<akomaNtoso xmlns:uk="https://www.legislation.gov.uk/namespaces/UK-AKN" xmlns:ukl="http://www.legislation.gov.uk/namespaces/legislation" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://docs.oasis-open.org/legaldocml/ns/akn/3.0" xsi:schemaLocation="http://docs.oasis-open.org/legaldocml/ns/akn/3.0 http://docs.oasis-open.org/legaldocml/akn-core/v1.0/cos01/part2-specs/schemas/akomantoso30.xsd"><act name="ssi"><meta><identification source="#"><FRBRWork><FRBRthis value="http://www.legislation.gov.uk/id/ssi/2017/289"/><FRBRuri value="http://www.legislation.gov.uk/id/ssi/2017/289"/><FRBRdate date="2017-09-07" name="made"/><FRBRauthor href="http://www.legislation.gov.uk/id/government/scotland"/><FRBRcountry value="GB-SCT"/><FRBRsubtype value="regulation"/><FRBRnumber value="289"/><FRBRname value="S.S.I. 2017/289"/><FRBRprescriptive value="true"/></FRBRWork><FRBRExpression><FRBRthis value="http://www.legislation.gov.uk/ssi/2017/289/2020-01-01"/><FRBRuri 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date="2020-01-01" eId="date-2020-01-01" source="#"/></lifecycle><analysis source="#"><restrictions source="#"><restriction refersTo="#extent-s" type="jurisdiction"/><restriction href="#preface" refersTo="#extent-s" type="jurisdiction"/><restriction href="#body" refersTo="#extent-s" type="jurisdiction"/><restriction href="#regulation-1" refersTo="#extent-s" type="jurisdiction"/><restriction href="#regulation-2" refersTo="#extent-s" type="jurisdiction"/><restriction href="#regulation-14" refersTo="#extent-s" type="jurisdiction"/><restriction href="#signatures" refersTo="#extent-s" type="jurisdiction"/><restriction href="#d24e1249" refersTo="#extent-s" type="jurisdiction"/><restriction refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#preface" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#body" refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#regulation-1" refersTo="#period-from-2018-12-01" type="jurisdiction"/><restriction href="#regulation-2" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-3" refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#regulation-3-1" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-3-1-a" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-3-1-b" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-3-1-c" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-3-1-d" refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#regulation-3-1-e" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-3-1-f" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-3-1-h" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-3-2" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-4" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-5" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-6" refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#regulation-7" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-8" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-9" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-10" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-11" refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#regulation-11-1" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-2" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-3" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-4" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-4-a" refersTo="#period-from-2020-01-01" type="jurisdiction"/><restriction href="#regulation-11-4-b" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-5" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-6" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-7" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-8" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-9" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-10" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-11" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-11-12" refersTo="#period-from-2018-10-01" type="jurisdiction"/><restriction href="#regulation-11-13" refersTo="#period-from-2018-01-01" type="jurisdiction"/><restriction href="#regulation-12" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-13" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#regulation-14" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#signatures" refersTo="#period-from-2017-10-26" type="jurisdiction"/><restriction href="#d24e1249" refersTo="#period-from-2017-10-26" type="jurisdiction"/></restrictions><otherAnalysis source=""><uk:commentary href="#regulation-1" refersTo="#key-d39f90b878ab52355fd1dbef0de0f948"/><uk:commentary href="#regulation-1" refersTo="#key-3936df0a3dc0740c0ed359a74021dfaf"/><uk:commentary href="#regulation-2" refersTo="#key-d21816eb0774ffc0a2036862dae73f77"/><uk:commentary href="#regulation-3" refersTo="#key-1da40e5335836e4291fab83e0d68c048"/><uk:commentary href="#regulation-3" refersTo="#key-a26f216d47166ec1e30e9f1b71f45beb"/><uk:commentary href="#regulation-3" refersTo="#key-bc322700a53f2fd2da7cd039bd2ca1ba"/><uk:commentary href="#regulation-3" refersTo="#key-0f631432df03d6e27c6d78ef9518322e"/><uk:commentary href="#regulation-4" refersTo="#key-09f189183e10bce6bf8a18a8693cc217"/><uk:commentary href="#regulation-5" refersTo="#key-5c93b3bb19fadb02d0ad192dbab07d16"/><uk:commentary href="#regulation-6" refersTo="#key-1b08ba0d74d9ab0251a20d012cd55bda"/><uk:commentary href="#regulation-7" refersTo="#key-acfd0540520aea635db2bfc31da8dfb6"/><uk:commentary href="#regulation-8" refersTo="#key-223afa060b5ba3d7446dd12a9d10dd14"/><uk:commentary href="#regulation-9" refersTo="#key-4d4f80087313796849d48bb1e3d1af84"/><uk:commentary href="#regulation-10" refersTo="#key-47818c2d2aa41eec08844fdb7783b6fb"/><uk:commentary href="#regulation-11" refersTo="#M_I_ffeac279-65bf-4d21-bc9d-69d1edf3bf0e"/><uk:commentary href="#regulation-11" refersTo="#key-623885848ad5f9153aaf7bed9732adc9"/><uk:commentary href="#regulation-11" refersTo="#key-f31a0b962ed1c8b7ff2e93553f82e456"/><uk:commentary href="#regulation-11" refersTo="#key-88c72dfe15916c14ee201951edc0f78d"/><uk:commentary href="#regulation-12" refersTo="#key-31289b3557158b0fc38ed613cb0c6478"/><uk:commentary href="#regulation-13" refersTo="#key-e1d7fb1592e9a0d2d8a5d84071d8a265"/><uk:commentary href="#regulation-14" refersTo="#key-7c50e429915ec6b1960bc08947bd7bae"/></otherAnalysis></analysis><temporalData source="#"><temporalGroup eId="period-from-2017-10-26"><timeInterval start="#date-2017-10-26" refersTo="#"/></temporalGroup><temporalGroup eId="period-from-2018-01-01"><timeInterval start="#date-2018-01-01" refersTo="#"/></temporalGroup><temporalGroup eId="period-from-2018-10-01"><timeInterval start="#date-2018-10-01" refersTo="#"/></temporalGroup><temporalGroup eId="period-from-2018-12-01"><timeInterval start="#date-2018-12-01" refersTo="#"/></temporalGroup><temporalGroup eId="period-from-2020-01-01"><timeInterval start="#date-2020-01-01" refersTo="#"/></temporalGroup></temporalData><references source="#"><TLCOrganization eId="scottish-parliament" href="http://www.legislation.gov.uk/id/" showAs="ScottishParliament"/><TLCEvent eId="made" href="" showAs="Made"/><TLCEvent eId="laid" href="" showAs="Laid"/><TLCLocation eId="extent-s" href="/ontology/jurisdictions/uk.Scotland" showAs="S"/><TLCRole eId="ref-d25e1239" href="/ontology/role/uk.A member of the Scottish Government" showAs="A member of the Scottish Government"/><TLCPerson eId="ref-d25e1237" href="/ontology/persons/uk.SHONAROBISON" showAs="SHONA ROBISON"/></references><notes source="#"><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-d39f90b878ab52355fd1dbef0de0f948" marker="I1"><p><ref eId="cw826p2c5-00026" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1">Reg. 1</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00027" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-d21816eb0774ffc0a2036862dae73f77" marker="I2"><p><ref eId="cw826p2c5-00074" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/2">Reg. 2</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00075" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-1da40e5335836e4291fab83e0d68c048" marker="I3"><p><ref