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Paragraph 38 Notification of a course of treatment, orthodontic course of treatment etc.

England and Wales

(1)

The contractor shall, within two months of the date upon which—

(a)

it completes a course of treatment in respect of mandatory or additional services;

(b)

it completes a case assessment in respect of an orthodontic course of treatment that does not lead to a course of treatment;

(c)

it provides an orthodontic appliance following a case assessment in respect of orthodontic treatment;

(d)

it completes a course of treatment in respect of orthodontic treatment;

(e)

a course of treatment in respect of mandatory services or additional services or orthodontic course of treatment is terminated; or

(f)

in respect of courses not falling within sub-paragraph (d) or (e), no more services can be provided by virtue of paragraph 5(4)(b) of Schedule 1 (orthodontic course of treatment) or paragraph 6(4)(b) of this Schedule,

F1subject to sub-paragraph (4), send to F2NHS England by means of electronic submission, the information specified in sub-paragraph (2).

(2)

The information referred to in sub-paragraph (1) comprise of—

(a)

details of the patient to whom it provides services;

(b)

details of the services provided (including any appliances provided) to that patient;

(c)

details of any NHS Charge payable (and paid) by that patient; and

F3(d)

in the case of a patient who is exempt from NHS Charges, the information required under sub-paragraph (3).

F4(3)

In the case of a patient who is exempt from NHS Charges, the contractor must provide NHS England (or a person authorised on NHS England's behalf) with—

(a)

such details of that exemption as NHS England may reasonably request; and

(b)

the written declaration.

(4)

NHS England may accept submission of the information mentioned in sub-paragraph (2) in paper form in such exceptional circumstances as NHS England may reasonably determine.

(F54A)

This paragraph does not apply to a course of treatment that is a complex care pathway.

F6(5)

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Annotations

Textual amendments

F1

Words in Sch. 3 para. 38(1) substituted (1.5.2019) by The National Health Service (Primary Dental Services and General Ophthalmic Services) (Amendment) Regulations 2017 (S.I. 2017/1056), regs. 1(3), 2(3)(a) (with reg. 3)

F2

Words in Regulations substituted (6.11.2023) by The Health and Care Act 2022 (Further Consequential Amendments) (No. 2) Regulations 2023 (S.I. 2023/1071), reg. 1(1), Sch. para. 1

F3

Sch. 3 para. 38(2)(d) substituted (1.5.2019) by The National Health Service (Primary Dental Services and General Ophthalmic Services) (Amendment) Regulations 2017 (S.I. 2017/1056), regs. 1(3), 2(3)(b) (with reg. 3)

F4

Sch. 3 para. 38(3)-(5) inserted (1.5.2019) by The National Health Service (Primary Dental Services and General Ophthalmic Services) (Amendment) Regulations 2017 (S.I. 2017/1056), regs. 1(3), 2(3)(c) (with reg. 3)

F5

Sch. 3 para. 38(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), 10(11)(a)

F6

Sch. 3 para. 38(5) omitted (23.6.2026) by virtue of The National Health Service (Primary Dental Services and Dental Charges) (Amendment) (No. 2) Regulations 2026 (S.I. 2026/554), regs. 1(2), 10(11)(b)