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Combined Dental Agreement Review 2019

The Combined Dental Agreement


District Health Boards (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 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.

Review objectives

This review will cover 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 reviews?

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

Current Group members are listed below.

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. 

How you can get involved

  • First, review the current list of proposals.
  • You may wish to review the current Agreement template and Operational Guidelines.
  • Then consider the benefits, risks or issues each proposal may bring. How can these be minimised or what other solutions could be used to fix the problem?
  • Finally, what else can be done to further improve the Contract and Operational Guidelines?

There are a number of ways you can contribute to and comment on the review changes. You can send your feedback by Thursday 17 January 2019 to:  

  1. Your local DHB Portfolio Manager
  2. The Chief Executive of the New Zealand Dental Association
  3. The secretariat for the review.

Input and suggestions should be made in writing. Further updates and information will be published on this website.

Contact the secretariat for the Oral Health Group: 

Sat Narayan
Project Manager, Planning and Improvement
Phone: 04 801 2462

About the Oral Health Group

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

  • provide recommendations to National General Managers of Planning and Funding on changes to the CDA and its associated guidelines.
  • receive, comment on and provide policy advice to the sector.

TAS provide project management and secretariat support to the OHG.

The Oral Health Group members

Chris Ash, Chair and DHB GM representative

Dr Geoff Hunt and Dr Robin Whyman, DHB clinical representatives

Stacey Strang, Portfolio Manager – Northern DHBs

Pip King, Portfolio Manager – Midland DHBs

Rachel Pearce, Portfolio Manager – Central DHBs

Bridget Lester, Portfolio Manager – South Island DHBs.