NHS Dental Statistics for England: , Second Quarterly Report

Transcription

1 NHS Dental Statistics for England: , Second Quarterly Report 12 th February 2014

2 Statement of relevance to patients: This publication may be of interest to members of the public and other stakeholders to make local and national comparisons and gain a picture of NHS dental provisions for adults and children in England. We are the trusted source of authoritative data and information relating to health and care. enquiries@hscic.gov.uk Author: Gemma Ramsay, Section Head Prescribing and Primary Care Team, Health and Social Care Information Centre Responsible statistician: Oliver Smith, Service Manager Version: V1.0 Date of publication 12 February 2014 Page 2 of 25 Copyright 2014, Health and Social Care Information Centre.

3 Contents Executive Summary 4 Key Facts 8 Further Information 5 Introduction 6 Activity 8 Courses of Treatment 8 Units of Dental Activity 14 Patients Seen 19 List of Annexes 23 Other Publications 24 Copyright 2014, Health and Social Care Information Centre. Page 3 of 25

4 Executive Summary This quarterly report includes information on all patients that received NHS dental care in England for the second quarter period to 30 September Subjects covered include: Dental activity, including the number of courses of NHS treatment Patients seen, number of patients seen by an NHS dentist for the 24 month period up to 31 December 2013 This information is used by the Department of Health to inform government policy on NHS dentistry and by local NHS managers in the planning and delivery of local dental services. The report is based on data collected on each course of NHS dental treatment by NHS Dental Services, part of the NHS Business Services Authority. Key Facts A total of 29.9 million patients were seen in the 24 month period ending 31 December 2013, an increase of 1.8 million on the March 2006 baseline. This represents 55.9 per cent of the population compared with the March 2006 baseline of 55.6 per cent. The number of children seen by an NHS dentist is 1.0 per cent above the March 2006 baseline of 7.8 million although the percentage of children seen (69.0 per cent) is below the baseline (70.2 per cent). Figure 3a: Percentage of patients seen in the previous 24 months by region, March 2006 and December 2013 Percentage of patients seen in the previous 24 months, March 2006 and December 2013 There were an estimated 9.9 million CoT in Q2 2013/14, an increase of approximately 29,000 (0.3 per cent) on Q2 2012/13. CoT increased for each treatment band in Q2 of 2013/14, except Other which saw a decrease of approximately 174,000 (78.7 per cent) when compared with the corresponding quarter in 2012/13. This decrease reflects the phasing out of UDA credits for prescription only CoT, which was announced as part of the 2012/13 dental contract uplift 1. Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Page 4 of 25 Copyright 2014, Health and Social Care Information Centre.

5 arrangements 1, and came into force on 1st November As a consequence, no CoT or UDA are counted for prescription only activity from 1st November 2012 onwards. During Q2 2013/14 paying adults account for the largest percentage of patients receiving treatment in each band, with the exception of band 3 treatments, where non-paying adults received 53.2 per cent of these treatments. The greater provision of more complex treatments (band 3) to non-paying adults, compared with other patient types, may reflect a lower standard of dental health among these patients. This is supported by findings from the Adult Dental Health Survey Further Information This report covers work carried out by high street dentists, who account for the majority of dental activity and work undertaken by dentists under vocational training. The publication does not cover dental services provided privately. The total number of patients seen reached its lowest point in June 2008, and has generally increased gradually since this point (slight decreases in June 2012 and September 2013). In December 2009 the number exceeded the March 2006 baseline, when the current dental contract was introduced. The percentage of the population seen by an NHS dentist has increased slightly from the previous quarter (September 2013), and has increased by 0.3 percentage points compared with the March 2006 baseline Adult Dental Health Survey published by the Health Social Care Information Centre at: Copyright 2014, Health and Social Care Information Centre. Page 5 of 25

