{
  "url": "https://openlegislation.uk/national-health-service-dental-charges-regulations-2005/schedule-4A",
  "json_url": "https://openlegislation.uk/national-health-service-dental-charges-regulations-2005/schedule-4A.json",
  "legislation": "uksi/2005/3477",
  "legislation_title": "The National Health Service (Dental Charges) Regulations 2005",
  "legislation_url": "https://openlegislation.uk/national-health-service-dental-charges-regulations-2005",
  "path": "schedule/4A",
  "kind": "schedule",
  "number": "4A",
  "heading": "Complex Care Pathways under a Band 2 Charge",
  "text": "Complex care pathway 1\n(a)oral health assessment including clinically appropriate radiographs;\n(b)recording of diagnosis and depth of active carious lesions;\n(c)identification and recording of modifiable risk factors;\n(d)development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;\n(e)provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;\n(f)provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy;\n(g)re-evaluation of the patient prior to completion of the complex care pathway;\n(h)assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (g) are complete.\nComplex care pathway 2\n(a)oral health assessment including clinically appropriate radiographs;\n(b)recording of diagnosis and depth of active carious lesions;\n(c)recording of the diagnosis statement for periodontitis;\n(d)identification and recording of modifiable risk factors;\n(e)development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;\n(f)provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;\n(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;\n(h)provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy;\n(i)assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (h) are complete.\nComplex care pathway 3\n(a)oral health assessment including clinically appropriate radiographs;\n(b)recording of the diagnosis statement for periodontitis;\n(c)identification and recording of modifiable risk factors;\n(d)development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;\n(e)provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;\n(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;\n(g)assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (f) are complete.",
  "extent": null,
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "F",
      "label": "F1",
      "text": "Sch. 4A inserted (23.6.2026) by The National Health Service (Primary Dental Services and Dental Charges) (Amendment) (No. 2) Regulations 2026 (S.I. 2026/554), regs. 1(2), 26"
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/uksi/2005/3477/schedule/4A",
    "retrieved_at": "2026-10-29T04:40:14.579296+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}