SCHEDULE 3E+WOTHER CONTRACTUAL TERMS

PART 5E+WRECORDS, INFORMATION, NOTIFICATIONS AND RIGHTS OF ENTRY

Notification of a course of treatment, orthodontic course of treatment etc.E+W

38.—(1) The contractor shall, within two months of the date upon which—

(a)it completes a course of treatment in respect of mandatory or additional services;

(b)it completes a case assessment in respect of an orthodontic course of treatment that does not lead to a course of treatment;

(c)it provides an orthodontic appliance following a case assessment in respect of orthodontic treatment;

(d)it completes a course of treatment in respect of orthodontic treatment;

(e)a course of treatment in respect of mandatory services or additional services or orthodontic course of treatment is terminated; or

(f)in respect of courses not falling within sub-paragraph (d) or (e), no more services can be provided by virtue of paragraph 5(4)(b) of Schedule 1 (orthodontic course of treatment) or paragraph 6(4)(b) of this Schedule,

[F1subject to sub-paragraph (4), send to [F2NHS England] by means of electronic submission], the information specified in sub-paragraph (2).

(2) The information referred to in sub-paragraph (1) comprise of—

(a)details of the patient to whom it provides services;

(b)details of the services provided (including any appliances provided) to that patient;

(c)details of any NHS Charge payable (and paid) by that patient; and

[F3(d) in the case of a patient who is exempt from NHS Charges, the information required under sub-paragraph (3).]

[F4(3) In the case of a patient who is exempt from NHS Charges, the contractor must provide [F2NHS England] (or a person authorised on [F2NHS England's] behalf) with—

(a)such details of that exemption as [F2NHS England] may reasonably request; and

(b)the written declaration.

(4) [F2NHS England] may accept submission of the information mentioned in sub-paragraph (2) in paper form in such exceptional circumstances as [F2NHS England] may reasonably determine.

(5) In this paragraph, “electronic submission” means the submission of information electronically via a computer system approved by [F2NHS England].]

Textual Amendments