Citation, commencement and interpretation
1.—(1) These Regulations may be cited as the National Health Service (General Dental Services) (Scotland) Amendment Regulations 2000 and shall come into force on 7th July 2000.
(2) In these Regulations, “the principal Regulations” means the National Health Service (General Dental Services) (Scotland) Regulations 1996(1).
Amendment of regulation 2 of the principal Regulations
2.—(1) Regulation 2 of the principal Regulations (interpretation) is amended as follows.
(2) In the definition of “approved trainer” before the words “a dental list” there is inserted “Part A of”.
Amendment of regulation 4 of the principal Regulations
3.—(1) Regulation 4 of the principal Regulations (dental list)(2) is amended as follows.
(2) For paragraph (1) there is substituted–
“(1) The Health Board or primary care NHS trust(3) shall prepare a list, to be called the dental list.”;
(3) After paragraph (1) there is inserted the following new paragraphs–
“(1A) Part A of the dental list shall be a list of dentists who, pursuant to the provisions of regulation 5, have undertaken to provide general dental services in the appropriate part of the Health Board’s area and who are not disentitled by virtue of the provisions of–
(a)section 25(2A), 30(1), 31(b), 32A(3), 32B(1) or 32D(2) of the Act(4);
(b)section 8(2) of the Health and Medicines Act 1988(5); or
(c)regulation 10 (restriction on the right to be included in a dental list).
(1B) Part B of the dental list shall be a list of dentists who, pursuant to the provisions of regulation 5 have undertaken to provide emergency dental services under regulation 17, in the appropriate part of the Health Board’s area and who are not disentitled by virtue of–
(a)section 25(2A), 30(1), 31(b), 32A(3), 32B(1) or 32D(2) of the Act;
(b)section 8(2) of the Health and Medicines Act 1988; or
(c)paragraphs (1) and (2)(a) of regulation 10 (restrictions on the right to be included in a dental list).”.
(4) In paragraph (2) for the words “The dental list” there is substituted “Part A of the dental list”.
(5) After paragraph (2) there is inserted–
“(2A) Part B of the dental list shall, in addition to the name of the dentist–
(a)contain–
(i)the address of the Health Board or primary care NHS trust premises where the emergency dental services under regulation 17 will be undertaken;
(ii)the date of his registration as a dental practitioner in the register kept under section 14 of the Dentists Act 1984, particulars of the dental qualification held by the dentist which entitles him to be registered, including the dates on which the qualification was awarded and particulars of any dental qualification held by him which is registerable pursuant to section 19(1)(c) of the Dentists Act 1984(6); and
(b)indicate whether the dentist is indemnified against claims relating to the practice of dentistry in relation to dentistry performed by the dentist himself.”.
Amendment of regulation 5 of the principal Regulations
4.—(1) Regulation 5 of the principal Regulations (application for inclusion in the dental list)(7) is amended as follows.
(2) For paragraph (1) there is substituted the following new paragraph–
“(1) Subject to paragraphs (2) and (3), a dentist who wishes to have his name included in the dental list shall make an application to the Health Board or primary care NHS trust in writing which–
(a)shall, if the application relates to Part A of the dental list, include the information and undertakings specified in Part I of Schedule 2;
(b)shall, if the application only relates to Part B of the dental list, include the information and undertakings specified in Part 1A of Schedule 2; and
(c)may, if the application relates to Part A or Part B of the dental list, include the information specified in Part II of Schedule 2,
and the Health Board or primary care NHS trust shall determine the application within 14 days of the date of its receipt, or where in relation to an application which relates to Part A of the dental list, it considers that the proposed practice premises should be inspected, within 14 days of the date of inspection.”.
(3) In paragraph (2) after the words “included in” there is inserted “Part A of”.
(4) In paragraph (3) after the word “paragraph” in the second place where it occurs, there is inserted “for inclusion in Part A of the dental list”.
Amendment of regulation 6 of the principal Regulations
5.—(1) Regulation 6 of the principal Regulations (applications for vocational training numbers)(8) is amended as follows.
(2) In paragraph (1)(a) after the words “under regulation 5” there is inserted “for inclusion in Part A of the dental list”.
(3) In paragraph 6(3)(b) after the words “United Kingdom” there is inserted “, other than in Part B only of a dental list in Scotland,”.
Amendment of regulation 10 of the principal Regulations
6.—(1) Regulation 10 of the principal Regulations (restrictions on the right to be included in a dental list)(9) is amended as follows.
(2) For paragraph (1) there is substituted–
“(1) A dentist shall not be entitled to have his name included in–
(a)Part A of the dental list prepared by any Health Board or primary care NHS trust where the circumstances specified in paragraph (2) apply;
(b)Part B of the dental list prepared by any Health Board or primary care NHS trust where the circumstances specified in paragraph (2)(a) apply.”.
Amendment of regulation 11 of the principal Regulations
7.—(1) Regulation 11 of the principal Regulations (removal from dental list)(10) is amended as follows.
