Schedule 4A Complex Care Pathways under a Band 2 ChargeF1

Complex care pathway 1

1. (a)

   oral health assessment including clinically appropriate radiographs;

2. (b)

   recording of diagnosis and depth of active carious lesions;

3. (c)

   identification and recording of modifiable risk factors;

4. (d)

   development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;

5. (e)

   provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;

6. (f)

   provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy;

7. (g)

   re-evaluation of the patient prior to completion of the complex care pathway;

8. (h)

   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

1. (a)

   oral health assessment including clinically appropriate radiographs;

2. (b)

   recording of diagnosis and depth of active carious lesions;

3. (c)

   recording of the diagnosis statement for periodontitis;

4. (d)

   identification and recording of modifiable risk factors;

5. (e)

   development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;

6. (f)

   provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;

7. (g)

   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;

8. (h)

   provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy;

9. (i)

   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

1. (a)

   oral health assessment including clinically appropriate radiographs;

2. (b)

   recording of the diagnosis statement for periodontitis;

3. (c)

   identification and recording of modifiable risk factors;

4. (d)

   development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;

5. (e)

   provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;

6. (f)

   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;

7. (g)

   assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (f) are complete.