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Improving patient access to NHS dental care and reducing oral health inequalities across England remains a key priority for the NHS. In December 2025, the government confirmed a new package of reforms to the English NHS dental contract, due to be implemented from 1 April 2026.

These reforms represent the first phase of a broader commitment to fundamental contract reform, addressing long-standing concerns raised by patients, dental professionals, and representative bodies.

Consulted on between July and August 2025, the proposals received broad support and are designed to better reflect modern clinical practice, support prevention-focused care, and improve access for higher-needs patients.

This article summarises the key changes and what they mean for NHS dental practices.