(2) In paragraph (1)–
(a)at the end of sub paragraph (a) the word “or” is omitted;
(b)after sub paragraph (b) there is inserted–
“(c)has been convicted in the United Kingdom of murder; or
(d)has been convicted in the United Kingdom of a criminal offence and sentenced to a term of imprisonment of at least six months”.
(3) In paragraph (2)(b) before the words “the dental list” there is inserted “Part A of”.
(4) In paragraph (4)(c) after the words “salaried dentist” there is inserted “or his name is included in Part B of the dental list only”.
Amendment of regulation 12 of the principal Regulations
8.—(1) Regulation 12 of the principal Regulations (removal from dental list on grounds of age)(11) is as amended as follows.
(2) In paragraph (3) before the words “the dental list” there is inserted “Part A of”.
(3) After paragraph (3) there is inserted–
“(4) A Health Board or primary care NHS trust shall give to any dentist whose name is to be removed from Part B of the dental list in accordance with paragraph (2), notice in writing to that effect not less than 3 months nor more than 4 months before the date on which his name is to be removed.”.
Amendment of regulation 16 of the principal Regulations
9.—(1) Regulation 16 of the principal Regulations (transfer of continuing care and capitation arrangements)(12) is amended as follows.
(2) In paragraph (1) before the words “the dental list” in both places where they occur there is inserted “Part A of”.
(3) In paragraph (2) before the words “the dental list” there is inserted “Part A of”.
(4) In paragraph (3) before the words “the dental list” there is inserted “Part A of”.
Amendment of regulation 18 of the principal Regulations
10.—(1) Regulation 18 of the principal Regulations (arrangements for emergency cover)(13) is amended as follows.
(2) Before the words “its dental list” there is inserted “Part A of”.
Amendment of regulation 26 of the principal Regulations
11.—(1) Regulation 26(a) of the principal Regulations (interpretation of Part V) is amended as follows.
(2) In the definition of “fees” after the word “salary” there is inserted “or remuneration for providing emergency dental services under regulation 17”.
Amendment of regulation 27 of the principal Regulations
12.—(1) Regulation 27 of the principal Regulations (entitlement to payment)(14) is amended as follows.
(2) In paragraph (4)(b) before the words “the dental list” there is inserted “Part A of”.
Amendment of regulation 28 of the principal Regulations
13.—(1) Regulation 28 of the principal Regulations (application for payment)(15) is amended as follows.
(2) In paragraph (1)–
(a)before the words “whose dental list” there is inserted “Part A of”; and
(b)before the words “the list of” there is inserted “Part A of”.
Amendment of regulation 29 of the principal Regulations
14.—(1) Regulation 29 of the principal Regulations (amounts and times of payment)(16) is amended as follows.
(2) In paragraph (3) before the words “the dental list” there is inserted “Part A of”.
Amendment of regulation 33 of the principal Regulations
15.—(1) Regulation 33 of the principal Regulations (prior approval – patterns of treatment)(17) is amended as follows.
(2) In paragraph (7)–
(a)before the words “any dental list” there is inserted “Part A of”; and
(b)before the words “a dental list” there is inserted “Part A of”.
(3) In paragraph (8) before the words “any dental list” there is inserted “Part A of”.
Amendment of regulation 34A of the principal Regulations
16.—(1) Regulation 34A of the principal Regulations (appeals from decisions of the Board)(18) is amended as follows.
(2) In paragraph (2) before the words “whose dental list” there is inserted “Part A of”.
(3) In paragraph (3)–
(a)before the words “the dental list” there is inserted “Part A of”; and
(b)in sub-paragraph (c)(ii) before the words “whose dental list” there is inserted “Part A of”.
Amendment of Schedule 1 to the principal Regulations
17.—(1) Schedule 1 to the principal Regulations (terms of service for dentists) is amended as follows.
(2) In paragraph 13 (treatment on referral)–
(a)for sub-paragraph (1) there is substituted–
“(1) Subject to sub-paragraphs (1A) and (1B), a dentist may accept a patient who has been referred to him by another dentist who is providing dental services to that patient (whether or not pursuant to the Act) otherwise than under Part III of this Schedule for particular care and treatment.
(1A) Subject to sub-paragraph (1B) a dentist shall not accept a patient for orthodontic treatment or treatment under general anaesthesia unless that patient has been referred to him for such treatment by another dentist who is providing dental services to that patient (whether or not pursuant to the Act) otherwise than under Part III of this Schedule.
(1B) A dentist may only accept a patient who presents himself for orthodontic treatment if the dentist has obtained the prior approval in writing of the Board to the effect that the Board is satisfied that there are exceptional circumstances which allow the patient to so present himself.