eId="cw826p2c5-00009" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/3/1/a">Reg. 3(1)(a)</ref><ref eId="cw826p2c5-00010" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/3/1/g/i/j">(g)(i)(j)</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00011" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-a26f216d47166ec1e30e9f1b71f45beb" marker="I4"><p>Reg. 3(1)(b)(c)(e)(f)(h)(2)  in force at 1.1.2018, see <ref eId="ncba2501844159246" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/3">reg. 1(3)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-bc322700a53f2fd2da7cd039bd2ca1ba" marker="I5"><p><ref eId="cx8oqxkk5-00007" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/3/1/d">Reg. 3(1)(d)</ref> in force at 1.1.2020, see <ref eId="cx8oqxkk5-00008" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/5">reg. 1(5)</ref> (as amended (1.12.2018) by <ref eId="cx8oqxkk5-00009" href="http://www.legislation.gov.uk/id/ssi/2018/300">S.S.I. 2018/300</ref>, <ref eId="cx8oqxkk5-00010" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/1">regs. 1</ref>, <ref eId="cx8oqxkk5-00011" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/3/2">3(2)</ref>)</p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-09f189183e10bce6bf8a18a8693cc217" marker="I6"><p><ref eId="cw826p2c5-00034" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/4">Reg. 4</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00035" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-5c93b3bb19fadb02d0ad192dbab07d16" marker="I7"><p><ref eId="cw826p2c5-00042" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/5">Reg. 5</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00043" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-1b08ba0d74d9ab0251a20d012cd55bda" marker="I8"><p><ref eId="ccd8e1202508271709399480100" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/6">Reg. 6</ref> in force at 1.1.2020, see <ref eId="ccd8e4202508271709399480100" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/5">reg. 1(5)</ref> (as amended (1.12.2018) by <ref eId="d10e7" href="http://www.legislation.gov.uk/id/ssi/2018/300">S.S.I. 2018/300</ref>, <ref eId="ccd8e10202508271709399480100" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/1">regs. 1</ref>, <ref eId="ccd8e13202508271709399480100" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/3/2">3(2)</ref>)</p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-acfd0540520aea635db2bfc31da8dfb6" marker="I9"><p>Reg. 7  in force at 1.1.2018, see <ref eId="n36dc1e81f58699b0" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/3">reg. 1(3)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-223afa060b5ba3d7446dd12a9d10dd14" marker="I10"><p>Reg. 8  in force at 1.1.2018, see <ref eId="nda03ab5fdb3e58a7" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/3">reg. 1(3)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-4d4f80087313796849d48bb1e3d1af84" marker="I11"><p>Reg. 9  in force at 1.1.2018, see <ref eId="n9e0ae4649428b64d" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/3">reg. 1(3)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-47818c2d2aa41eec08844fdb7783b6fb" marker="I12"><p><ref eId="cw826p2c5-00050" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/10">Reg. 10</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00051" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="M_I_ffeac279-65bf-4d21-bc9d-69d1edf3bf0e" marker="I13"><p><ref eId="ccd8e1202508281357462450100" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/11/11">Reg. 11(11)</ref><ref eId="ccd8e1202508281357462450100" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/11/13">(13)</ref> in force at 26.10.2017, see <ref eId="ccd8e4202508281357462450100" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/3">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-623885848ad5f9153aaf7bed9732adc9" marker="I14"><p><rref eId="ccd8e1202508281357462450100" class="subref" from="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/11/1" upTo="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/11/3">Reg. 11(1)-(3), (4)(b), (5)-(10)</rref> in force at 1.1.2018, see <ref eId="ccd8e4202508281357462450100" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/3">reg. 1(3)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-f31a0b962ed1c8b7ff2e93553f82e456" marker="I15"><p><ref eId="cw92if2k5-00007" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/11/12">Reg. 11(12)</ref> in force at 1.10.2018, see <ref eId="cw92if2k5-00008" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/4">reg. 1(4)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-88c72dfe15916c14ee201951edc0f78d" marker="I16"><p><ref eId="cx8oqxkk5-00018" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/11/4/a">Reg. 11(4)(a)</ref> in force at 1.1.2020, see <ref eId="cx8oqxkk5-00019" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/5">reg. 1(5)</ref> (as amended (1.12.2018) by <ref eId="cx8oqxkk5-00020" href="http://www.legislation.gov.uk/id/ssi/2018/300">S.S.I. 2018/300</ref>, <ref eId="cx8oqxkk5-00021" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/1">regs. 1</ref>, <ref eId="cx8oqxkk5-00022" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/3/2">3(2)</ref>)</p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-31289b3557158b0fc38ed613cb0c6478" marker="I17"><p><ref eId="cw826p2c5-00058" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/12">Reg. 12</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00059" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-e1d7fb1592e9a0d2d8a5d84071d8a265" marker="I18"><p><ref eId="cw826p2c5-00066" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/13">Reg. 13</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00067" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="I" class="commentary I" eId="key-7c50e429915ec6b1960bc08947bd7bae" marker="I19"><p><ref eId="cw826p2c5-00018" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/14">Reg. 14</ref> in force at 26.10.2017, see <ref eId="cw826p2c5-00019" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/2">reg. 1(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="F" class="commentary F" eId="key-3936df0a3dc0740c0ed359a74021dfaf" marker="F1"><p><ref eId="cw93qic35-00007" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/1/5">Reg. 1(5)</ref>  substituted (1.12.2018) by <ref eId="cw93qic35-00008" href="http://www.legislation.gov.uk/id/ssi/2018/300">The National Health Service (General Dental Services) (Miscellaneous Amendments) (Scotland) Regulations 2018 (S.S.I. 2018/300)</ref>, <ref eId="cw93qic35-00009" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/1">regs. 1</ref>, <ref eId="cw93qic35-00010" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/3/2">3(2)</ref></p></note><note ukl:Name="Commentary" ukl:Type="F" class="commentary F" eId="key-0f631432df03d6e27c6d78ef9518322e" marker="F2"><p><ref eId="cwev4m745-00004" class="subref" href="http://www.legislation.gov.uk/id/ssi/2017/289/regulation/3/2">Reg. 3(2)</ref> omitted (1.12.2018) by virtue of <ref eId="cwev4m745-00005" href="http://www.legislation.gov.uk/id/ssi/2018/300">The National Health Service (General Dental Services) (Miscellaneous Amendments) (Scotland) Regulations 2018 (S.S.I. 2018/300)</ref>, <ref eId="cwev4m745-00006" class="subref" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/1">regs. 1</ref>, <ref eId="cwev4m745-00007" class="subref operative" href="http://www.legislation.gov.uk/id/ssi/2018/300/regulation/3/3">3(3)</ref></p></note></notes><proprietary xmlns:ukm="http://www.legislation.gov.uk/namespaces/metadata" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dct="http://purl.org/dc/terms/" source="#"><dc:identifier>http://www.legislation.gov.uk/ssi/2017/289</dc:identifier><dc:title>The National Health Service (General Dental Services) (Scotland) Amendment Regulations 2017</dc:title><dc:language>en</dc:language><dc:subject scheme="SIheading">NATIONAL HEALTH SERVICE</dc:subject><dc:publisher>Statute Law Database</dc:publisher><dc:modified>2025-09-19</dc:modified><dc:contributor>Expert