The National Health Service (Primary Dental Services and Dental Charges) (Amendment) (No. 2) Regulations 2026
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Change 1
26 Insertion of Schedule 4A
After Schedule 4 (Urgent Treatment under Band 1 Charge), insert— Schedule 4A Complex Care Pathways under a Band 2 Charge Regulation 4(5A) Complex care pathway 1 oral health assessment including clinically appropriate radiographs; recording of diagnosis and depth of active carious lesions; identification and recording of modifiable risk factors; development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient; provision of clinically evidenced preventative advice and support for the duration of the complex care pathway; provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy; re-evaluation of the patient prior to completion of the complex care pathway; assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (g) are complete. Complex care pathway 2 oral health assessment including clinically appropriate radiographs; recording of diagnosis and depth of active carious lesions; recording of the diagnosis statement for periodontitis; identification and recording of modifiable risk factors; development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient; provision of clinically evidenced preventative advice and support for the duration of the complex care pathway; provision of a minimum of 3 cycles of periodontal treatment to address periodontitis, in line with the patient’s treatment plan and clinically evidenced care; provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy; assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (h) are complete. Complex care pathway 3 oral health assessment including clinically appropriate radiographs; recording of the diagnosis statement for periodontitis; identification and recording of modifiable risk factors; development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient; provision of clinically evidenced preventative advice and support for the duration of the complex care pathway; provision of a minimum of 2 cycles of periodontal treatment to address periodontitis, in line with the patient’s treatment plan and clinically evidenced care; assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (f) are complete. .
26 Insertion of Schedule 4A
After Schedule 4 (Urgent Treatment under Band 1 Charge), insert— Schedule 4A Complex Care Pathways under a Band 2 Charge Regulation 4(5A) Complex care pathway 1 oral health assessment including clinically appropriate radiographs; recording of diagnosis and depth of active carious lesions; identification and recording of modifiable risk factors; development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient; provision of clinically evidenced preventative advice and support for the duration of the complex care pathway; provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy; re-evaluation of the patient prior to completion of the complex care pathway; assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (g) are complete. Complex care pathway 2 oral health assessment including clinically appropriate radiographs; recording of diagnosis and depth of active carious lesions; recording of the diagnosis statement for periodontitis; identification and recording of modifiable risk factors; development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient; provision of clinically evidenced preventative advice and support for the duration of the complex care pathway; provision of a minimum of 3 cycles of periodontal treatment to address periodontitis, in line with the patient’s treatment plan and clinically evidenced care; provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy; assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (h) are complete. Complex care pathway 3 oral health assessment including clinically appropriate radiographs; recording of the diagnosis statement for periodontitis; identification and recording of modifiable risk factors; development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient; provision of clinically evidenced preventative advice and support for the duration of the complex care pathway; provision of a minimum of 2 cycles of periodontal treatment to address periodontitis, in line with the patient’s treatment plan and clinically evidenced care; assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (f) are complete. .
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