6 Introduction This quarterly report brings together information on NHS dental activity in England, based on data collected through FP17 forms by NHS Dental Services, part of the NHS Business Services Authority. This information is used by the Department of Health to inform government policy on NHS dentistry and by local NHS managers in the planning and delivery of local dental services. The report includes information on: Dental activity data on the number of Courses of Treatment (CoT) and Units of Dental Activity (UDA) The number of patients seen by an NHS dentist This report covers dental activity carried out by high street dentists, including work undertaken by dentists under vocational training. It does not, however, cover dental treatment carried out in hospital under Hospital Dental Services, nor under services provided privately. For an introduction to the terms and measures used in this report, we recommend reading our Beginner s Guide to Dental Data available at: In addition, full technical information is available in Annex 3 of this report. This report covers activity data under the current dental contract arrangements, including data (provisional and estimated) at specified dates from 2006/07 to the second quarter (30 September) of 2013/14. Numbers of patients seen by NHS dentists are slightly more up-to-date, including figures for the 24 month period to the end of the third quarter (31 December) of 2013/14. Dental activity data are provisional each quarter until final figures are available at the year end. The Health and Social Care Information Centre provides national year-end estimates for each quarter available based on these provisional data. Population based measures use population estimates provided by the Office of National Statistics (ONS) based on their revised 2010 methodology. ONS has published revised population estimates back to pre-2000; this is reflected in the patients seen section of this report. The historic percentage of the population will differ to those previously published. Due to the changes in the NHS structure, historical data (pre 2013/14) at subnational level are no longer included in the report annexes. From this report onwards data in Annex 2 will be presented at National, Regional, Area Team, Clinical Commissioning Group (CCG) and Local Authority (LA) levels. Historical data at sub-national level, under the pre-2013/14 NHS structure can be found in previous iterations of this report, available via the link below: Click for previous versions of NHS Dental Statistics for England While neither CCGs nor LAs are directly accountable for commissioning NHS primary care dental services (Area Teams hold this responsibility), in order to provide a suitable level of geographic granularity and relevance to the health service we have opted to provide these data at CCG level. Page 6 of 25 Copyright 2014, Health and Social Care Information Centre.

7 In addition, Local Authorities have responsibility for commissioning public health services, which includes dental and oral health programmes; so for this reason we considered that it would be relevant to present data at this level also. In order to present data at these levels, we have mapped data to these organisations on the basis of the postcode of the practice which claimed for the activity. This mapping requires use of additional datasets which define which postcodes reside in each organisation. Further details on this mapping are provided in the Geographic Granularity section of Annex 3. The following annexes are available with this report; Annex 1 includes all report tables and charts in Excel format. This annex also contains patients seen tables by adult/child at Region level. Annex 2 shows patients seen figures at Region, Area Team, CCG and Local Authority levels in Excel format. Annex 3 includes full technical information on the measures and definitions used in the report. Annex 4 contains flat csv files of unformatted activity and patients seen data, suitable for further analysis. Annex 4 (Patients Seen) contains patients seen data for each month from April 2013 onwards. The population estimates in this annex allow the calculation of population based patients seen figures. Annex 5 contains the csv file used to map PCTs to the regions in the new NHS structure. Users should also be aware of the Data Quality Statement, which accompanies this report, available at: Feedback We welcome any feedback on this report as well as any suggestions for future reports. Comments can be submitted via the Have Your Say link on the following webpage: Mapping In Annex 4 some data are assigned to an Unallocated CCG or LA. This covers data for those practices which we are not able to allocate to a CCG or LA on the basis of postcode, usually because the postcode is not valid. We are still able to assign these data to an area team, as this information is included in the raw data provided to us by the BSA, and thus we can also allocate them to a Region. Further details are provided in the Geographic Granularity section of Annex 3. Copyright 2014, Health and Social Care Information Centre. Page 7 of 25

8 Activity Courses of Treatment Dental activity is measured through the number of CoT delivered. For a full definition of CoT and treatment bands, please refer to Annex 3. Tables 1a and 1b show that there were an estimated 9.9 million CoT in Q2 2013/14, an increase of 29,064 (0.3 per cent) on Q2 2012/13. A further increase for CoT during Q2 follows an overall decrease in CoT over the course of 2012/13 compared with 2011/12, and may indicate a recovery of activity levels. Were it not for the impact of the phasing out of UDAs for prescription only CoT (see below), it is likely that the overall increase in quarter 2 would have been higher. Table 1b shows that in both absolute and relative terms, Other treatments experienced the greatest change compared with the same quarter the previous year; a decrease of 174,036 (78.7 per cent). This decrease can be attributed to the phasing out of UDA for prescription only CoT, with this treatment band substantially reducing throughout 2012/13. The phasing out of UDA credits for prescription only CoT, was announced as part of the 2012/13 dental contract uplift arrangement 4 for prescription only activity from 1 st November 2012 onwards 5. Figure 1b indicates that, when compared with the corresponding quarter in 2012/13, all regions have decreased; most noticeably London by 3.1 per cent Page 8 of 25 Copyright 2014, Health and Social Care Information Centre.