Participation</dc:contributor><dct:valid>2020-01-01</dct:valid><dc:description>These Regulations amend the National Health Service (General Dental Services) (Scotland) Regulations 2010 (“2010 Regulations”). The 2010 Regulations provide for arrangements under which general dental services are provided by Health Boards in Scotland in terms of the National Health Service (Scotland) Act 1978. In addition to minor and drafting amendments, the Regulations make a number of changes of substance which fall into 3 main categories:</dc:description><ukm:SecondaryMetadata><ukm:DocumentClassification><ukm:DocumentCategory Value="secondary"/><ukm:DocumentMainType Value="ScottishStatutoryInstrument"/><ukm:DocumentStatus Value="revised"/><ukm:DocumentMinorType Value="regulation"/></ukm:DocumentClassification><ukm:Year Value="2017"/><ukm:Number Value="289"/><ukm:Made Date="2017-09-07"/><ukm:Laid Date="2017-09-11" Class="ScottishParliament"/><ukm:ISBN Value="9780111036549"/></ukm:SecondaryMetadata><ukm:Notes><ukm:Note IdURI="http://www.legislation.gov.uk/id/ssi/2017/289/notes"/><ukm:Alternatives><ukm:Alternative URI="http://www.legislation.gov.uk/ssi/2017/289/pdfs/ssipn_20170289_en.pdf" Date="2017-09-12" Title="Policy Note" Size="36266"/></ukm:Alternatives></ukm:Notes><ukm:Alternatives><ukm:Alternative URI="http://www.legislation.gov.uk/ssi/2017/289/pdfs/ssi_20170289_en.pdf" Date="2017-09-12" Size="76371"/></ukm:Alternatives><ukm:Statistics><ukm:TotalParagraphs Value="28"/><ukm:BodyParagraphs Value="28"/><ukm:ScheduleParagraphs Value="0"/><ukm:AttachmentParagraphs Value="0"/><ukm:TotalImages Value="0"/></ukm:Statistics></proprietary></meta><preface eId="preface"><block name="banner">Scottish Statutory Instruments</block><block name="number"><docNumber>2017 No. 289</docNumber></block><container name="subjects"><container name="subject"><block name="subject"><concept refersTo="#">National Health Service</concept></block></container></container><block name="title"><docTitle>The National Health Service (General Dental Services) (Scotland) Amendment Regulations 2017</docTitle></block><container name="dates"><block name="madeDate" refersTo="#date-made"><span>Made</span><docDate date="2017-09-07">7th September 2017</docDate></block><block name="laidDate" refersTo="#date-laid-1"><span>Laid before the Scottish Parliament</span><docDate date="2017-09-11">11th September 2017</docDate></block><block name="commenceDate" refersTo="#date-cif-1"><span>Coming into force in accordance with regulation 1</span></block></container></preface><preamble><formula name="enactingText"><p>The Scottish Ministers make the following Regulations in exercise of the powers conferred by sections 25(1), (2) and (2A), 28A(4), 105(7) and 106(a) of the National Health Service (Scotland) Act 1978<authorialNote class="footnote" eId="f00001" marker="1"><p><ref eId="c00001" href="http://www.legislation.gov.uk/id/ukpga/1978/29">1978 c.29</ref>; section 25(1) was amended by the Smoking, Health and Social Care (Scotland) Act <ref eId="c00002" href="http://www.legislation.gov.uk/id/asp/2005/13">2005 (asp 13)</ref> (“the <abbr title="Smoking, Health and Social Care (Scotland) Act 2005 asp 13">2005 Act</abbr>”), section 15; section 25(2) and (2A) were substituted by the <abbr title="Smoking, Health and Social Care (Scotland) Act 2005 asp 13">2005 Act</abbr>, section 17; section 28A was inserted by the Health Act <ref eId="c00003" href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 (c.8)</ref> (“the <abbr title="Health Act 1999 c. 8">1999 Act</abbr>”), section 57 and amended by the Primary Medical Services (Scotland) Act <ref eId="c00004" href="http://www.legislation.gov.uk/id/asp/2004/1">2004 (asp 1)</ref>, schedule 1, paragraph 1; section 105(7) was amended by the Health Services Act <ref eId="c00005" href="http://www.legislation.gov.uk/id/ukpga/1980/53">1980 (c.53)</ref>, schedule 6, paragraph 5(1) and schedule 7, the Health and Social Services and Social Security Adjudications Act <ref eId="c00006" href="http://www.legislation.gov.uk/id/ukpga/1983/41">1983 (c.41)</ref>, section 29(1) and schedule 9, Part 1, paragraph 24 and the <abbr title="Health Act 1999 c. 8">1999 Act</abbr>, schedule 4, paragraph 60; section 108(1) contains a definition of “regulations” relevant to the exercise of the statutory powers under which these Regulations are made. The functions of the Secretary of State were transferred to the Scottish Ministers by virtue of section 53 of the Scotland Act <ref eId="c00007" href="http://www.legislation.gov.uk/id/ukpga/1998/46">1998 (c.46)</ref>.</p></authorialNote> and all other powers enabling them to do so.</p></formula></preamble><body eId="body"><hcontainer name="regulation" eId="regulation-1"><heading>Citation and commencement</heading><num>1.</num><paragraph eId="regulation-1-1"><num>(1)</num><content><p>These Regulations may be cited as the National Health Service (General Dental Services) (Scotland) Amendment Regulations 2017.</p></content></paragraph><paragraph eId="regulation-1-2"><num>(2)</num><content><p>Subject to paragraphs (3), (4), and (5), these Regulations come into force on 26th October 2017.</p></content></paragraph><paragraph eId="regulation-1-3"><num>(3)</num><content><p>Regulations 3(1)(b), (c), (e), (f) and (h) and (2), 7, 8, 9, 11(1) to (3), (4)(b) and (5) to (10) come into force on 1st January 2018.</p></content></paragraph><paragraph eId="regulation-1-4"><num>(4)</num><content><p>Regulation 11(12) comes into force on 1st October 2018.</p></content></paragraph><paragraph eId="regulation-1-5"><num><ins class="substitution first" ukl:ChangeId="key-3936df0a3dc0740c0ed359a74021dfaf-1755864760348" ukl:CommentaryRef="key-3936df0a3dc0740c0ed359a74021dfaf"><noteRef uk:name="commentary" href="#key-3936df0a3dc0740c0ed359a74021dfaf" class="commentary"/>(5)</ins></num><content><p><ins class="substitution last" ukl:ChangeId="key-3936df0a3dc0740c0ed359a74021dfaf-1755864760348" ukl:CommentaryRef="key-3936df0a3dc0740c0ed359a74021dfaf">Regulations 3(1)(d), 6 and 11(4)(a) come into force on 1 January 2020.</ins></p></content></paragraph></hcontainer><hcontainer name="regulation" eId="regulation-2"><heading>Amendment of the National Health Service (General Dental Services) (Scotland) Regulations 2010</heading><num>2.</num><content><p>The National Health Service (General Dental Services) (Scotland) Regulations 2010<authorialNote class="footnote" eId="f00002" marker="2"><p><ref eId="c00008" href="http://www.legislation.gov.uk/id/ssi/2010/208">S.S.I. 2010/208</ref>; relevant amending instruments are <ref eId="c00009" href="http://www.legislation.gov.uk/id/ssi/2010/378">S.S.I. 2010/378</ref> and <ref eId="c00010" href="http://www.legislation.gov.uk/id/ssi/2016/53">S.S.I. 2016/53</ref>.</p></authorialNote> are amended in accordance with regulations 3 to 13.</p></content></hcontainer><hcontainer name="regulation" eId="regulation-3"><num>3.</num><paragraph eId="regulation-3-1"><num>(1)</num><intro><p>In regulation 2(1) (interpretation)—</p></intro><level class="para1" eId="regulation-3-1-a"><num>(a)</num><content><p><mod>after the definition of “dental care professionals register” insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“Dental Core Training” means a period of postgraduate training following vocational training (or any equivalent training undertaken in England, Wales or Northern Ireland), administered in Scotland by <abbr class="acronym" title="National Health Service">NHS</abbr> Education for Scotland and comprising clinical and educational sessions with regular assessment of the competencies required for<span ukl:Name="EmSpace"> </span>progress;</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-b"><num>(b)</num><content><p><mod>after the definition of “disqualification” insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“electronic communication” has the meaning given by section 15(1) of the Electronic Communications Act 2000<authorialNote class="footnote" eId="f00003" marker="3"><p><ref eId="c00011" href="http://www.legislation.gov.uk/id/ukpga/2000/7">2000 c.7</ref>; section 15(1) was amended by the Communications Act <ref eId="c00012" href="http://www.legislation.gov.uk/id/ukpga/2003/21">2003 (c.21)</ref>, schedule 17, paragraph 158.