<p>Integrated care boards (ICBs) have flexibility to work with contractors within the bounds of the current contractual framework as set out in the current General Dental Service contract and Personal Dental Service agreement regulations.</p><p>At its discretion, an ICB may choose to negotiate with a contractor to decrease or increase the indicative Unit of Dental Activity rate of their contract, Negotiated Annual Contract Value.</p><p>Any variation should be for reasonable and appropriate circumstances only and demonstrate value for money and improve access for patients.</p>