9 Table 1a: Number and percentage of CoT by treatment band at specified dates Table 1a: Number and percentage of CoT by treatment band at specified dates Number (000s) Per cent of total Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total 2006/07 Final 2011/12 Final Total 19,013 10,688 1,529 2, , ,225 2, , ,337 2, , ,072 2, , ,253 3, , Total 20,887 11,862 2,217 3, , /13 Final 1 5,191 2, , ,343 2, , ,097 2, , ,385 3, , Total 21,016 11,751 2,239 3, , /14 Estimated 1 5,442 2, , ,489 2, , /14 Provisional 1 5,416 2, , ,410 2, , Please see Annex 3 for information on which treatments are in each treatment band, and detail on provisional data and estimation method. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Copyright 2014, Health and Social Care Information Centre. Page 9 of 25

10 Table 1b: Change in number in number and percentage and percentage of CoT by treatment of CoT band 2012/13 by treatment to 2013/14band 2012/13 to 2013/14 Number (000s) Percentage point Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total Change 2012/13 Q1 to Estimated 2013/14 Q Change 2012/13 Q2 to Estimated 2013/14 Q Change 2012/13 Q3 to Estimated 2013/14 Q % change 2012/13 Q1 to Estimated 2013/14 Q % change 2012/13 Q2 to Estimated 2013/14 Q % change 2012/13 Q3 to Estimated 2013/14 Q Please see Annex 3 for information on which treatments are in each band. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Figure 1a: Percentage of CoT delivered in each treatment band, 2009/10 to Q2 2013/14 Figure 1a: Percentage of CoT delivered in each treatment band, 2009/10 to Q2 2013/14 1. Data for most recent quarters, indicated by broken lines, are based on estimated figures. Page 10 of 25 Copyright 2014, Health and Social Care Information Centre.

11 Table 1c: Number and and percentage percentage of CoT of by CoT region by region and band, and Q2 band, 2013/14 Q2 [provisional] 2013/14 [provisional] Number (000s) Percentage Point Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total England 5,410 2, , North 1, , Midlands And East 1, , London , South 1, , Please see Annex 3 for which treatments are in each treatment band, and detail on provisional data. 2. Provisional figures are revised in each quarter to account for Courses of Treatment (CoT) reported too late for inclusion in the previous quarterly report. Final figures are available in the year end report. 3. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Figure 1b: Percentage change in in number of of CoT, CoT, Q2 Q2 2012/13 to Q2 to Q2 2013/ /14 [provisional] by region by region 1. Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Copyright 2014, Health and Social Care Information Centre. Page 11 of 25

12 Table 1d: Percentage change in number of CoT, Q2 2012/13 to Q2 2013/14 [provisional] by Table 1d: region Percentage change in number of CoT, Q2 2012/13 to Q2 2013/14 [provisional] by region Q2 2012/13 (Final) Q2 2013/14 (Provisional) % change Q2 2012/13 (Final) to Q2 2013/14 (Provisional) England 9,893 9, North 3,190 3, Midlands And East 3,045 3, London 1,146 1, South 2,512 2, Provisional figures are revised in each quarter to account for Courses of Treatment (CoT) reported too late for inclusion in the previous quarterly report. Final figures are available in the year end report. 2. Figures presented are rounded. Calculation have been carried out using unrounded figures, which are available in Annex Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Copyright 2014, Health and Social Care Information Centre, Prescribing and Primary Care Team. All rights reserved. Table 1e: Number and percentage of CoT by patient type and treatment band, as at Q2 Table 1e: Number 2013/14 and percentage [provisional] of CoT by patient type and treatment band, as at Q2 2013/14 [provisional] Number (000s) Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total Paying Adult 2,746 1, , Non-Paying Adult , Child 1, , Total 5,410 2, , Per cent 1. Please see Annex 3 for information on which treatments are in each treatment band. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Page 12 of 25 Copyright 2014, Health and Social Care Information Centre.

