MSE - Minor Oral Surgery (Dental)

Level 2 Minor Oral Surgery contracts are due to expire on the 31st of March 2026. The current contracts commenced in 2019 and were for 5 years with an extension clause of a further 2 years that was enacted. This service was commissioned to enable patients that required dental surgery to be treated in high street practices with the required skills rather than in Secondary care settings to improve patient experience, reduce patient waiting times and to reduce costs and demands on hospital services. Oral surgery deals with the assessment, diagnosis, care and management of the mouth and jaws when surgical intervention is necessary. Primary Care dental practitioners are expected to undertake simple extractions. Most oral surgery is undertaken in general dental practices, although some patients requiring more complex procedures are referred elsewhere for treatment. The most complex oral surgery is undertaken in hospitals. When a treatment required is too complex to be undertaken in a general dental practice, but not sufficiently complex to be undertaken in a hospital. In these instances, treatment may be referred to and undertaken within a primary care Level 2 Minor Oral Surgery (MOS) service. A patient referred into this service by their General Dental Practice will be triaged and allocated to their nearest available MOS provider, or MOS provider with Sedation, unless patient choice is indicated. Upon receipt of the referral the MOS provider will further assess the patient and if appropriate treat the patient after which they will be discharged back to their GDP. Two of the providers, The Essex Dental Clinic and Hutton Village where the provider has an additional Sedation contract to allow Minor Oral Surgery to be carried out under sedation. There are no concerns in regard to performance and quality of the current contract holders. There is a need for the continuation of Minor Oral Surgery services, the ICB Executive have given approval to recommission these contracts for 1 year plus 1 year extension using PSR Direct Award C. This will ensure continued MOS treatment for patients and enable us to reexamine this service when the current reconfiguration of ICB’s and boundaries has taken place with minimum disruption to patients and services. The new contract will commence on 1st April 2026 and if fully extended, run to 31st March 2028. The indicative values of the contract across all 10 contracts including separate sedation contract is £1,726,251.49 exclusive of extension and £3,452,502.99 inclusive of the one year extension option. • The indicative values are calculated based on a cost price per patient treated on past activity and worked out over the next 1 + 1 year.