</p></authorialNote>;</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-c"><num>(c)</num><content><p><mod>for the definition of “estimate” substitute—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“estimate” means information submitted by a dentist to the SDPB in accordance with paragraph 28 of schedule 1 for the purpose of obtaining prior approval of care and treatment on a form supplied by the Health Board or in electronic form;</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-d"><num>(d)</num><content><p><mod>for the definition of “estimate” substitute—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“estimate” means information submitted by a dentist to the SDPB in accordance with paragraph 28 of schedule 1 for the purpose of obtaining prior approval of care and treatment;</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-e"><num>(e)</num><content><p><mod>after the definition of “estimate” insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“form to like effect” includes where information that would otherwise be provided in a form supplied by the Health Board is compiled in electronic form (except where otherwise stated);</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-f"><num>(f)</num><content><p>in the definition of “in writing”, for “transmission by electronic means” substitute “an electronic communication”;</p></content></level><level class="para1" eId="regulation-3-1-g"><num>(g)</num><content><p><mod>after the definition of “orthodontist” insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“Part 1 training” means a course of training provided by <abbr class="acronym" title="National Health Service">NHS</abbr> Education for Scotland which includes training on radiology, managing medical emergencies including basic life support, infection prevention and control, consent, record keeping and best practice guidance;</p></content></hcontainer><hcontainer name="definition"><content><p>“Part 2 training” means a course of training provided by <abbr class="acronym" title="National Health Service">NHS</abbr> Education for Scotland which includes training on consent, the content and application of these Regulations and other relevant rules and law, the Statement of Dental Remuneration, infection prevention and control, record keeping and best practice guidance;</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-h"><num>(h)</num><content><p><mod>for the definition of “practice record form” substitute–<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“practice record form” means a form referred to in, and completed in accordance with, paragraph 29(3)(a) or (5)(a) of schedule 1 in the context of obtaining general dental services;</p></content></hcontainer></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-i"><num>(i)</num><content><p><mod>after the definition of “scheme member” insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“Specialty Training” means a period of postgraduate training to the relevant General Dental Council specialty curriculum, administered in Scotland by <abbr class="acronym" title="National Health Service">NHS</abbr> Education for Scotland and comprising clinical and educational sessions with regular assessment of the competencies required for progress to the award of a Certificate of Completion of Specialty Training;</p></content></hcontainer></quotedStructure><inline name="appendText">; and</inline></mod></p></content></level><level class="para1" eId="regulation-3-1-j"><num>(j)</num><content><p><mod>after the definition of “terms of service” insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><hcontainer name="definition"><content><p>“test of knowledge” means an assessment set by <abbr class="acronym" title="National Health Service">NHS</abbr> Education for Scotland, which includes questions on any of the topics specified in schedule A1;</p></content></hcontainer></quotedStructure><inline name="appendText">.</inline></mod></p></content></level></paragraph><paragraph eId="regulation-3-2"><num><noteRef href="#key-0f631432df03d6e27c6d78ef9518322e" uk:name="commentary" ukl:Name="CommentaryRef" class="commentary"/>(2)</num><content><p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p></content></paragraph></hcontainer><hcontainer name="regulation" eId="regulation-4"><num>4.</num><content><p><mod>After regulation 5 insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="asp" ukl:TargetClass="primary" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><section><num>5A.</num><heading>Mandatory training</heading><subsection><num>(1)</num><content><p>A dentist who falls within paragraph (3) must have satisfactorily completed Part 2 training before making an application under regulation 5.</p></content></subsection><subsection><num>(2)</num><intro><p>A dentist who does not fall within paragraph (3) but who falls within paragraph (4), (5), (6) or (7) must have satisfactorily completed—</p></intro><level class="para1"><num>(a)</num><content><p>Part 1 training; and</p></content></level><level class="para1"><num>(b)</num><content><p>Part 2 training,</p></content></level><wrapUp><p>before making an application under regulation 5.</p></wrapUp></subsection><subsection><num>(3)</num><intro><p>A dentist falls within this paragraph if that dentist is applying under regulation 5 for inclusion either in sub-part A of the first part, or in the second part, of a dental list and—</p></intro><level class="para1"><num>(a)</num><content><p>is included in an equivalent list in England, Wales or Northern Ireland; and</p></content></level><level class="para1"><num>(b)</num><intro><p>has not, throughout the 12 months preceding the application—</p></intro><level class="para2"><num>(i)</num><content><p>been included in sub-part A of the first part, or in the second part, of a dental list; and</p></content></level><level class="para2"><num>(ii)</num><content><p>provided or assisted in the provision of general dental services.</p></content></level></level></subsection><subsection><num>(4)</num><intro><p>A dentist falls within this paragraph if that dentist is applying under regulation 5 for inclusion in sub-part A of the first part of a dental list and—</p></intro><level class="para1"><num>(a)</num><content><p>has never previously been included in sub-part A of the first part of a dental list;</p></content></level><level class="para1"><num>(b)</num><content><p>is not currently undertaking Dental Core Training;</p></content></level><level class="para1"><num>(c)</num><content><p>will not commence Dental Core Training or Specialty Training within 2 months following inclusion in sub-part A of the first part of a dental list; and</p></content></level><level class="para1"><num>(d)</num><intro><p>has not, throughout the 12 months preceding the application—</p></intro><level class="para2"><num>(i)</num><content><p>been included in the second part of a dental list; and</p></content></level><level class="para2"><num>(ii)</num><content><p>assisted in the provision of general dental services.</p></content></level></level></subsection><subsection><num>(5)</num><intro><p>A dentist falls within this paragraph if that dentist is applying under regulation 5 for inclusion in the second part of a dental list and—</p></intro><level class="para1"><num>(a)</num><content><p>has never previously been included in the second part of a dental list;</p></content></level><level class="para1"><num>(b)</num><content><p>will not commence vocational training within 2 months following inclusion in the second part of a dental list; and</p></content></level><level class="para1"><num>(c)</num><intro><p>has not, throughout the 12 months preceding the application—</p></intro><level class="para2"><num>(i)</num><content><p>been included in sub-part A of the first part of a dental list; and</p></content></level><level class="para2"><num>(ii)</num><content><p>provided general dental services.