Ross and Harriet from Patient Plan Direct explore the implications of the proposed Welsh NHS dental contract reform due in April 2026, shedding light on growing concerns among practice owners about profitability, continuity of care, and long-term viability. While the reform aims to improve patient access, it presents significant risks for dental practices; particularly the potential loss of goodwill, reduced clinical autonomy, and uncertainty around patient retention as individuals are funneled into a centralised Dental Access Portal (DAP).

Ross warns that the reform could be “the straw that breaks the camel’s back” in an already overstretched system, where NHS contracts are becoming increasingly unsustainable for dental practices. Early preparation is essential — understanding the financial position of the business, developing a clear strategy for private care, and introducing patient membership plans to encourage loyalty are all key steps for long-term success. Practices currently have a unique window of control to transition on their own terms before reforms potentially limit their options. While uncertainty remains around the DAP’s logistics, including record-sharing and geographic reassignment of patients, the consensus is that practices must act now to secure their future. Many are already converting or setting up private alternatives to avoid being the last NHS provider in their area, which carries both mental and operational burdens.

With the right support, practices can take proactive, strategic steps to navigate the transition, transforming a potential threat into a valuable opportunity.