Tier 2 Oral Surgery Services in BOB and Frimley ICBs

[Health services] Buckinghamshire, Oxfordshire & West Berkshire (BOB) Integrated Care Board (ICB) (the Commissioner) is seeking to commission providers who have the capability and capacity to deliver NHS Tier 2 Oral Surgery services in Buckinghamshire, Oxfordshire West Berkshire & and Frimley (Berkshire East), in line with the specified requirements.

The procurement is divided into 8 lots, 4 in the Buckinghamshire, Oxfordshire West Berkshire & and Frimley (Berkshire East) area and 4 in the Surrey Heartlands area. Providers may bid for one or multiple Lots.

Oral surgery deals with the diagnosis and management of pathology of the mouth and jaws that requires surgical intervention. It involves the treatment of adolescents and adults, and the management of dentally anxious and medically complex patients. Further information on the services can be found in the Oral Surgery clinical standards:

NHS England » Oral surgery clinical standard

The services will provide Level 2 Oral Surgery for patients, either residing in or currently under the care of a General Dental Practitioner (GDP), in Dorset.

All Mandatory Dental Services, including simple non-surgical extractions, are excluded from the scope but some services will include Sedation in accordance with the Guidance for Commissioning Sedation for Dental Services in Primary Care 2017.

The aims of the service (with and without Sedation) are to:

• ensure that equitable, accessible, cost effective, high quality Minor Oral Surgery (MOS) services are available to the public locally;
• increase the availability and accessibility of the primary care based MOS services to those patients who require sedation to support them to receive a minor oral surgical procedure locally;
• release pressures and waiting times for treatment at secondary care centres; and
• reduce the number of patients receiving minor oral surgical procedures under general anaesthesia.

Performers will need to be accredited to provide the services to a Level 2 standard. The accreditation will be through an accreditation panel led by the Managed Clinical Network for Oral Surgery, with the support of NHS England and the ICB. Further information on accreditation can be found in the commissioning guide:

https://www.england.nhs.uk/wp-content/uploads/2018/09/guidance-for-the-accreditation-of-performers-of-level-2-complexity-care-dec-2018.pdf

Performers portfolio of evidence to support their accreditation application will need to be submitted as part of the bid submission.

The contract term is planned to commence on 1st April 2026 and will be for a duration of 5 years with an optional extension of 2 years.