The RAINDROP (Resource Allocation in NHS Dentistry: Recognition of Societal Preferences) Study: A National Programme Budgeting Marginal Analysis Project in English Dentistry

Jun 3, 2019 - 12:00pm to 1:00pm
700-828 W. 10 Ave., VGH Research Pavilion
Chris Vernazza

In England, dentistry is partially covered by the National Health Service, with additional co-payments for most patients. Currently, allocation of the dental budget is mainly based on replicating historical allocations to dental clinics. The session will describe a Programme Budgeting Marginal Analysis (PBMA) process that was undertaken at a national level to recommend changes in dental budget allocation. The PBMA also incorporated a willingness to pay (WTP) survey of a nationally representative sample of the population for each of the programmes. The process recommended investing in new places at dental offices for NHS patients, more dental care in care homes for dependent adults and better provision for dental public health advice for state provided services, whilst recommending reducing orthodontic services and stopping provision of scaling and polishing of teeth.

Learning outcomes:

By the end of the session, participants will be able to:
•    Describe the current resource allocation situation in the NHS dental system in England
•    Outline the issues in using willingness to pay in priority setting and resource allocation
•    Discuss an example of a national level PBMA incorporating willingness to pay