</p></content></level></level></subsection><subsection><num>(6)</num><intro><p>A dentist falls within this paragraph if that dentist—</p></intro><level class="para1"><num>(a)</num><content><p>was previously included in sub-part A of the first part of a dental list;</p></content></level><level class="para1"><num>(b)</num><content><p>has not, at any point during the 12 months preceding the application, been included in that part of a dental list; and</p></content></level><level class="para1"><num>(c)</num><content><p>is applying under regulation 5 for inclusion in that part of a dental list.</p></content></level></subsection><subsection><num>(7)</num><intro><p>A dentist falls within this paragraph if that dentist—</p></intro><level class="para1"><num>(a)</num><content><p>was previously included in the second part of a dental list;</p></content></level><level class="para1"><num>(b)</num><content><p>has not, at any point during the 12 months preceding the application, been included in that part of a dental list; and</p></content></level><level class="para1"><num>(c)</num><content><p>is applying under regulation 5 for inclusion in that part of a dental list.</p></content></level></subsection><subsection><num>(8)</num><content><p>A dentist who falls within paragraph (3), (4), (5), (6), or (7) must have satisfactorily completed a test of knowledge within 6 weeks of the completion of training under paragraph (1) or (2) before making an application under regulation 5.</p></content></subsection></section></quotedStructure><inline name="appendText">.</inline></mod></p></content></hcontainer><hcontainer name="regulation" eId="regulation-5"><num>5.</num><content><p>In regulation 22(1) (statement of dental remuneration), in Column 2 of the Table, for “Clinical audit” substitute “Quality improvement”.</p></content></hcontainer><hcontainer name="regulation" eId="regulation-6"><num>6.</num><intro><p>In regulation 27 (prior approval – patterns of treatment)—</p></intro><level class="para1" eId="regulation-6-a"><num>(a)</num><content><p><mod>after paragraph (2) insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><paragraph><num>(2A)</num><content><p>The SDPB may give a direction to a dentist under paragraph (2) by an electronic communication.</p></content></paragraph></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-6-b"><num>(b)</num><content><p>at the end of paragraph (9)(b) omit “and”; and</p></content></level><level class="para1" eId="regulation-6-c"><num>(c)</num><content><p><mod>after paragraph (9)(c) insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><p>; and</p><level class="para1"><num>(d)</num><content><p>“in writing”, “write to” and “written to” include by an electronic communication.</p></content></level></quotedStructure><inline name="appendText">.</inline></mod></p></content></level></hcontainer><hcontainer name="regulation" eId="regulation-7"><num>7.</num><content><p>In regulation 31 (service of notices <abbr title="Et cetera" xml:lang="la">etc</abbr>), in paragraph (1) for “Any notice” substitute “Except where otherwise stated, any notice”.</p></content></hcontainer><hcontainer name="regulation" eId="regulation-8"><num>8.</num><content><p><mod>After regulation 31 insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="asp" ukl:TargetClass="primary" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><section><num>31A.</num><heading>Electronic Communications</heading><content><p>Where a notice or document is sent by means of an electronic communication it is taken to have been received 24 hours after it is sent unless the contrary is proved.</p></content></section></quotedStructure><inline name="appendText">.</inline></mod></p></content></hcontainer><hcontainer name="regulation" eId="regulation-9"><num>9.</num><content><p>In paragraph (1) of regulation 32 (signatures) for “With the exception of” to “paragraph 29(2) and (3) of Schedule 1, any”, substitute “Any”.</p></content></hcontainer><hcontainer name="regulation" eId="regulation-10"><num>10.</num><content><p><mod>Before schedule 1, insert schedule A1—<quotedStructure startQuote="“" endQuote="”" uk:context="schedule" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="schedule" ukl:Format="double"><hcontainer name="schedule"><num>SCHEDULE A1<authorialNote class="referenceNote"><p>Regulation 2(1)</p></authorialNote></num><heading>Topics on which questions may be asked in the test of knowledge</heading><paragraph class="schProv1"><num>1.</num><content><p>Radiology.</p></content></paragraph><paragraph class="schProv1"><num>2.</num><content><p>Managing medical emergencies including basic life support.</p></content></paragraph><paragraph class="schProv1"><num>3.</num><content><p>Consent.</p></content></paragraph><paragraph class="schProv1"><num>4.</num><content><p>The content and application of these Regulations and other relevant rules and law.</p></content></paragraph><paragraph class="schProv1"><num>5.</num><content><p>The Statement of Dental Remuneration.</p></content></paragraph><paragraph class="schProv1"><num>6.</num><content><p>Infection prevention and control.</p></content></paragraph><paragraph class="schProv1"><num>7.</num><content><p>Record keeping.</p></content></paragraph><paragraph class="schProv1"><num>8.</num><content><p>Managing and working within a dental practice.</p></content></paragraph><paragraph class="schProv1"><num>9.</num><content><p>Ethical obligations.</p></content></paragraph><paragraph class="schProv1"><num>10.</num><content><p>Health and Safety.</p></content></paragraph><paragraph class="schProv1"><num>11.</num><content><p>Prescribing.</p></content></paragraph><paragraph class="schProv1"><num>12.</num><content><p>Quality improvement.</p></content></paragraph></hcontainer></quotedStructure><inline name="appendText">.</inline></mod></p></content></hcontainer><hcontainer name="regulation" eId="regulation-11"><num>11.</num><paragraph eId="regulation-11-1"><num>(1)</num><content><p>Schedule 1 (terms of service for dentists) is amended as follows.</p></content></paragraph><paragraph eId="regulation-11-2"><num>(2)</num><intro><p>In paragraph 4(1) (a continuing care arrangement)—</p></intro><level class="para1" eId="regulation-11-2-a"><num>(a)</num><content><p>in head (a)(i), after “form of acceptance” insert “, in writing,”; and</p></content></level><level class="para1" eId="regulation-11-2-b"><num>(b)</num><content><p>in head (b), after “plan for treatment” insert “, in writing,”.</p></content></level></paragraph><paragraph eId="regulation-11-3"><num>(3)</num><intro><p>In paragraph 5(1) (a capitation arrangement)—</p></intro><level class="para1" eId="regulation-11-3-a"><num>(a)</num><content><p>in head (b)(ii), after “form of acceptance” insert “, in writing,”; and</p></content></level><level class="para1" eId="regulation-11-3-b"><num>(b)</num><content><p>in head (c) after “plan for treatment” insert “, in writing,”.</p></content></level></paragraph><paragraph eId="regulation-11-4"><num>(4)</num><intro><p>In paragraph 14 (treatment on referral)—</p></intro><level class="para1" eId="regulation-11-4-a"><num>(a)</num><content><p>in sub-paragraph (3) after “in writing” insert “(including by an electronic communication)”; and</p></content></level><level class="para1" eId="regulation-11-4-b"><num>(b)</num><intro><p>in sub-paragraph (4)—</p></intro><level class="para2" eId="regulation-11-4-b-i"><num>(i)</num><content><p>in head (a), after “form of acceptance” insert “, in writing,”; and</p></content></level><level class="para2" eId="regulation-11-4-b-ii"><num>(ii)</num><content><p>in head (b), after “plan for treatment” insert “, in writing,”.</p></content></level></level></paragraph><paragraph eId="regulation-11-5"><num>(5)</num><content><p>In paragraph 15 (inability of contractor to complete care and treatment), after “in writing” insert “(including by an electronic communication)”.</p></content></paragraph><paragraph eId="regulation-11-6"><num>(6)</num><content><p>In paragraph 16 (care and treatment summaries), after “to the patient” insert “in writing (including by an electronic communication)”.