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200, "last_modified": null, "etag": null, "sha256": "11794e74e7895d4c8e5f1eda5a95cb86eff77507cd43726d238aa2de375210d1", "bytes": 52872 }, { "source_id": "NHS-F04-METADATA", "url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/nhs_dental_stats_202526_metadata_for_csvs_v001.xlsx", "resolved_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/nhs_dental_stats_202526_metadata_for_csvs_v001.xlsx", "label": "Metadata file for dental CSV files 2025/26 (Excel: 42KB)", "retrieved_at": "2026-10-14T05:26:26.563063+00:00", "retrieval_date_local": "2026-10-14", "http_status": 200, "last_modified": "Thu, 27 Aug 2026 10:18:21 GMT", "etag": "\"cbf2301208bc49fb25530e20b01cb583\"", "sha256": "9cfb9eb4c7764bcae1d25dd1f425c06653b7a71f714e0b17f46d3e7e7c542dba", "bytes": 49031 } ], "definitions_and_limits": [ { "definition_id": "F04-M01", "term": "Course of treatment (COT)", "meaning": "A count of valid FP17 forms for completed general dental COTs; one COT may contain several visits and several treatment types.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 2.2 Dental Activity; national workbook Metadata!B6", "boundary": "Not visits or unique patients; national COT totals exclude orthodontics unless specifically stated." }, { "definition_id": "F04-M02", "term": "Activity period", "meaning": "Activity measures COTs ending within the financial year,1 April 2025 through 31 March 2026; processing lag accounts for valid claims submitted after treatment.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 2.4 Patients Seen (comparison with activity dates); section 3.2 claims window", "boundary": "Do not describe these as calendar2026statistics or April–June 2026 YTD." }, { "definition_id": "F04-M03", "term": "Treatment bands", "meaning": "A course is classified by its most complex treatment. Band 2 legacy,2a,2b,2c are separate labels; sub-bands apply to acceptance dates from25 November 2022.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 2.2 Treatment bands/Band 2 sub-bands; Table_1a_i notes", "boundary": "Band3may include clinically simpler treatments; treatment-type totals cannot be added to count unique courses." }, { "definition_id": "F04-M04", "term": "Urgent band", "meaning": "A specified claims/treatment category for urgent oral conditions; it may contain specified interventions including up to two extractions and one filling.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 2.2 Treatment bands, Urgent", "boundary": "Urgent COT count does not measure all appointments, unique emergency patients, unmet need, or the effect of an incentive policy." }, { "definition_id": "F04-M05", "term": "Clinical treatment items versus containing courses", "meaning": "Tables 5a/5c estimates courses containing each named treatment; Tables 5b/5d estimates treatment items. A COT can include more than one clinical-treatment type.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_contract_national_overview_25_26_v001.xlsx", "locator": "Table_5a!A1;Table_5b!A1;Table_5c!A1;Table_5d!A1; background section 2.3", "boundary": "Retain the source term estimated extraction clinical treatment items. Do not relabel as patients, hospital extraction episodes, teeth per person or instrument units." }, { "definition_id": "F04-M06", "term": "Extraction(s)", "meaning": "The clinical category covers extraction and specified surgical removal categories, including buried roots and unerupted/impacted/exostosed teeth.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 2.3, clinical-treatment definition table, Extractions", "boundary": "No inferential statement about indications, severity, disease causation or appropriate treatment." }, { "definition_id": "F04-M07", "term": "Adult/child clinical grouping", "meaning": "The2025/26 release directly uses patient age at acceptance rather than a charge-status-derived age indicator; the release restates historical data accordingly.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 3.1 Changes for2025/26, Adult and child patient type", "boundary": "Use both years from this latest workbook. Exemption status and age group are separate concepts; do not mix denominators from older releases." }, { "definition_id": "F04-M08", "term": "Dentists with NHS activity", "meaning": "National performer headcounts in GDS/PDS/TDS with at least one UDA or UOA recorded in the year; foundation dentists included, DCPs excluded.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_workforce_2526_v001.xlsx", "locator": "Table_1a!A4:A5; background workforce definition; narrative section 2.4", "boundary": "Not all GDC-registered or practising dentists, FTE, hours, appointment capacity or a private dental workforce count." }, { "definition_id": "F04-M09", "term": "Joiners and leavers", "meaning": "Current-year joiners have NHS activity now and none in the previous year. Current-year leavers had activity in the previous year and none in the current year.