The National Health Service (Primary Dental Services) (Miscellaneous Amendments and Transitional Provisions) Regulations 2013

New Regulation 13A

51.  After regulation 12 insert—

“Charges in respect of primary dental services provided under a Capitation and Quality Scheme 2 Agreement

13A.— (1) This regulation applies in relation to primary dental services provided in accordance with a Capitation and Quality Scheme 2 Agreement.

(2) An additional charge to be known as a Band 1A charge of £17.50, may be made and recovered for the provision of any interim care course of treatment, the entirety of the components of which are set out in Schedule 1A.

(3) Subject to paragraph (5), the charge referred to in paragraph (2) is only payable where all of the components of an interim care course of treatment proposed for a person at the initial examination have been provided.

(4) For the purposes of paragraph (2), only one charge may be made for any one course of treatment or urgent course of treatment, notwithstanding that a number of individual treatments may be provided during that course of treatment.

(5) Where—

(a) during an interim care course of treatment a patient voluntarily withdraws from, or is withdrawn by the provider from treatment, and

(b) at least one of the components of that course of treatment has been completed,

the charge which may be made and recovered for that course of treatment is the charge which is payable under paragraph (2).

(6) Where an interim care course of treatment has been provided to a patient, but within 2 months of that course of treatment being completed, the provider determines that the patient requires further treatment which falls within this course of treatment, the charge for which is calculated in accordance with paragraph (2) of this regulation, or a Band 1 course of treatment, the charge for which is calculated in accordance with regulation 4(1), and that further treatment is provided (whether or not within 2 months of that course of treatment being completed) by the same provider, no charge may be made or recovered in respect of that further treatment.

(7) In paragraph (6) “completed” means that the patient has been provided with each and every component of the course of treatment.

Transitional provision relating to interim care

13B.   Where an initial examination occurred on or before the 31st March 2013 and a course of treatment is planned that would constitute an interim care course of treatment for the purposes of regulation 13A had it been planned after 1st April 2013, and some or all of that treatment is provided on or after 1st April 2013, the planned treatment must be treated as provided in accordance with the Capitation and Quality Scheme 2 Agreement under regulation 13A.”.