</p></content></paragraph><paragraph eId="regulation-11-7"><num>(7)</num><content><p>In paragraph 18(3) (occasional treatment), after “in writing” insert “(including by an electronic communication)”.</p></content></paragraph><paragraph eId="regulation-11-8"><num>(8)</num><content><p>In paragraph 19(4) (referral for occasional treatment), after “in writing” insert “(including by an electronic communication)”.</p></content></paragraph><paragraph eId="regulation-11-9"><num>(9)</num><intro><p>In paragraph 20 (remuneration)—</p></intro><level class="para1" eId="regulation-11-9-a"><num>(a)</num><content><p><mod>for sub-paragraph (2) substitute—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><paragraph><num>(2)</num><intro><p>Subject to sub-paragraph (2A), any claim for a fee or other remuneration for the provision of general dental services must be submitted by an electronic communication and—</p></intro><level class="para1"><num>(a)</num><content><p>if the care and treatment was provided on behalf of a contractor by a dentist who is also a contractor, the claim must contain the PIN allocated to that dentist;</p></content></level><level class="para1"><num>(b)</num><content><p>if the care and treatment was provided on behalf of a contractor by a dentist whose name is included in the second part of the dental list, the claim must contain the PIN allocated to that dentist; and</p></content></level><level class="para1"><num>(c)</num><content><p>where the care and treatment was provided by a contractor who is a dentist, the claim must contain the PIN allocated to that contractor.</p></content></level></paragraph></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para1" eId="regulation-11-9-b"><num>(b)</num><content><p><mod>after sub-paragraph (2) insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><paragraph><num>(2A)</num><intro><p>Any claim for a fee or other remuneration for the provision of orthodontic treatment submitted before 1 January 2019 must be submitted in accordance with either head (a) or (b):</p></intro><level class="para1"><num>(a)</num><intro><p>where the claim is submitted by post or by hand it must be signed—</p></intro><level class="para2"><num>(i)</num><content><p>if the care and treatment was provided on behalf of a contractor by a dentist who is also a contractor, by that dentist, who must also give the name of the contractor on whose behalf the care and treatment was provided;</p></content></level><level class="para2"><num>(ii)</num><content><p>if the care and treatment was provided on behalf of a contractor by a dentist whose name is included in the second part of the dental list, by that dentist, who must also give the name of the contractor on whose behalf the care and treatment was provided; and</p></content></level><level class="para2"><num>(iii)</num><content><p>in other cases where the care and treatment was provided by a contractor who is a dentist, by the contractor;</p></content></level></level><level class="para1"><num>(b)</num><intro><p>where the claim is submitted by an electronic communication—</p></intro><level class="para2"><num>(i)</num><content><p>if the care and treatment was provided on behalf of a contractor by a dentist who is also a contractor, the claim must contain the PIN allocated to that dentist;</p></content></level><level class="para2"><num>(ii)</num><content><p>if the care and treatment was provided on behalf of a contractor by a dentist whose name is included in the second part of the dental list, the claim must contain the PIN allocated to that dentist; and</p></content></level><level class="para2"><num>(iii)</num><content><p>where the care and treatment was provided by a contractor who is a dentist, the claim must contain the PIN allocated to that contractor.</p></content></level></level></paragraph></quotedStructure><inline name="appendText">; and</inline></mod></p></content></level><level class="para1" eId="regulation-11-9-c"><num>(c)</num><intro><p>in sub-paragraph (3)—</p></intro><level class="para2" eId="regulation-11-9-c-i"><num>(i)</num><content><p>before “electronic” insert “an”;</p></content></level><level class="para2" eId="regulation-11-9-c-ii"><num>(ii)</num><content><p>for “(2)(b)” substitute “(2) or (2A)”; and</p></content></level><level class="para2" eId="regulation-11-9-c-iii"><num>(iii)</num><content><p>for “programme” substitute “program”.</p></content></level></level></paragraph><paragraph eId="regulation-11-10"><num>(10)</num><intro><p>In paragraph 27 (records)—</p></intro><level class="para1" eId="regulation-11-10-a"><num>(a)</num><content><p>in sub-paragraph (3)(i), after “Health Board” insert “, including, where appropriate and requested by that officer, in electronic form”;</p></content></level><level class="para1" eId="regulation-11-10-b"><num>(b)</num><content><p><mod>after sub-paragraph (3) insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><paragraph><num>(3A)</num><content><p>For the avoidance of doubt, in paragraph (3)(ii) “send” includes, where appropriate, by an electronic communication.</p></content></paragraph></quotedStructure><inline name="appendText">; and</inline></mod></p></content></level><level class="para1" eId="regulation-11-10-c"><num>(c)</num><content><p>in sub-paragraph (4), for “computerised” substitute “electronic”.</p></content></level></paragraph><paragraph eId="regulation-11-11"><num>(11)</num><content><p>In paragraph 28(7) (prior approval of care and treatment), for “send” substitute “submit”.</p></content></paragraph><paragraph eId="regulation-11-12"><num>(12)</num><intro><p>In paragraph 29 (completion of estimate)—</p></intro><level class="para1" eId="regulation-11-12-a"><num>(a)</num><content><p>in sub-paragraph (1), for “sub-paragraphs (2) and (3)” substitute “sub-paragraphs (3) and (5)”;</p></content></level><level class="para1" eId="regulation-11-12-b"><num>(b)</num><content><p>omit sub-paragraph (2);</p></content></level><level class="para1" eId="regulation-11-12-c"><num>(c)</num><intro><p>in sub-paragraph (3)—</p></intro><level class="para2" eId="regulation-11-12-c-i"><num>(i)</num><content><p><mod>for “A dentist who, in accordance with sub-paragraph (2), uses a computer to submit an estimate to the SDPB shall” substitute—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><p>Subject to sub-paragraph (4), a dentist must use an electronic communication to submit an estimate to the SDPB for approval as mentioned in sub-paragraph (1), and must</p></quotedStructure><inline name="appendText">;</inline></mod></p></content></level><level class="para2" eId="regulation-11-12-c-ii"><num>(ii)</num><content><p>in head (a), after “practice record form” insert “, either on a form supplied by the Health Board or in electronic form”; and</p></content></level><level class="para2" eId="regulation-11-12-c-iii"><num>(iii)</num><content><p>in head (b), for “programme” substitute “program”; and</p></content></level></level><level class="para1" eId="regulation-11-12-d"><num>(d)</num><content><p><mod>after sub-paragraph (3) insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><paragraph><num>(4)</num><content><p>Where the proposed care and treatment mentioned in sub-paragraph (1) is orthodontic treatment, a dentist may use an electronic communication to submit an estimate to the SDPB for approval, when that estimate is submitted before 1st January 2019.</p></content></paragraph><paragraph><num>(5)</num><intro><p>A dentist who, in accordance with sub-paragraph (4), uses an electronic communication to submit an estimate to the SDPB, must—</p></intro><level class="para1"><num>(a)</num><content><p>at the appropriate time secure the completion, so far as applicable, by the patient or by any person acting on behalf of the patient, of the practice record form, either on a form supplied by the Health Board or in electronic form;</p></content></level><level class="para1"><num>(b)</num><content><p>use only such computer program as the SDPB has approved as suitable for the purpose; and</p></content></level><level class="para1"><num>(c)</num><intro><p>include with that estimate—</p></intro><level class="para2"><num>(i)</num><content><p>all the information specified in sub-paragraph (1)(a) to (c) except the dentist’s name and address; and</p></content></level><level class="para2"><num>(ii)</num><content><p>the personal identification number allocated to the dentist by the SDPB for that purpose.