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "workforce section Joiners/Leavers; section 3.3.2 leaver presentation change", "boundary": "Not profession entrants/exits, immigration, graduation or retirements. Do not add sub-national counts because performers can appear in multiple contract areas." }, { "definition_id": "F04-M10", "term": "Final/provisional and revisions", "meaning": "Annual activity and clinical data are final annual data; some population-derived percentages/densities can be provisional. Latest release historical totals can still be revised.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 7.2 Accuracy and Reliability; section 3 methodology; source-table notes", "boundary": "No population denominator or provisional density is used in the core tables in this pack." }, { "definition_id": "F04-M11", "term": "Coverage", "meaning": "NHS dental activity in England; NHS hospital dental activity, cosmetic/private treatments are excluded.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section1 Background information", "boundary": "Do not describe findings as UK-wide, all English dental care, all extraction care, dental-market value or instrument demand." }, { "definition_id": "F04-M12", "term": "Scope exclusions used here", "meaning": "Patients-seen statistics use different adult/child windows and may include orthodontics; this study instead focuses on annual general COTs, bounded clinical categories and national workforce counts.", "source_url": "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_background_2526_v001.html", "locator": "section 2.4 Patients Seen; release patients-seen data note", "boundary": "The separately bundled2026/27 patient files are April–June 2026 YTD. They are not part of the2025/26 annual activity denominator." } ], "correction_history": [ { "date": "2026-09-24", "affected": "Contract-location geographic activity summary Table 3f", "effect_on_this_pack": "No identified effect on national/workforce cells used here; use current corrected files for any later geographic study.", "source_url": "https://www.nhsbsa.nhs.uk/announcements/notices-correction/dental-statistics-england-notices-correction" }, { "date": "2026-09-09", "affected": "Narrative Table 7; contract-location geographic activity Table 3d; duplicate rows in patient contract and clinical contract CSVs", "effect_on_this_pack": "Clinical duplicate CSV rows carried extra 0 values and did not alter grouped totals. 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Full computational precision retained.", "statistical_significance_claim": false }, { "claim_id": "F04-D-WF-NET-FLOW-INCREASE", "claim_type": "original_descriptive_calculation", "label": "Increase in net NHS-activity joiner flow", "value": 416, "unit": "dentist performers", "financial_years": [ "2024/2025", "2025/2026" ], "cohort": "As specified by the input claims", "geographic_scope": "England", "input_claim_ids": [ "F04-IN-WF-JOINERS-2425", "F04-IN-WF-LEAVERS-2425", "F04-IN-WF-JOINERS-2526", "F04-IN-WF-LEAVERS-2526" ], "source_urls": [ "https://nhsbsa-opendata.s3.eu-west-2.amazonaws.com/dental/dental_workforce_2526_v001.xlsx" ], "source_locators": [ "Table_1a!C13", "Table_1a!D13", "Table_1a!C14", "Table_1a!D14" ], "formula": "(Joiners_current-Leavers_current) - (Joiners_previous-Leavers_previous)", "limits": [ "Comparing two net activity-flow measures; this is not the current year stock increase or a causal effect." ], "retrieved_date_local": "2026-10-14", "data_status": "Derived from the published annual tables; same scope and revision limitations apply.", "display_precision": "Percentage changes/shares 1 or 2 decimals; ratios 2 decimals. Full computational precision retained.", "statistical_significance_claim": false } ], "existing_CRS_input_verification": [ { "result_id": "CRS-UK-01-R1", "input_comparisons": [ { "observation_id": "EUOBS-0219", "source_locator": "Table_1a_i!K8", "saved_value": 35412041, "current_value": 35412041, "match": true }, { "observation_id": "EUOBS-0218", "source_locator": "Table_1a_i!K7", "saved_value": 37618010, "current_value": 37618010, "match": true }, { "observation_id": "EUOBS-0221", "source_locator": "Table_1a_i!H8", "saved_value": 3658263, "current_value": 3658263, "match": true }, { "observation_id": "EUOBS-0220", "source_locator": "Table_1a_i!H7", "saved_value": 3966998, "current_value": 3966998, "match": true } ], "all_inputs_match": true }, { "result_id": "CRS-UK-02-R1", "input_comparisons": [ { "observation_id": "EUOBS-0177", "source_locator": "Table_5a!J11", "saved_value": 1736920, "current_value": 1736920, "match": true }, { "observation_id": "EUOBS-0206", "source_locator": "Table_5b!J10", "saved_value": 2549342, "current_value": 2549342, "match": true }, { "observation_id": "EUOBS-0193", "source_locator": "Table_5c!J12", "saved_value": 545958, "current_value": 545958, "match": true }, { "observation_id": "EUOBS-0212", "source_locator": "Table_5d!J10", "saved_value": 