Paragraph 38A Complex care pathway initial declarationF1

(1)

The contractor must, within two months of the date of commencement of a complex care pathway, as described in regulation 17B(9), submit an initial declaration to NHS England by means of electronic submission containing the information specified in sub-paragraph (2).

(2)

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

(a)

details of the patient to whom the contractor is providing dental services under the complex care pathway;

(b)

confirmation of the complex care pathway onto which the patient has been entered;

(c)

confirmation that the patient meets the relevant entry criteria set out in regulation 17B(2) to (4) for that complex care pathway;

(d)

the date of commencement of the complex care pathway;

(e)

confirmation that the patient has been provided with a treatment plan in accordance with paragraph 7 of this Schedule and has agreed that treatment plan;

(f)

details of any NHS Charge payable by that patient;

(g)

in the case of a patient who is exempt from NHS Charges, confirmation that the patient has completed a written or electronic declaration in respect of the exemption made in accordance with regulation 7 of the NHS Charges Regulations;

(h)

clinical data to support the recording of modifiable risk factors, including but not limited to—

(i)

use of tobacco products or smoking;

(ii)

alcohol consumption regularly exceeding 14 units per week;

(iii)

high-frequency sugar or acid intake;

(iv)

suboptimal fluoride exposure;

(v)

poor oral hygiene resulting in inadequate plaque (biofilm) control and accumulation;

(vi)

plaque retentive local factors and orthodontic appliances reducing cleanability;

(vii)

dry mouth (xerostomia) due to medication, disease or radiation;

(viii)

prolonged or intense exposure to high stress levels;

(ix)

poorly controlled diabetes.

(3)

NHS England may accept submission of the information in this paragraph in paper form in such exceptional circumstances as NHS England may reasonably determine.

Annotations

Textual amendments

F1: Sch. 3 paras. 38A-38E 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(12)