</p></content></level></level></paragraph></quotedStructure><inline name="appendText">.</inline></mod></p></content></level></paragraph><paragraph eId="regulation-11-13"><num>(13)</num><intro><p>Paragraph 40 (clinical audit activities) is amended as follows—</p></intro><level class="para1" eId="regulation-11-13-a"><num>(a)</num><content><p>the heading becomes “Quality improvement activities”;</p></content></level><level class="para1" eId="regulation-11-13-b"><num>(b)</num><content><p>for “clinical audit” in each place it occurs substitute “quality improvement”; and</p></content></level><level class="para1" eId="regulation-11-13-c"><num>(c)</num><content><p><mod>in sub-paragraph (4), for paragraph (a) of the definition of “quality improvement activities” substitute—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><level class="para1"><num>(a)</num><content><p>involve the systematic, critical and reflective analysis of the quality of dental care provided by the dentist, and of any changes made by the dentist to bring about improvement in quality of care, patient experience, patient safety and clinical effectiveness, (including the processes used by that dentist for diagnosis, intervention and treatment and use of resources); and</p></content></level></quotedStructure><inline name="appendText">.</inline></mod></p></content></level></paragraph></hcontainer><hcontainer name="regulation" eId="regulation-12"><num>12.</num><paragraph eId="regulation-12-1"><num>(1)</num><content><p>Paragraph 1 of Part IA of schedule 2 (information, declarations <abbr title="et cetera" xml:lang="la">etc.</abbr> to be included in application for inclusion in sub-part A of first part of dental list) is amended as follows.</p></content></paragraph><paragraph eId="regulation-12-2"><num>(2)</num><content><p>In sub-paragraph (u), omit “or” at the end of head (iii).</p></content></paragraph><paragraph eId="regulation-12-3"><num>(3)</num><content><p><mod>For sub-paragraphs (v) and (w) (as inserted by the National Health Service (General Dental Services) (Scotland) Amendment Regulations 2016<authorialNote class="footnote" eId="f00004" marker="4"><p><ref eId="c00013" href="http://www.legislation.gov.uk/id/ssi/2016/53">S.S.I. 2016/53</ref>. The National Health Service (General Dental Services) (Scotland) Amendment Regulations 2016 (“2016 Regulations”) contained a lettering error. Schedule 2(IA) of the National Health Service (General Dental Services) (Scotland) Regulations 2010 already contained a sub-paragraph 1(v) and the new sub-paragraphs inserted by regulation 2(5) of the 2016 Regulations should have been named sub-paragraphs (w) and (x). These Regulations re-name and amend sub-paragraphs (v) and (w) which were apparently inserted by the 2016 Regulations.</p></authorialNote>) substitute—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><level class="para1"><num>(w)</num><content><p>where the applicant is a dentist who falls within regulation 5A(3), a certificate, issued no more than 12 months before the application is made, confirming that the applicant has satisfactorily completed Part 2 training and the test of knowledge; and</p></content></level><level class="para1"><num>(x)</num><content><p>where the applicant is a dentist who falls within regulation 5A(4) or (6), a certificate, issued no more than 12 months before the application is made, confirming that the applicant has satisfactorily completed Part 1 training, Part 2 training and the test of knowledge.</p></content></level></quotedStructure><inline name="appendText">.</inline></mod></p></content></paragraph></hcontainer><hcontainer name="regulation" eId="regulation-13"><num>13.</num><paragraph eId="regulation-13-1"><num>(1)</num><content><p>Paragraph 1 of Part II of schedule 2 (information, declarations <abbr title="et cetera" xml:lang="la">etc.</abbr> to be included in an application for inclusion in the second part of the dental list) is amended as follows.</p></content></paragraph><paragraph eId="regulation-13-2"><num>(2)</num><content><p>At the end of sub-paragraph (j) omit “and”.</p></content></paragraph><paragraph eId="regulation-13-3"><num>(3)</num><content><p><mod>After sub-paragraph (k) insert—<quotedStructure startQuote="“" endQuote="”" uk:context="unknown" uk:docName="unknown" ukl:TargetClass="unknown" ukl:TargetSubClass="unknown" ukl:Context="unknown" ukl:Format="double"><level class="para1"><num>(l)</num><content><p>where the applicant is a dentist who falls within regulation 5A(3), a certificate, issued no more than 12 months before the application is made, confirming that the applicant has satisfactorily completed Part 2 training and the test of knowledge; and</p></content></level><level class="para1"><num>(m)</num><content><p>where the applicant is a dentist who falls within regulation 5A(5) or (7), a certificate, issued no more than 12 months before the application is made, confirming that the applicant has satisfactorily completed Part 1 training, Part 2 training and the test of knowledge.</p></content></level></quotedStructure><inline name="appendText">.</inline></mod></p></content></paragraph></hcontainer><hcontainer name="regulation" eId="regulation-14"><heading>Saving provision</heading><num>14.</num><content><p>An application for inclusion in sub-part A of the first part, or in the second part, of a dental list made in accordance with regulation 5 of the National Health Service (General Dental Services) (Scotland) Regulations 2010<authorialNote class="footnote" eId="f00005" marker="5"><p><ref eId="c00014" href="http://www.legislation.gov.uk/id/ssi/2010/208">S.S.I. 2010/208</ref>; relevant amending instruments are <ref eId="c00015" href="http://www.legislation.gov.uk/id/ssi/2010/378">S.S.I. 2010/378</ref> and <ref eId="c00016" href="http://www.legislation.gov.uk/id/ssi/2016/53">S.S.I. 2016/53</ref>.</p></authorialNote> before 26th October 2017 is to be determined in accordance with the National Health Service (General Dental Services) (Scotland) Regulations 2010 as they had effect immediately before that date.</p></content></hcontainer><hcontainer name="signatures"><hcontainer name="signatureBlock"><content><block name="signature"><signature refersTo="#">SHONA ROBISON</signature></block><block name="role"><role refersTo="#">A member of the Scottish Government</role></block><blockContainer class="address"><p><location refersTo="#">St Andrew’s House,</location></p><p><location refersTo="#">Edinburgh</location></p></blockContainer><block name="date"><date date="2017-09-07">7th September 2017</date></block></content></hcontainer></hcontainer></body><conclusions><blockContainer class="explanatoryNote"><heading>EXPLANATORY NOTE</heading><subheading>(This note is not part of the Regulations)</subheading><blockContainer ukl:Name="P"><p>These Regulations amend the National Health Service (General Dental Services) (Scotland) Regulations 2010 (“2010 Regulations”). The 2010 Regulations provide for arrangements under which general dental services are provided by Health Boards in Scotland in terms of the National Health Service (Scotland) Act 1978. In addition to minor and drafting amendments, the Regulations make a number of changes of substance which fall into 3 main categories:</p></blockContainer><blockContainer ukl:Name="P"><p>1. The Regulations clarify the circumstances in which dentists applying to join sub-part A of the first part of a Health Board’s dental list require to have first undertaken mandatory training provided by <abbr class="acronym" title="National Health Service">NHS</abbr> Education for Scotland (NES), and impose similar requirements on certain dentists applying to join the second part of a dental list. These amendments to the 2010 Regulations come into force on 26th October 2017 (regulations 3(1)(a), (g), (i) and (j), 4, 10, 12 and 13).