(1C) Subject to paragraph (5) a dentist who accepts a patient for treatment under sub-paragraphs (1), (1A) or (1B) shall–
(a)at the time at which he accepts the patient, provide him with a form of acceptance supplied by the Health Board or primary care NHS trust, or a form to like effect, which shall specify–
(i)the name of the patient;
(ii)the name of the dentist;
(iii)particulars of the places where the patient will receive care and treatment; and
(iv)the telephone number at which the dentist or a deputy may be contacted during normal surgery hours, or at other times in an emergency if different;
(b)at the time of his first examination of the patient, provide the patient with a plan for treatment on a form supplied by the Health Board or primary care NHS trust, or a form to like effect, which shall specify–
(i)details of the care and treatment which, in the opinion of the dentist, at the date of that examination, is necessary for him to provide having regard to the reason for the referral;
(ii)his estimate of the NHS charge, if any, in respect of that care and treatment;
(iii)any proposals he may have for private care and treatment as an alternative to the care and treatment proposed under general dental services, including particulars of the cost to the patient;
(c)where, in the opinion of the dentist, the care and treatment included in the plan for treatment provided under head (b) of this sub-paragraph needs to be varied, provide the patient with a revised plan for treatment in accordance (except as to the time of its provision) with head (b) of this sub-paragraph;
(d)complete the care and treatment, which is referred to in head (b)(i) of this sub-paragraph;
(e)until such time as the treatment on referral has been completed, provide the patient with emergency cover in accordance with paragraph 6(1) and (2), but only to the extent that the patient requires prompt care and treatment in relation to the particular care and treatment for which he has been referred or for which he has presented himself; and
(f)repair or replace in accordance with sub-paragraph (2) any restoration which requires repair or replacement.”.
(b)in sub-paragraph (5) for the words “Sub-paragraph (1)” there is substituted “Sub-paragraph (1C)”.
(3) For paragraph 18(3) (referral for occasional treatment) there is substituted–
“(3) Subject to sub-paragraph (4) a dentist shall only accept a patient where he has been referred to him under sub-paragraph (1) and shall provide only the occasional treatment which, in the opinion of the dentist, it is necessary for him to provide having regard to the reason for referral.”.
(4) After paragraph 18(3) there is inserted–
“(4) A dentist may accept a patient who presents himself for the occasional treatment listed in paragraph 17(2)(m) only, providing the dentist has obtained the prior approval in writing of the Board to the effect that the Board is satisfied that there are exceptional circumstances which allow the patient to present himself.”.
(5) For paragraph 19 (remuneration) there is substituted–
“Remuneration
19. Subject to regulation 22 (statement of dental remuneration) and this Schedule, a dentist shall not–
(a)claim a fee or accept payment of any fee from the Agency(19) for any treatment provided otherwise than under general dental services;
(b)claim a fee or accept payment of any fee from the patient for any treatment provided under general dental services, for which a claim has been or will be submitted to the Board, except such fee as may be prescribed by the National Health Service (Dental Charges) (Scotland) Regulations 1989(20);
(c)claim a fee or accept payment of any fee from the Agency for any treatment provided under general dental services for which a fee has already been claimed under general dental services; or
(d)claim a fee or accept payment of any fee for any treatment which has not been provided.
(e)claim a fee or accept payment of any fee from the Agency for any treatment provided under a pilot scheme for personal dental services.”.
(6) In paragraph 32 (patient information leaflets)(21) in sub-paragraphs (1) and (3) before the words “the dental list” there is inserted “Part A of”.
(7) In paragraph 33(premises etc.)(22) in sub-paragraph (4) at the end there is added “or, in relation to premises where general anaesthetic and/or sedation services are provided, reviewing the procedures and staff training”.
(8) In paragraph 35 (deputies and assistants)(23) in sub-paragraph (6) and (13) before the words “the dental list” there is inserted “Part A of”.
(9) In paragraph 37 (deputies and assistants) before the words “the dental list” there is inserted “Part A of”.
(10) In paragraph 38 (dentists suspended under section 28 or 32 of the Dentists Act 1984) before the words “the dental list” there is inserted “Part A of”.
Amendment of Schedule 2 to the principal Regulations
18.—(1) Schedule 2 to the principal Regulations (application for inclusion in the dental list) is amended as follows.
(2) In Part I(24)–
(a)in the heading before the words “THE DENTAL LIST” there is inserted “PART A of”.
(b)at the end of paragraph 10(b) the word “or” is omitted;
(c)after paragraph 10(c) there is inserted–
“; or
(d)as an employee of, or under any other contractual or legal arrangement or relationship with a body corporate, and if so, full details of the name of the body corporate and its registered office.”; and
(d)after paragraph 17 there is inserted–
“18. Declaration as to whether–
(a)he has been convicted of a criminal offence, bound over or cautioned in the United Kingdom or elsewhere, or is currently the subject of any proceedings which might lead to a conviction, order to bind over or caution;
(b)he has been, or is currently subject to any action by his professional body or by any licensing or regulatory body in the United Kingdom or elsewhere,
and if so, details, including approximate dates of where the action or proceedings were or are to be brought, the nature of that action or proceedings and any outcome.”.
(3) After Part I there is inserted Part IA as set out in the Schedule to these Regulations.
SUSAN C DEACON
A member of the Scottish Executive
St Andrew’s House,
Edinburgh
14th June 2000