Move from NHS to private dentistry with confidence

We've supported NHS-to-private conversions since 2009. We'll tell you honestly whether it works for your practice, then help you build a membership plan that replaces your NHS income.

Move from NHS to private dentistry with confidence

A big decision you shouldn't make alone

Contract reform, UDA targets and years of uncertainty have left many owners questioning their future in NHS dentistry. Leaving is a major financial and personal decision, and getting the numbers right before you give notice matters more than anything.

A conversion plan built on your numbers

A conversion plan built on your numbers

We start with a viability analysis and a financial forecast based on your UDAs, clinician hours, private fees and patient list. You'll see how many patients need to join a plan to replace your NHS income, which is often fewer than owners expect.

If conversion isn't right for you, we'll say so.

How it works

NHS to private in five steps

  1. 01

    Viability analysis

    We look at the indicators we know predict a successful conversion and tell you where your practice stands.

  2. 02

    Financial forecast

    We recommend a plan structure and forecast the plan income needed to replace NHS earnings, alongside private treatment income.

  3. 03

    Team buy-in

    We train your team on why the practice is changing and how to answer patients' questions. Plans may be new to some, so everyone needs to be confident.

  4. 04

    Patient communication

    We write to patients under your brand, with a clear explanation of the change, their options, plan leaflets and a QR code to join online.

  5. 05

    On-site and ongoing support

    Our team is in your practice when the letters land, then stays with you through regular reviews and further training.

Conversions that work for you

200%
rise in conversion enquiries in two years 
1,000+
practices supported 
200+
years of combined experience, supporting converting practices since 2009.

What a well-planned conversion gives you

Leaving the NHS contract changes how your practice earns, and how your team spends its day. A well-planned conversion gives you more clinical freedom, income you can rely on and patients who understand the change.

Clinical freedom

Spend more time on the dentistry you trained for, with appointment lengths set by clinical need rather than contract targets.

Income that replaces the contract

A plan structure designed so membership income plus private treatment replaces what the NHS paid.

Patients who understand the change

Tried-and-tested letters, leaflets and online sign-up make it easy for patients to stay with you.

Lower running costs

Low admin fees per patient per month, so more of every plan payment stays with the practice.

Full or clinician-led conversion

Choose the route that suits your practice.

A conversion affects your contracts, finances and team. We'll guide you through the process, and we also recommend talking to your accountant, your bank and, where relevant, a solicitor before you give notice.

Section 7 Card 1 Image

Full conversion

You give notice on your NHS contract and the whole practice moves to private care, supported by a membership plan. NHS England, or your health board in Wales, needs three months' notice in writing.

Section 7 Card 2 Image

Clinician-led (partial) conversion

One or more dentists go private while the practice keeps its NHS contract. It needs careful planning to explain to patients, and it's less common than it was. We'll talk you through the pros and cons.

Section 7 Card 3 Image

Paid for delivery (Scotland)

In Scotland, practices are paid for what they deliver, which makes partial conversions simpler. Many keep seeing children on the NHS while adults join a plan. We'll factor every source of NHS Scotland income into your viability assessment.

For NHS and mixed practices weighing up their future

Who we help

For NHS and mixed practices weighing up their future

Principals and practice owners in England, Wales and Scotland thinking about a full or clinician-led move to private care. If you want clinical freedom and a stable income without putting the practice at risk, start with a conversation.

Practices that made the move

Converting from NHS to fully private
“We always felt that patients deserved more. ... Patient Plan Direct was great with me. ... It wasn’t a come and join us at all costs. It was let’s analyse your business, let’s look at the figures, let’s work out if this is going to work.”

Dr James Ian Sykes
Owner & Principal Dentist
Hexham Dental Clinic

Switch from NHS
“Our main concern was financial. ... We had a lot of support from Patient Plan Direct. ... It’s a good thing for patients to be on private dentistry membership plans rather than sticking with the limitations of the NHS.”

Dr. Gareth Thomas
Principal Dentist & Partner
Thomas & Stroud

Switch from NHS to fully private
"I like to see my patients every six months, and ensuring that they’re stable, and I didn’t feel I could do that on the NHS.
Converting on to the plan means we can spend a lot more time with our patients, and do the dentistry that we want to do."

Dr Lowri Angharad Leeke
Principal Dentist,
Hapus Dental Surgery

FAQs

Insights

Guidance for your plan decisions

Advice and real practice stories from the Patient Plan Direct team.

    Dental Blogs & Articles

    CPD vs Mandatory Training in Dental Practices

    What dental practice managers need to know Your team has done their CPD, so the practice is compliant with its training requirements. Right? Not quite, and this is one of the most common misunderstandings we see from dental teams, including on forums and in helpline queries. The good news is that once you see how…

    Dental Blogs & Articles

    How to spot burnout in your dental team and what to do

    According to figures quoted in Agilio’s October 2026 Beyond Burnout webinar, 63% of dental team members report frequent exhaustion and 83% have worked while unwell. For a practice owner or manager, that shows up as missed tasks, sudden resignations and strain between colleagues. The two speakers, Jackie Cooper, a cognitive hypnotherapist with over 30 years…

    Dental Blogs & Articles

    Beyond Compliance: How AI is Helping Dental Practices Work Smarter

    By Kirstie Young, Head of Product at Agilio Running a successful dental practice has never been more complex. Alongside delivering exceptional patient care, practices are managing compliance requirements, staff training, HR processes, workforce planning and governance activities – often across multiple disconnected systems. For many teams, critical information is spread across different platforms, creating fragmented…

Talk to an expert

Contact our
patient plan experts

Thinking about leaving the NHS? Book a no-obligation viability conversation and we'll give you an honest view.