The National Health Service (Primary Dental Services) (Miscellaneous Amendments to Charges) Regulations 2013

Amendment of the National Health Service (Dental Charges) Regulations 2005

4.—(1) The National Health Service (Dental Charges) Regulations 2005(1) are amended as follows.

(2) In regulation 4 (calculation of charges), in paragraph (1), after “relevant primary dental services” insert “irrespective of whether any of the components of the course of treatment are also set out in Schedule 1A”.

(3) In regulation 6(4) (circumstances in which charges cannot be made for treatment that occurs after a course of treatment is completed), after “paragraphs (1) to (4) of regulation 4” insert “or regulation 13A(2)”.

(4) After regulation 12 (reduction of remuneration and accounting for charges in relation to providers of relevant primary dental services), insert—

“Charges in respect of primary dental services provided under a Capitation and Quality Scheme 2 Agreement

13A.— (1) This regulation applies in relation to primary dental services provided in accordance with a Capitation and Quality Scheme 2 Agreement.

(2) An additional charge to be known as a Band 1A charge of £18.00 may be made and recovered for the provision of any interim care course of treatment the entirety of the components of which are set out in Schedule 1A, irrespective of whether any of the components of the course of treatment are also set out in Schedule 1, where—

(a) subject to paragraph (3), all of the components of an interim care course of treatment proposed for a person at the initial examination have been provided (notwithstanding that they may have been provided at different times); and

(b) those components include at least one of the treatments set out at paragraphs (e) to (g) of Schedule 1A.

(3) If—

(a) during an interim care course of treatment a patient voluntarily withdraws from, or is withdrawn by the provider from treatment; and

(b) at least one of the treatments set out at paragraphs (e) to (g) of Schedule 1A has been provided,

a Band 1A charge may be made and recovered for that course of treatment (notwithstanding that the requirements of paragraph (2)(a) are not fully met).

Transitional provision relating to interim care

13B.   Where an initial examination occurred on or before 31st March 2013 and a course of treatment was planned that would constitute an interim care course of treatment for the purposes of regulation 13A had it been planned on or after 1st April 2013, and all of that treatment is provided on or after 1st April 2013, the planned treatment must be treated as provided in accordance with the Capitation and Quality Scheme 2 Agreement under regulation 13A.”.(2)

(1)

S.I. 2005/3477, as amended by S.I. 2006/1837, 2007/544, 2008/547, 2009/407, 2011/519, 2012/502 and 2013/364 and 475.

(2)

A Capitation and Quality Scheme 2 Agreement is an Agreement which forms a temporary part of a general dental services contract or a personal dental services agreement and which is entered into as part of the Capitation and Quality Scheme 2 and in accordance with the National Health Service (Dental Services) (Capitation and Quality Scheme 2 Agreements) Directions 2013. These Directions are available on the Department of Health website www.dh.gov.uk.