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Paragraph 5 A capitation arrangement

Changes not yet applied. Later legislation changes this provision in ways not yet written into the text below:

(1)

A dentist who accepts a person for care and treatment under a capitation arrangement shall—

(a)

at the time at which he accepts the patient, examine him and chart the patient's decayed, missing or filled teeth on the form supplied for that purpose by the Agency;

(b)

at the time of his first examination of the patient, provide the patient with the information about care and treatment under general dental services which is set out in Schedule 4 and with a form of acceptance supplied for that purpose by the Agency which shall specify—

(i)

the name of the patient,

(ii)

the name of the dentist,

(iii)

particulars of the places where the patient will receive care and treatment, and

(iv)

the telephone number at which the dentist or deputy may be contacted during normal surgery hours, or at other times in an emergency if different;

(c)

at the time of his first examination of the patient, provide the patient with a plan for treatment on a form supplied for that purpose by the Agency which shall specify—

(i)

details of the care and treatment (if any) which in the opinion of the dentist, at the date of that examination, is necessary to secure and maintain the oral health of the patient,

(ii)

the approximate period following which a further examination is recommended by the dentist, and

(iii)

any proposals he may have for private care and treatment as an alternative to the care and treatment proposed under general dental services, including particulars of the cost to the patient;

(d)

where at any time during the currency of a capitation arrangement—

(i)

the circumstances specified in sub-paragraph (2) apply, or

(ii)

in the opinion of the dentist, the care and treatment included in a plan for treatment provided under head (c) or this head needs to be varied;

provide the patient with a new plan for treatment, or as the case may be, a revised plan for treatment in accordance (except as to the time of its provision) with head (c);

(e)

complete the care and treatment (if any)—

(i)

which is referred to in head (c)(i), and

(ii)

where sub-paragraph (2)(a) to (c) do not apply, any care and treatment which is, in the opinion of the dentist at the date of any examination of the patient, necessary to secure and maintain his oral health; and

(f)

provide the patient with emergency cover in accordance with paragraph 6.

(2)

The circumstances referred to in sub-paragraph (1)(d)(i) are that—

(a)

the patient requests a new plan for treatment; or

(b)

the patient and the dentist have agreed that all or part of the treatment which is necessary to secure and maintain oral health is to be provided privately; or

(c)

the care and treatment which is to be provided includes any care and treatment for which the dentist is remunerated otherwise than in accordance with Section X (treatment under capitation) of Determination I of the Statement of Dental Remuneration.

(3)

Where a dentist accepts the transfer of a capitation arrangement in accordance with regulation 13 he shall provide the patient with the information specified in sub-paragraph (1)(b)(ii) to (iv) and assume the obligations set out in sub-paragraph (1)(d) to (f).

(4)

Where the dentist is informed that the dentist to whom a patient has been referred under paragraph 12 has died and is aware that the particular care and treatment for which the patient was referred has not been completed, he shall inform the patient and refer him to another dentist in accordance with paragraph 12 for completion of that care and treatment.