</p></blockContainer><blockContainer ukl:Name="P"><p>2. The Regulations replace the requirement on dentists to undertake clinical audit activities with a requirement to undertake quality improvement activities- a broader concept. These amendments to the 2010 Regulations come into force on 26th October 2017 (regulations 5 and 11(13)).</p></blockContainer><blockContainer ukl:Name="P"><p>3. The Regulations insert deadlines by which estimates for prior approval and payment claims for treatment provided under general dental services must be submitted electronically and allow for certain forms or information to be provided by electronic communication. There are 4 separate dates on which these amendments come into force:</p><blockList class="unordered bullet" ukl:Name="UnorderedList" ukl:Decoration="bullet"><item><p>26th October 2017 (regulation 11(11));</p></item><item><p>1st January 2018 (regulations 3(1)(b), (c), (e), (f) and (h) and (2), 7, 8, 9, 11(1) to (3), (4)(b) and (5) to (10));</p></item><item><p>1st October 2018 (regulation 11(12)); and</p></item><item><p>1st January 2019 (regulations 3(1)(d), 6 and 11(4)(a)).</p></item></blockList></blockContainer><blockContainer ukl:Name="P"><p>Regulation 3(1) amends regulation 2(1) of the 2010 Regulations. New definitions of “electronic communication” and “form to like effect” and amendments to definitions of “estimate”, “in writing” and “practice record form” relate to electronic communications. Regulation 3(1)(c) inserts an interim definition of “estimate”. Regulation 3(2) confirms that this definition will cease to have effect when the definition of “estimate” in paragraph (1)(d) comes into force on 1st January 2019. New definitions of “Dental Core Training”, “Part 1 training”, “Part 2 training”, “Speciality Training” and “test of knowledge” relate to mandatory training.</p></blockContainer><blockContainer ukl:Name="P"><p>Regulation 4 inserts new regulation 5A into the 2010 Regulations. Regulation 5A details the requirement for mandatory training for certain dentists who are applying under regulation 5 of the 2010 Regulations to be listed in either sub-part A of part 1 of a dental list, or in the second part of a dental list. Regulation 5A(3) describes the dentists who require to complete only Part 2 training and the test of knowledge. Regulation 5A(4) to (7) describes the dentists who require to complete both Part 1 training and Part 2 training as well as the test of knowledge.</p></blockContainer><blockContainer ukl:Name="P"><p>Regulation 6 amends regulation 27 of the 2010 Regulations to provide for electronic communications in relation to prior approval of patterns of treatment.</p></blockContainer><blockContainer ukl:Name="P"><p>Regulation 7 amends regulation 31 of the 2010 Regulations to expressly exclude any notice or document which is sent or served by an electronic communication where this method of sending or service is permitted by the 2010 Regulations.</p></blockContainer><blockContainer ukl:Name="P"><p>Regulation 8 inserts new regulation 31A, which makes provision as to when an electronic communication is deemed to have been received.</p></blockContainer><blockContainer ukl:Name="P"><p>Regulation 10 inserts a new schedule A1 into the 2010 Regulations which lists the topics on which questions may be asked in the test of knowledge, following mandatory training.</p></blockContainer><blockContainer ukl:Name="P"><p>Regulation 11 makes various amendments to schedule 1 of the 2010 Regulations (“schedule 1”), which contains the terms of service for dentists. In addition to minor and drafting amendments, it makes the following changes of substance:</p><blockList class="unordered bullet" ukl:Name="UnorderedList" ukl:Decoration="bullet"><item><p>paragraph (2) amends paragraph 4 of schedule 1 to retain the requirement for the plan for treatment and form of acceptance to be given to the patient in writing, following the change to the 2010 Regulations whereby the plan for treatment and form of acceptance can originate in electronic form. The same amendments are made by paragraph (3) in relation to capitation arrangements (paragraph 5 of schedule 1) and paragraph (4)(b) in relation to treatment on referral (paragraph 14(4) of schedule 1);</p></item><item><p>paragraph (4)(a) amends paragraph 14(3) of schedule 1 to allow a contractor to obtain prior approval of the SDPB as required by that paragraph using an electronic communication;</p></item><item><p>paragraph (5) amends paragraph 15 of schedule 1 to allow a contractor to notify the SDPB as required by that paragraph using an electronic communication;</p></item><item><p>paragraph (6) amends paragraph 16 of schedule 1 to enable a contractor to provide a care and treatment summary to a patient either in writing or by an electronic communication irrespective of whether the form on which the summary is provided was supplied by the Health Board or originated in an electronic form;</p></item><item><p>paragraph (7) amends paragraph 18(3) of schedule 1 to allow a contractor to notify the SDPB as required by that paragraph using an electronic communication;</p></item><item><p>paragraph (8) amends paragraph 19(4) of schedule 1 to allow a contractor to obtain the prior approval of the SDPB, as required by that paragraph, by an electronic communication;</p></item><item><p>paragraph (9) amends paragraph 20(2) of schedule 1 to require all claims for a fee or other remuneration for the provision of general dental services to be submitted by electronic communication from 1st January 2018, with the exception of claims submitted under new sub-paragraph (2A). New sub-paragraph (2A) provides that any claim for a fee or remuneration for the provision of orthodontic treatment submitted before 1st January 2019 may continue to be submitted by post, by hand or by electronic communication;</p></item><item><p>paragraph (10)(a) amends paragraph 27(3)(i) of schedule 1 to allow the information listed in paragraph 27(3) to be produced in electronic form, at the discretion of the dental officer or authorised officer, and where it is possible on account of the form in which the information is held. New paragraph 27(3A) provides that, where appropriate, the information listed in paragraph 27(3) can be sent to the SDPB, dental officer or authorised officer by an electronic communication;</p></item><item><p>paragraph (12)(b) deletes paragraph 29(2) of schedule 1 and paragraph (c)(i) amends paragraph 29(3) to require all estimates for the provision of care and treatment to be submitted by electronic communication from 1st October 2018, with the exception of claims submitted under new sub-paragraph (4);</p></item><item><p>paragraph (12)(c)(ii) amends paragraph 29(3)(a) of schedule 1 to provide that the practice record form (as defined in regulation 2(1) of the 2010 Regulations and amended by regulation 3(1) of these Regulations) can originate in electronic form;</p></item><item><p>paragraph (12)(d) inserts new sub-paragraphs (4) and (5) into paragraph 29 of schedule 1, which provide that any estimate for the provision of orthodontic treatment submitted before 1st January 2019 may continue to be submitted other than by electronic communication;</p></item></blockList></blockContainer><blockContainer ukl:Name="P"><p>Regulation 12 amends paragraph 1 of Part IA of schedule 2 of the 2010 Regulations. Sub-paragraph (w) requires dentists described in regulation 5A(3) of the 2010 Regulations to provide a certificate confirming satisfactory completion of Part 2 training and the test of knowledge. Sub-paragraph (x) requires dentists described in regulation 5A(4) or (6) of the 2010 Regulations to provide a certificate from NES confirming satisfactory completion of Part 1 and Part 2 training and the test of knowledge. Regulation 13 makes the equivalent amendment to paragraph 1 of Part II of schedule 2 of the 2010 Regulations for dentists applying to be listed in the second part of a dental list.</p></blockContainer></blockContainer></conclusions></act></akomaNtoso>