938822, "current_value": 938822, "match": true }, { "observation_id": "EUOBS-0201", "source_locator": "Table_5c!J37", "saved_value": 518005, "current_value": 518005, "match": true }, { "observation_id": "EUOBS-0215", "source_locator": "Table_5d!J22", "saved_value": 896718, "current_value": 896718, "match": true } ], "all_inputs_match": true }, { "result_id": "CRS-UK-03-R1", "input_comparisons": [ { "observation_id": "EUOBS-0224", "source_locator": "Table_1a!B13", "saved_value": 24655, "current_value": 24655, "match": true }, { "observation_id": "EUOBS-0227", "source_locator": "Table_1a!B14", "saved_value": 25419, "current_value": 25419, "match": true }, { "observation_id": "EUOBS-0225", "source_locator": "Table_1a!C13", "saved_value": 2213, "current_value": 2213, "match": true }, { "observation_id": "EUOBS-0228", "source_locator": "Table_1a!C14", "saved_value": 2323, "current_value": 2323, "match": true }, { "observation_id": "EUOBS-0226", "source_locator": "Table_1a!D13", "saved_value": 1865, "current_value": 1865, "match": true }, { "observation_id": "EUOBS-0229", "source_locator": "Table_1a!D14", "saved_value": 1559, "current_value": 1559, "match": true } ], "all_inputs_match": true } ], "published_analyses_reviewed": [ { "analysis_id": "F04-A01", "title": "Are more people getting NHS dental care?", "publisher": "Healthwatch England", "publication_date": "2026-10-01", "source_url": "https://www.healthwatch.co.uk/blog/2026-10-01/are-more-people-getting-nhs-dental-care", "access": "Public full HTML inspected", "observed_focus": "Links higher activity, urgent-course growth and deprivation patterns to reported difficulties obtaining care.", "relationship_to_our_study": "Urgent growth is already discussed publicly. Our added contribution should be reproducible band-count growth decomposition, exact shares, extraction item/course distinction and workforce-flow reconciliation.", "not_carried_forward": "Survey access figures and patient stories are separate evidence populations; no causal claim is inherited." }, { "analysis_id": "F04-A02", "title": "Three in five adults have not accessed NHS dental care in the last two years", "publisher": "Royal College of Surgeons of England", "publication_date": null, "publication_date_note": "The fetched page does not expose a reliable press-release publication date; it cites the27 August 2026 release.", "source_url": "https://rcseng.ac.uk/news-and-events/media-centre/press-releases/nhs-data-dental-access/", "access": "Public full HTML inspected", "observed_focus": "Highlights NHS patients-seen coverage and geographical differences alongside increased activity and dentist headcounts.", "relationship_to_our_study": "Avoid treating NHS non-attendance as absence of any private dental care; focus our study on matched activity units and accounting decomposition.", "not_carried_forward": "No appointment-availability or disease-need claim is inferred from course counts." }, { "analysis_id": "F04-A03", "title": "Latest figures show that NHS dentistry has not bounced back since pandemic", "publisher": "British Dental Journal", "publication_date": "2026-09-11", "source_url": "https://www.nature.com/articles/s41415-026-0207-5", "doi": "10.1038/s41415-026-0207-5", "genre": "News/commentary, not a new peer-reviewed causal study", "access": "Public HTML inspected; browser initially showed a subscription preview, direct public download included article text without bypass.", "observed_focus": "Discusses BDA concerns about activity relative to pre-pandemic norms and contract reform.", "relationship_to_our_study": "Any2018/19 comparison would require that source and method comparability separately. We use the latest restated2024/25 and 2025/26 counts for main calculations.", "not_carried_forward": "Unmet-need estimates and policy-cause claims are not established by our COT/workforce calculations." } ], "study_type": "Original descriptive secondary analysis of official administrative data; not an official NHSBSA publication, clinical study, forecast or causal evaluation.", "recommended_original_contribution": "Explain which mutually exclusive claims-band categories account for the observed national course increase; distinguish courses from extraction items; reconcile national NHS-active workforce stocks and flows.", "writer_cautions": [ "Use England and2025/26financial-year labels throughout.", "Retain estimated on clinical counts.", "All findings exclude private and NHS hospital care.", "Growing urgent-band activity does not establish improved appointment access or a causal policy effect.", "An accounting contribution to count growth is not causation.", "No patients, teeth per patient, instrument demand, retirement or FTE claim from these tables.", "Use current annual source figures, including corrected2024/25 historical workforce values.", "Do not present derived figures as NHSBSA-issued analyses or guarantee search visibility/citations." ] }