1 Citation and commencement
These Regulations may be cited as the National Health Service (General Dental Services) (Miscellaneous Amendments) (No. 2) Regulations 1990 and shall come into force on 1st October 1990 immediately after the coming into force of the National Health Service (General Dental Services) (Miscellaneous Amendments) Regulations 1990.
S.I. 1990/1638.

2 Amendment of the National Health Service (General Dental Services) Regulations 1973
1 The National Health Service (General Dental Services) Regulations 1973 shall be amended in accordance with the following paragraphs of this regulation.
S.I. 1973/1468; relevant amending instrument is S.I. 1990/1638.
2 In regulation 16 (application for services) in paragraphs (1) and (2) after sub-paragraph (a) there is inserted in each case the following sub-paragraph:–

“(aa) treatment on referral; or”

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3 In Schedule 1 (terms of service for dentists)–
(a) in paragraph 3–
(i) there is substituted for sub-paragraph (c) the following sub-paragraph:–

“(c) for a person who is receiving dental services from another dentist (whether or not pursuant to the National Health Service Act 1977), treatment on referral;
1977 c. 49.”

;
(ii) in sub-paragraph (d)–
(a) at the end of head (iii) after the semi-colon there is inserted the word “or”; and
(b) after head (iii) there is inserted the following head:–

“(iv) who is referred to him under paragraph 16A(1);”

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(b) in paragraph 13(1) for the words “under paragraph 12(1)” there are substituted the words “by another dentist who is providing dental services to that patient (whether or not pursuant to the National Health Service Act 1977) otherwise than under Part III of this Schedule”; and
(c) after paragraph 16 there is inserted the following paragraph:–

“16A Referral for occasional treatment
1 Where a patient requires any occasional treatment and the dentist does not have the necessary facilities, experience or expertise to provide that occasional treatment, he shall, if the patient agrees, refer him in accordance with sub-paragraph (2) for the provision of that occasional treatment by another dentist under general dental services or by a hospital or other service provided under Part I of the National Health Service Act 1977.
2 In referring a patient under sub-paragraph (1) to another dentist or to a hospital or other service for that occasional treatment, the dentist shall–
(a) give details of the oral condition of the patient and the reason for the referral to that other dentist or, as the case may be, that hospital or other service, either at the time of referral or as soon as practicable afterwards;
(b) include with those details a statement of the amount paid to him by the patient under the National Health Service (Dental Charges) Regulations 1989 in respect of any occasional treatment already provided in the course of the occasional treatment during which the referral is made; and
S.I. 1989/394.
(c) indicate in his claim for remuneration in respect of that course of occasional treatment that the patient has been referred for the required occasional treatment.
3 A dentist who accepts a patient referred to him under sub-paragraph (1) 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.”

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3 Amendment of the National Health Service (Service Committees and Tribunal) Regulations 1974
1 The National Health Service (Service Committees and Tribunal) Regulations 1974 shall be amended in accordance with the following paragraphs of this regulation.
S.I. 1974/455; the relevant amending instruments are S.I. 1982/288, 1985/39, 1987/445, 1989/1630 and 1990/538 and 1638.
2 In regulation 2(1) (interpretation) the following definition is inserted after the definition of “drugs”:–

““estimate” has the same meaning as in the General Dental Regulations;”

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3 In regulation 21 (appeals from Dental Practice Board) in paragraph (5)(b) for the words “on the grounds that the services to which the claim” there are inserted the words “or an estimate on the grounds that the services to which the claim or estimate”.

4 Amendment of the National Health Service (General Dental Services) (Miscellaneous Amendments) Regulations 1990
In regulation 17(5) of the National Health Service (General Dental Services) (Miscellaneous Amendments) Regulations 1990 for the words from “a complaint” to the end of the paragraph there are substituted the words

“a complaint or a reference which relates to treatment, as part of general dental services, begun before 1st October 1990 except to the extent that–
(a) such treatment is orthodontic treatment and is provided after the dentist in question has accepted the patient for care and treatment as mentioned in paragraph (1); or
(b) such treatment is provided after the patient has been treated in accordance with paragraph (3) as having applied and been accepted for care and treatment under a capitation arrangement,
those Regulations shall apply to the investigation, referral or determination of that matter as if these Regulations had not been made.”

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S.I. 1990/1638.
K. Clarke Secretary of State for Health 25th September 1990