Inclusive Recruitment and Development Policy which encourages applications from under-represented groups, offers flexible working patterns, job shares, and compressed hours.\n\u2022 Spending evidenced on oral health campaigns and education materials to reduce long-term treatment needs.\nSocial Impact\n\u2022 Service has built trust through culturally competent care and consistent outreach.\n\u2022 Patients and carers in service design and feedback loops.\n\u2022 Case studies demonstrate life-changing outcomes for patients and families, including reduced anxiety and increased independence.\nEnvironmental Sustainability\n\u2022 Digital records and virtual consultations reduce paper and travel.\n\u2022 Green policies implemented in clinical settings\n\u2022 Participation in ICS-wide sustainability programmes.\n\u2022 SASH\u0027s sustainability programme, Care Without Carbon, aligns dental service delivery with NHS Net Zero goals, contributing to environmental well-being.\nThis is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the Procurement Act 2023 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by midnight on 14/03/2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny written representations should be sent to robert.kitt1@nhs.net",
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        "region": "UKJ25",
        "streetAddress": "Dukes Court, Duke Street"
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        "email": "maggie.czapiewska1@nhs.net",
        "name": "Maggie Czapiewska"
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    "classification": {
      "description": "Dental practice and related services",
      "id": "85130000",
      "scheme": "CPV"
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    "description": "Special Care and Paediatric Dental Services provide essential dental care for patients who cannot be treated in general dental practice due to complexity. Special Care Dentistry focuses on individuals with additional needs, such as physical or learning disabilities, complex medical conditions, severe mental health issues, sensory impairments, or extreme dental anxiety. These patients often require tailored treatment plans, longer appointments, and specialist facilities, including sedation or general anaesthetic (GA) options. Care is delivered in community clinics, hospitals, and sometimes domiciliary settings for housebound patients, ensuring equitable access for vulnerable groups.\nPaediatric Dentistry provides specialist care for children with advanced or complex dental needs, including extensive tooth decay, developmental anomalies, dental trauma, and cases requiring sedation or GA. These services are delivered by specialist paediatric dentists in hospital or community settings and emphasise early intervention, prevention, and family education. Both services are critical in reducing health inequalities and supporting integration with wider health and social care pathways.\nThe contract to be awarded to SASH includes provision of Domiciliary services within this contract.",
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        "description": "Special Care and Paediatric Dental Services provide essential dental care for patients who cannot be treated in general dental practice due to complexity. Special Care Dentistry focuses on individuals with additional needs, such as physical or learning disabilities, complex medical conditions, severe mental health issues, sensory impairments, or extreme dental anxiety. These patients often require tailored treatment plans, longer appointments, and specialist facilities, including sedation or general anaesthetic (GA) options. Care is delivered in community clinics, hospitals, and sometimes domiciliary settings for housebound patients, ensuring equitable access for vulnerable groups.\nPaediatric Dentistry provides specialist care for children with advanced or complex dental needs, including extensive tooth decay, developmental anomalies, dental trauma, and cases requiring sedation or GA. These services are delivered by specialist paediatric dentists in hospital or community settings and emphasise early intervention, prevention, and family education. Both services are critical in reducing health inequalities and supporting integration with wider health and social care pathways.\nThese services are commissioned together because they share similar characteristics and infrastructure requirements. Both require dentists with advanced training and overlapping clinical skills, such as managing complex medical conditions and delivering treatment under sedation or GA. They are typically delivered in the same clinical environments, which avoids duplication of facilities and resources. Combining the services under one contract supports efficiency, integration, and streamlined referral pathways, while simplifying commissioning and monitoring processes. This approach ensures consistent standards and equitable access across Surrey Heartlands.\nThe contract to be awarded to SASH includes provision of Domiciliary services within this contract.\nIt is intended to award a contract to an existing provider following direct award process C from 01/04/2026 - 31/03/2028.  The lifetime value of the contract is \u00a3503,229.14.\nThis procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.",
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    "procurementMethodRationale": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the Procurement Act 2023 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to the relevant authority by midnight on 14/03/2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny written representations should be sent to robert.kitt1@nhs.net",
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    "title": "Special Care and Paediatric Dental Services"
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