13 Table 1f: Percentage of CoT by patient type and treatment band, as at Q2 2013/14 Table 1f: Percentage of CoT by patient type and treatment band, as at Q2 2013/14 [provisional] [provisional] Paying Adult Per cent of total Non- Paying Adult Child Total Band Band Band Urgent Other Total Please see Annex 3 for information on which treatments are in each treatment band. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Copyright 2014, Health and Social Care Information Centre, Prescribing and Primary Care Team. All rights reserved. Copyright 2014, Health and Social Care Information Centre. Page 13 of 25

14 Units of Dental Activity Units of Dental Activity (UDA) are weighted CoT. The measure is used in the funding of NHS dental activity and in setting contracts with NHS dentists. More information on UDA is available in Annex 3. Table 2a shows that an estimated total of 21.9 million UDA were carried out during Q2 of 2013/14, an increase of 170,669 thousand (0.8 per cent) on Q2 2012/13. As UDA are weighted CoT, changes in UDA by each band is similar to those for CoT, with the exception of Other (as there are multiple weightings in this band). The largest absolute change in UDA between Q2 2012/13 and Q2 2013/14 was for Band 1; increasing by 145,905 (2.7 per cent). As weighted CoT, the factors underlying the reduction in Other activity (e.g. phasing out of UDA credits for prescription only CoT), also apply in the same way to the UDA figures. Table 2a: Number and and percentage percentage of UDA of by UDA treatment by treatment band specified band at dates specified dates Number (000s) Per cent of total Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total 2006/07 Final 2011/12 Final Total 19,013 32,063 18,350 3, , ,225 8,632 6,182 1, , ,337 8,833 6,485 1, , ,072 8,790 6,830 1, , ,253 9,333 7,108 1, , Total 20,887 35,587 26,605 4, , /13 Final 1 5,191 8,472 6,219 1, , ,343 8,619 6,450 1, , ,097 8,779 6,919 1, , ,385 9,383 7,284 1, , Total 21,016 35,253 26,871 4, , /14 Estimated 1 5,442 8,844 6,452 1, , ,489 8,655 6,523 1, , /14 Provisional 1 5,416 8,804 6,425 1, , ,410 8,530 6,437 1, , Please see Annex 3 for information on which treatments are in each treatment band, and detail on provisional data and estimation method. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Page 14 of 25 Copyright 2014, Health and Social Care Information Centre.

15 Table 2b: 2b: Change in number in number and percentage and of percentage UDA by treatment of UDA band 2012/13 by treatment to 2013/14 band 2012/13 to 2013/14 Number (000s) Percentage point Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total Change 2012/13 Q1 to Estimated 2013/14 Q Change 2012/13 Q2 to Estimated 2013/14 Q Change 2012/13 Q3 to Estimated 2013/14 Q % change 2012/13 Q1 to Estimated 2013/14 Q % change 2012/13 Q2 to Estimated 2013/14 Q % change 2012/13 Q3 to Estimated 2013/14 Q Please see Annex 3 for information on which treatments are in each band. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Figure 2a: Percentage of UDA delivered in each treatment band, 2009/10 to Q2 2013/14 Figure 2a: Percentage of UDA delivered in each treatment band, 2009/10 to Q2 2013/14 1. Data for most recent quarters, indicated by broken lines, are based on estimated figures. Copyright 2014, Health and Social Care Information Centre. Page 15 of 25

16 Table 2c: Number and percentage of UDA by region and treatment band, Q2 2013/14 Table 2c: Number [provisional] and percentage of UDA by region and band, Q2 2013/14 [provisional] Number (000s) Percentage Point Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total England 5,410 8,530 6,437 1, , North 1,759 2,717 1, , Midlands And East 1,736 2,597 1, , London 505 1,128 1, , South 1,409 2,088 1, , Please see Annex 3 for which treatments are in each treatment band, and detail on provisional data. 2. Provisional figures are revised in each quarter to account for Units of Dental Activity (UDA) reported too late for inclusion in the previous quarterly report. Final figures are available in the year end report. 3. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Figure 2b: Percentage change in in number of of UDA, UDA, Q2 Q2 2012/ /13 to Q2 to Q2 2013/ /14 [provisional] by region by region 1. Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Page 16 of 25 Copyright 2014, Health and Social Care Information Centre.

