The Private Dentistry (Wales) Regulations 2017

Records

20.—(1) The registered person must ensure that a comprehensive dental care record which may be in paper or electronic form is maintained in relation to each patient—

(a) which includes—

(i) a contemporaneous and accurate note of all assessment, treatment planning and treatment provided to the patient; and

(ii) the patient’s dental and any relevant medical history and all other notes prepared by a dentist or dental care professional about the patient’s case; and

(b) the record is retained for a minimum period of eight years beginning on the date on which the treatment which the record refers was concluded or terminated.

(2) The registered person must ensure that—

(a) the dental care record for a person who is currently a patient is kept in a secure place in the premises used to carry on the private dental practice; and

(b) the dental care record for a person who is no longer a patient is stored securely (whether in the practice or elsewhere) and that it can be located if required.

(3) Where a private dental practice ceases to operate the registered person must ensure that the records maintained in accordance with paragraph (1) are kept securely elsewhere and must make them available for inspection by the registration authority at its request.