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Combined Dental Agreement Review 2019

The Combined Dental Agreement

DHBs use the Combined Dental Agreement (CDA) to contract oral health providers to deliver:

  • Oral Health Services to Adolescents (OHSA) for adolescents (under 18 years old)
  • Special Dental Services (SDS) for children (younger than adolescents).

Contractors agree to provide services under the OHSA, SDS or both.

The CDA is reviewed every three years, over which time we support all 20 DHBs nationwide. It is used to contract around 900 providers.

The CDA underwent a substantial review in 2016. The three-year agreement is due to expire on 30 June 2019 and requires a review to ensure it best meets the needs of patients, contract holders, and DHBs.

TAS supports DHBs by providing project management and analytical services to the governance group that oversees:

  • publicly-funded oral health services for adolescents
  • specialist dental services for children and adolescents.

TAS also leads the reviews through our Planning and Collaboration team.

Review objectives

This review covers the contents of the current CDA, for example it will recommend improvements to current clauses. This is so:

  • service coverage is improved
  • expert clinical advice on whether the treatment contained in the package of care remains good practice and appropriate for adolescent oral health care, is sought
  • contract holders, approving dental officers, oral health portfolio managers and sector operations find it simpler to use.

Input will be sought from:

  • DHBs via oral health portfolio managers and approving dental officers
  • the New Zealand Dental Association
  • the Ministry of Health’s oral health team
  • contract holders.

The review will result in a revised contract template and operational guidelines by 31 May 2019, ready for implementation on 1 July 2019.

Who leads the Review?

The Oral Health Group (OHG) leads the review of the CDA on behalf of their DHB General Managers Planning and Funding (GMs P&F).

The OHG was formed in 2004 and its purpose is to:

  • provide recommendations to DHB GMs P&F on changes to the CDA and its associated guidelines
  • receive, comment on and provide policy advice to the sector.

TAS provides project management and secretariat support to the OHG. Current OHG members are listed below.

The Oral Health Group members

  • Emma Foster, Chair and DHB general manager (GM) representative
  • Dr Geoff Hunt and Dr Donna Kennedy, DHB clinical representatives
  • Deepa Hughes, Portfolio Manager – Northern DHBs
  • Nicholette Pomana, Portfolio Manager – Midland DHBs
  • Julia Jones, Portfolio Manager – Central DHBs
  • Bridget Lester, Portfolio Manager – South Island DHBs.

DHB Approving Dental Officers, Regional Portfolio Manager Representatives, the Ministry of Health (MoH) and the New Zealand Dental Association (NZDA) are consulted on the changes. 

Thanks for your feedback

We asked for feedback on the Combined Oral Health Review 2019, submissions are now closed.

Your feedback will be considered by the National Oral Health working group and their responses posted on this website.

The new Combined Dental Agreement 2019 will be finalised and rolled out to Providers from July 2019 and will be current for three years to end of June 2022.


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Last updated: 29/3/21