It is now more than 12 years since the ‘new’ NHS contract was introduced for general dental practice in England, and since day one, there has been dissent and demand for change. In what must have been the longest trial run in NHS history, contract pilots, then prototypes, have persisted for over half of that dirty dozen years. The profession can be forgiven its cynicism that we will ever see the end of the dreaded UDA contract. But in 2019, it feels as if a shift may be coming. One way or the other, April 2020 is going to be decisive – we will either see the start of a wider roll-out of contractual change or the plug will be pulled on the prototypes. Taking the glass half full approach, there are grounds for optimism.