17 Table 2d: Percentage change in number of UDA Q2 2012/13 to Q2 2013/14 [provisional] by Table 2d: Percentage region change in number of UDA, Q2 2012/13 to Q2 2013/14 [provisional] by region Q2 2012/13 (Final) Q2 2013/14 (Provisional) % change Q2 2012/13 (Final) to Q2 2013/14 (Provisional) England 21,692 21, North 6,834 6, Midlands And East 6,550 6, London 3,070 2, South 5,238 5, Provisional figures are revised in each quarter to account for Units of Dental Activity (UDA) reported too late for inclusion in the previous quarterly report. Final figures are available in the year end report. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Copyright 2014, Health and Social Care Information Centre, Prescribing and Primary Care Team. All rights reserved. Table 2e: Number and percentage of UDA by patient type and treatment band, as at Q2 Table 2e: Number 2013/14 and percentage [provisional] of UDA by patient type and treatment band, as at Q2 2013/14 [provisional] Number (000s) Band 1 Band 2 Band 3 Urgent Other Total Band 1 Band 2 Band 3 Urgent Other Total Paying Adult 2,746 4,211 2, , Non-Paying Adult 772 2,282 3, , Child 1,891 2, , Total 5,410 8,530 6,437 1, , Per cent 1.Please see Annex 3 for information on which treatments are in each treatment band. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Copyright 2014, Health and Social Care Information Centre. Page 17 of 25

18 Table Table 2f: 2f: Percentage Percentage of of UDA UDA by by patient patient type type and and treatment treatment band, band, as as at Q2 at Q2 2013/ /14 [provisional] [provisional] Paying Adult Per cent of total Non- Paying Adult Child Total Band Band Band Urgent Other Total Please see Annex 3 for information on which treatments are in each treatment band. 2. Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Copyright 2014, Health and Social Care Information Centre, Prescribing and Primary Care Team. All rights reserved. Page 18 of 25 Copyright 2014, Health and Social Care Information Centre.

19 Patients Seen This section shows the number of individual patients who received care or treatment from an NHS dentist at least once in the most recent 24-month period. Note that orthodontic patients are included in the patients seen measure. The National Institute for Health and Care Excellence (NICE) recommends that patients are recalled for check ups at intervals of 3 months to 24 months depending on the individual s oral health status. The patients seen measure is more up-to-date than the activity figures. In this report, we show the number of patients seen up to the end of the third quarter of 2013/14. In the 24 month period ending 31 December 2013: The total number of patients seen remains above the March 2006 baseline figure. In the 24 month period up to 31 December 2013, 1.8 million more patients were seen by an NHS dentist compared with the March 2006 baseline. Table 3a shows that the number of adult patients seen has risen by 1.7 million (8.3 per cent) since the baseline date. The number of children seen by an NHS dentist is 1.0 per cent above the March 2006 baseline of 7.8 million though the percentage of children seen (69.0 per cent) remains below the baseline (70.2 per cent). Table 3b shows that a total of 29.9 million patients were seen, increasing 0.4 per cent on the previous quarter. As in Q2, the percentage of the population seen by an NHS dentist exceeds the March baseline in the North and South regions (note that the distribution of data between regions for March 2006 is estimated). Copyright 2014, Health and Social Care Information Centre. Page 19 of 25

20 Table 3a: Number of patients seen and the percentage of the population seen in the Table 3a: Number of patients seen and the percentage of the population seen in the previous 24 months at previous 24 months at specified dates Number (000s) Percentage of population Adult Child Total Adult Child Total 31 Mar ,348 7,797 28, Jun ,401 7,771 29, Sep ,494 7,787 29, Dec ,642 7,810 29, Mar ,755 7,828 29, Jun ,761 7,813 29, Sep ,772 7,811 29, Dec ,888 7,830 29, Mar ,938 7,838 29, Jun ,962 7,851 29, Sep ,947 7,855 29, Dec ,033 7,876 29, Change Mar 2006 to Dec , , Change Sep 2013 to Dec % Change Mar 2006 to Dec % Change Sep 2013 to Dec Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex 4. Copyright 2014, Health and Social Care Information Centre, Prescribing and Primary Care Team. All rights reserved. Page 20 of 25 Copyright 2014, Health and Social Care Information Centre.

