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

Insertion of new regulations 12A and 12B into the Dental Charges Regulations

24.  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 prototype agreement or under a Capitation and Quality Scheme 2 Agreement

12A.— (1) This regulation applies in relation to primary dental services provided under a prototype agreement or under a Capitation and Quality Scheme 2 Agreement.

(2) An additional charge to be known as a Band 1A charge of £18.80 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(a) during an interim care course of treatment a patient voluntarily withdraws from, or is withdrawn by the provider from treatment; and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 the course of treatment (notwithstanding that the requirements of paragraph (2)(a) are not fully met).

Transitional provision relating to interim care provided under a Capitation and Quality Scheme 2 Agreement

12B.   Where—

(a) an initial examination occurred on or before 31st October 2015;

(b) a course of treatment was planned that would constitute an interim care course of treatment for the purposes of regulation 12A had it been planned on or after 1st November 2015; and

(c) all of that treatment is provided on or after 1st November 2015,

the planned treatment must be treated as provided in accordance with the prototype agreement.”.