I7SCHEDULE 1Band 1 Charges – Diagnosis, treatment planning and maintenance
a
clinical examination, case assessment and report
b
orthodontic case assessment and report
c
advice, dental charting, diagnosis and treatment planning
d
radiographic examination, including panoral and lateral headplates, and radiological report
e
study casts including in association with occlusal analysis
f
colour photographs
g
instruction in the prevention of dental and oral disease including dietary advice and dental hygiene instruction
h
surface application as primary preventive measures of sealants and topical fluoride preparations
i
scaling, polishing and marginal correction of fillings
j
taking material for pathological examination
k
adjustments to and easing of dentures or orthodontic appliances
l
treatment of sensitive cementum
F4SCHEDULE 1ABand 1A Charges – Interim Care
Sch. 1A inserted (1.4.2013) by The National Health Service (Primary Dental Services) (Miscellaneous Amendments and Transitional Provisions) Regulations 2013 (S.I. 2013/364), reg. 1(1), Sch. 3 (with Sch. 2)
Words in Sch. 1A heading substituted (1.11.2015) by The National Health Service (Primary Dental Services) (Miscellaneous Amendments) (No. 2) Regulations 2015 (S.I. 2015/1728), regs. 1(1), 26
- a
the giving of specific advice in relation to diet, hygiene, personal habits and oral health in respect of a person to enable that person to be aware and to be able to take steps to prevent dental and oral disease;
- b
the giving of instructions on techniques and practice required by a person in relation to their dental hygiene to enable that person to improve their dental health and prevent oral disease;
- c
checking a person’s compliance in relation to the self care plan proposed at the oral health assessment or oral health review;
- d
the provision of a prescription for high fluoride toothpaste or mouth rinse if considered required (when delivered together with one or more of (a), (b), (c), (e), (f) or (g);
- e
the surface application of primary preventive measures such as topical fluoride varnish applications, and fissure sealants if required and necessary;
- f
scaling and polishing if required;
- g
follow up root surface debridement if required.
I8SCHEDULE 2Band 2 Charges – Treatment
a
non-surgical periodontal treatment including root-planing, deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing
b
surgical periodontal treatment, including gingivectomy, gingivoplasty or removal of an operculum
c
surgical periodontal treatment, including raising and replacement of a mucoperiostal flap, curettage, root planing and bone resection
d
free gingival grafts
e
permanent fillings in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate, including acid etch retention
f
sealant restorations
g
endodontic treatment of permanent or retained deciduous teeth
h
pulpotomy
i
apicectomy
j
extraction of teeth
k
transplantation of teeth
l
oral surgery including surgical removal of cyst, buried root, unerupted tooth, impacted tooth or exostosed tooth and alveolectomy
m
soft tissue surgery in relation to the buccal cavity and lips
n
frenectomy, frenoplasty and frenotomy
o
relining and rebasing dentures including soft linings
p
addition of tooth, clasp, labial or buccal flange to dentures
q
splints (other than laboratory fabricated splints) in relation to periodontally compromised teeth and in connection with external trauma
r
bite raising appliances (other than laboratory fabricated appliances)
I6SCHEDULE 3Band 3 Charges – Provision of Appliances
F3a
laboratory fabricated porcelain or composite veneers, including acid etch retention
b
inlays, pinlays, onlays and palatal veneers, in alloys containing 60% or more fine gold, porcelain, composite resin and ceramics
I6Crowns including any pin or post aids to retention
c
full or three quarter crown cast in alloys containing not less than 33⅓% fine gold or platinum or palladium
d
full or jacket crown cast in alloys containing stainless steel or cobalt chromium or nickel chromium
e
crown in porcelain, synthetic resin and other non-metallic crowns
f
full or jacket crowns in alloys containing not less than 33⅓% fine gold or platinum or palladium, or alloys containing stainless steel or cobalt chromium or nickel chromium, with thermally bonded porcelain
g
jacket crown thermally bonded to wrought platinum coping
h
prefabricated full or jacket crown, including any pin or post retention
F1i
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I6Bridges including any pin or post aids to retention
j
