The National Health Service (Primary Dental Services) (Miscellaneous Amendments) (No. 2) Regulations 2015

Insertion of new regulations 14A, 14B and 14C into the PDS Regulations

13.  After regulation 14 (units of orthodontic activity), insert—

“Units of dental activity for contractors who elect to enter into a prototype agreement

14A.— (1) Where a contractor has elected to enter into a prototype agreement, the prototype agreement must specify the number of units of dental activity to be provided by the contractor—

(a) where the prototype agreement begins on 1st April, in each financial year; or

(b) where the prototype agreement begins on a date other than 1st April, in the remainder of the financial year in which the prototype agreement begins, and in each financial year thereafter.

(2) A prototype agreement must contain terms which have the effect of those specified in Schedule 2A in relation to the calculation of the number of units of dental activity to be provided by the contractor under the prototype agreement.

Capitated patient figures for contractors who elect to enter into a prototype agreement

14B.   Where a contractor has elected to enter into a prototype agreement, the prototype agreement must specify the number of patients to whom the contractor is expected to have provided primary dental services (known as the capitated patient figure) by the end of each financial year.

Capitated patients

14C.— (1) Where a contractor has elected to enter into a prototype agreement, on any day (“the relevant day”) a patient is a capitated patient if that patient has been provided with a banded course of treatment by the contractor (C1) within a period of three years immediately preceding that day, provided that—

(a) the banded course of treatment has not been provided by a foundation trainee;

(b) the patient has not been referred to C1 for the banded course of treatment by another primary dental services contractor; and

(c) the patient was not subsequently provided with a banded course of treatment before the relevant day by another primary dental services contractor (C2), unless the patient was referred to C2 by C1 for that banded course of treatment.

(2) For the purposes of this regulation—

(a) a banded course of treatment does not include the provision of an urgent course of treatment; and

(b) “foundation trainee” has the meaning given in Section 12 of the General Dental Services Statement of Financial Entitlements 2013(1) (glossary of terms).”.

(1)

The General Dental Services Statement of Financial Entitlements 2013, signed on 28th March 2013, was amended by: the Primary Dental Services Statements of Financial Entitlements (Amendment) Directions 2014, signed on 16th April 2014; and the Primary Dental Services Statement of Financial Entitlements (Amendment) Directions 2015, signed on 30th July 2015. All of the aforementioned sets of Directions are available on www.gov.uk. A hard copy of these Directions can be obtained by writing to Dental and Eye Care Services, Policy and Legislation Unit, NHS Group, Room 201 Richmond House, 79 Whitehall, London, SW1A 2NS.