21 Table 3b: Number and percentage of patients seen in the previous 24 months by region, at Table 3b: Number and percentage of patients seen in the previous 24 months by region, at specified specified dates dates Number (000s) Change (000s) Per cent change Percentage of population Percentage point change 31 Mar 06 (baseline) 30 Sep 13 (end Q2) 31 Dec 13 (end Q3) Mar 06 to Sep 13 to Dec 13 Dec 13 Mar 06 to Sep 13 to Dec 13 Dec Mar 06 (baseline) 30 Sep 13 (end Q2) 31 Dec 13 (end Q3) Mar 06 to Sep 13 to Dec 13 Dec 13 England 28,145 29,802 29,909 1, North 8,751 9,222 9, Midlands And East 8,872 9,142 9, London 3,890 4,144 4, South 6,632 7,295 7, Figures presented are rounded. Calculations have been carried out using unrounded figures, which are available in Annex Please see Annex 3 for in formation on the population figures used in calculations. 3. Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Figure 3a: Percentage of patients seen in in the the previous months by region, by region, March March and December and 2 December Data prior to 2013/14 has been mapped to the new structure, and is therefore an estimate. Copyright 2014, Health and Social Care Information Centre. Page 21 of 25

22 Figure 3b: Percentage of of patients seen seen by CCG by CCG for December for December For charting purposes, per cent of patients figures are rounded to one decimal place. Contains Ordnance Survey data Crown copyright and database right 2014 Page 22 of 25 Copyright 2014, Health and Social Care Information Centre.

23 List of Annexes The annexes that accompany this report are available at: Annex 1 Report tables and charts (Excel workbook) All tables and charts presented in this report in Excel format. Annex 2 CCG, AT, region and LA level data (Excel workbook) Main subject Patients Seen Table number A1 A2 A3 A4 A5 A6 A7 A8 Title Patients seen in the previous 24 months, by patient type and clinical commissioning group from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months, by patient type and area team from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months, by patient type and region from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months, by patient type and local authority from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months as a percentage of the population, by patient type and clinical commissioning group from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months as a percentage of the population, by patient type and area team from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months as a percentage of the population, by patient type and region from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Patients seen in the previous 24 months as a percentage of the population, by patient type and local authority from 31 March 2006, 30 September 2013 and 31 December 2013 (including orthodontic patients) Annex 3 Technical Information This contains in-depth information regarding the use and interpretation of the data and historical changes to population and methodologies. Annex 4 Source data (csv files) Name Patients Seen Activity Description Patients Seen in the previous 24 months, by month and patient type from 30 April 2013 to 31 December 2013 at CCG and local authority level. (includes patients seen figures on a monthly basis from April 2013 onwards) Courses of Treatment by treatment band and patient type, Q2 2013/14 at CCG and local authority level. Units of Dental Activity by treatment band and patient type, Q2 2013/14, at CCG and local authority level. Annex 5 PCT to region (csv file) This contains the mappings between Primary Care Trusts and Regions. Copyright 2014, Health and Social Care Information Centre. Page 23 of 25

24 Other Publications A full list of Health and Social Care Information Centre (HSCIC) reports produced on dentistry can be found within the dentistry link at: For information on other data related to the dental sector, please see our Guide to NHS Dental Publications available at: Information on the commissioning arrangements for primary care services is available from NHS England at: NHS England publishes regular information on dental commissioning. Note that these data are not directly comparable with the activity statistics presented in this report. Figures are available via the link below: The Department of Health s Delivering Better Oral Health toolkit is available at: s/publicationspolicyandguidance/dh_ Dental activity data for other UK countries are available as follows: Scotland - Wales - Services/Current-Contract Northern Ireland Page 24 of 25 Copyright 2014, Health and Social Care Information Centre.

25 Published by the Health and Social Care Information Centre Part of the Government Statistical Service Responsible Statistician Oliver Smith, Service Manager ISBN This publication may be requested in large print or other formats. For further information: Copyright 2014 Health and Social Care Information Centre. All rights reserved. This work remains the sole and exclusive property of the Health and Social Care Information Centre and may only be reproduced where there is explicit reference to the ownership of the Health and Social Care Information Centre. Copyright 2014, Health and Social Care Information Centre. Page 25 of 25 This work may be re-used by NHS and government organisations without permission.