bridges in alloys containing 60% or more fine gold with or without thermally bonded facings
k
bridges cast in alloys containing stainless steel, cobalt chromium or nickel chromium, with or without thermally bonded facings
l
acid etch retained bridges
m
bridges in other F2non-metallic materials
n
provision of full (complete) or partial dentures, overdentures and obturators in synthetic resin or metal or both synthetic resin and metal, including any cast or wrought metal components or aids to retention
o
orthodontic treatment and appliances
p
other custom made appliances excluding sports guards
I9SCHEDULE 4Urgent Treatment under Band 1 Charge
a
examination, assessment and advice
b
radiographic examination and radiological report
c
dressing of teeth and palliative treatment
d
pulpectomy or vital pulpotomy
e
re-implantation of a luxated or subluxated permanent tooth following trauma including any necessary endodontic treatment
f
repair and refixing of inlays and crowns
g
refixing a bridge
h
temporary bridges
i
extraction of not more than 2 teeth
j
provision of post-operative care including treatment of infected sockets
k
adjustment and alteration of dentures or orthodontic appliances
l
urgent treatment for acute conditions of the gingivae or oral mucosa, including treatment for pericoronitis or for ulcers and herpetic lesions, and any necessary oral hygiene instruction in connection with such treatment
m
treatment of sensitive cementum or dentine
n
incising an abscess
o
other treatment immediately necessary as a result of trauma
p
not more than 1 permanent filling in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate including acid etch retention
I10SCHEDULE 5Exemptions – Categories and Evidence
(1) | (2) |
|---|---|
Category | Evidence |
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|
|
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SCHEDULE 6Manner of determining Charge for Replacement
I11
Where the Secretary of State, on considering a claim submitted for the approval of a free replacement of a dental appliance or an orthodontic appliance supplied in the course of the provision of relevant primary dental services, considers that there are grounds for believing that—
a
the replacement is necessitated by such an act or omission as is referred to in regulation 11(1); or
b
the replacement, although necessitated by such an act or omission as is referred to in regulation 11(1), was not wholly necessitated by a lack of reasonable care as is referred to in regulation 11(3),
she may investigate the matter.
I22
The Secretary of State may make such inquiry into any matter falling within paragraph 1 as she thinks fit and if either—
a
in her opinion the circumstances so require; or
b
the person supplied or (if he is under 16 years of age) the person in charge of him so requires,
the inquiry shall take the form of an oral hearing by a committee appointed by the Secretary of State for the purpose.
I33
The Secretary of State, having considered any report made by the committee under paragraph 2—
a
shall determine whether the replacement is necessitated by an act or omission on the part of the person supplied or (if the act or omission occurred when the person supplied was under 16 years of age) of the person supplied or of the person having charge of him when the act or omission occurred;
b
if it is so necessitated, shall determine whether the replacement was not wholly necessitated by a lack of reasonable care as referred to in regulation 11(3); and
c
if it is so necessitated, shall determine, in accordance with regulation 11(2) and (3), the amount of the charge to be made and recovered.
I44
The Secretary of State shall communicate her determination to—
a
the relevant person (within the meaning of regulation 11(4));
b
the provider of relevant primary dental services replacing the dental appliance or orthodontic appliance; and
c
F6NHS England.
I5SCHEDULE 7Revocations
The National Health Service (Dental Charges) Regulations 1989 (S.I.1989/394)
The National Health Service (Dental Charges) Amendment Regulations 1993 (S.I.1993/419)
The National Health Service (Dental Charges) Amendment Regulations 1998 (S.I.1998/2221)
The National Health Service (Dental Charges) Amendment (No.2) Regulations 2001 (S.I.2001/2807)
The National Health Service (Miscellaneous Dental Charges Amendments) Regulations 2002 (S.I.2002/2353)
The National Health Service (Dental Charges) Amendment Regulations 2004 (S.I.2004/1091)
The National Health Service (Dental Charges) Amendment Regulations 2005 (S.I.2005/576)
Sch. 1 in force at 1.4.2006, see reg. 1(1)