How NHS Dental Reforms Could Change Workforce Planning For Dental Practices

Wednesday, June 24, 2026
The future direction of NHS dentistry is becoming increasingly focused on prevention, access and long-term oral health outcomes.
Whilst much of the discussion surrounding NHS dental reform centres on contracts, funding and patient access, there is another important consideration for dental practice owners and managers: workforce planning.
As new care pathways place greater emphasis on prevention, oral health stabilisation and periodontal care, practices may need to rethink how they structure their clinical teams. Those that embrace effective skill-mix models could be better positioned to improve efficiency, increase access and deliver excellent patient care.
What Are The Proposed NHS Dental Reforms?
The proposed reforms are designed to improve patient access whilst encouraging a more preventive approach to oral healthcare.
Historically, NHS dentistry has often been criticised for incentivising treatment rather than prevention. The emerging direction of travel seeks to place greater emphasis on:
  • Preventive oral healthcare
  • Long-term disease management
  • Oral health stabilisation
  • Improved access to urgent care
  • Management of patients with complex needs
  • Better utilisation of the wider dental team
For dental practices, this could create new opportunities to maximise the contribution of every clinical professional within the practice.
Why Prevention Is Becoming More Important
Prevention has always been a fundamental principle of good dentistry. However, under the evolving NHS framework, preventive care is likely to become increasingly important within patient pathways.
This includes:
  • Oral hygiene education
  • Smoking cessation support
  • Fluoride application programmes
  • Dietary advice
  • Long-term oral health monitoring
  • Early intervention strategies
Many of these activities sit naturally within the scope of practice of dental hygienists and dental therapists.
As a result, practices may find that prevention-focused care can be delivered more efficiently by utilising a broader range of clinical professionals whilst allowing dentists to focus on diagnosis, treatment planning and complex clinical procedures.
How Dental Hygienists Could Support The New Care Pathways
Dental hygienists are already central to preventive dentistry.
As demand for long-term oral health management increases, hygienists may play an even greater role in supporting patient outcomes.
Areas where hygienists can provide significant value include:
  • Periodontal maintenance
  • Oral hygiene instruction
  • Preventive treatments
  • Long-term patient engagement
  • Monitoring oral health progression
  • Supporting oral disease management
For practices operating under NHS contracts, increasing hygiene capacity could help create additional availability for dentists whilst maintaining continuity of care for patients.
This may strengthen the business case for additional hygiene sessions within many practices.
The Growing Importance Of Periodontal Care
One of the most significant implications of the proposed reforms is the increased focus on periodontal care and oral health stabilisation.
Patients with moderate or advanced periodontal disease often require multiple appointments over an extended period.
These treatment pathways demand ongoing support, monitoring and maintenance.
By effectively integrating dental hygienists into periodontal care programmes, practices may be able to:
  • Improve patient outcomes
  • Increase treatment efficiency
  • Utilise dentist chair time more effectively
  • Create greater appointment availability
  • Support long-term oral health objectives
For many practices, periodontal care could become an increasingly important consideration within workforce planning discussions.
Why Dental Therapists May Become Increasingly Valuable
Whilst dental hygienists are likely to play a key role in future NHS dentistry, dental therapists may represent one of the most significant workforce opportunities.
Dental therapists can support both preventive care and a range of restorative treatments within their scope of practice.
This creates a unique opportunity for practices seeking to:
  • Increase patient access
  • Improve operational efficiency
  • Reduce pressure on dentists
  • Deliver prevention-focused care
  • Support growing patient demand
As workforce pressures continue across the dental sector, practices that effectively utilise dental therapists may gain a significant operational advantage.
The future of NHS dentistry may not simply depend on recruiting more dentists. It may depend on how effectively practices utilise their entire clinical team.
How Effective Skill Mix Can Improve Access And Efficiency
The concept of skill mix is not new. However, NHS workforce planning increasingly supports models where each member of the dental team operates at the top of their scope of practice.
For dental practices, this can provide several benefits:
  • Increased patient access
  • Improved utilisation of clinical resources
  • Greater workforce flexibility
  • Improved patient experience
  • Enhanced operational efficiency
As NHS dentistry continues to evolve, practices that adopt a strategic approach to workforce planning may be better prepared for future challenges and opportunities.
What Should Dental Practice Owners Consider Now?
Whilst the full impact of NHS dental reforms will continue to develop, practice owners and managers can begin preparing now.
Key considerations include:
  • Reviewing current utilisation of dental hygienists
  • Assessing opportunities to expand hygiene capacity
  • Evaluating the potential role of dental therapists
  • Reviewing appointment allocation and clinical workflows
  • Considering future recruitment requirements
Workforce planning should not simply focus on filling vacancies. It should focus on building a clinical team capable of supporting the future needs of patients and the practice.
Frequently Asked Questions
Will NHS dental reforms increase demand for dental hygienists?
Many industry observers expect demand for dental hygienists to increase as prevention and long-term oral health management become more prominent within patient care pathways.
Could dental therapists become more important in NHS dentistry?
Dental therapists are well positioned to support both preventive and restorative care. This may make them increasingly valuable as practices seek to improve efficiency and patient access.
What is a skill-mix model in dentistry?
A skill-mix model involves ensuring that each member of the dental team works at the highest level permitted within their professional scope of practice.
How can workforce planning support dental practice growth?
Effective workforce planning helps practices improve access, optimise clinical capacity, support patient outcomes and prepare for future changes within the sector.
Planning For The Future Of NHS Dentistry
The proposed NHS dental reforms represent more than a contractual or operational change. They may signal a wider shift in how dental care is delivered.
Practices that proactively review their workforce structure and embrace effective skill-mix models may be best positioned to adapt to changing patient needs and future NHS expectations.
At Flourish Medical, we support dental practices across the West Midlands with strategic recruitment solutions tailored to their workforce needs. Whether you are seeking experienced dental hygienists, dental therapists or dentists, our team can help you build a workforce designed for long-term success.
Contact Flourish Medical today to discuss your dental recruitment requirements and discover how our specialist dental recruitment agency can support your practice.