# The National Health Service (General Dental Services Contracts) Regulations 2005, Paragraph 38A: Complex care pathway initial declaration


(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.

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Source: https://www.legislation.gov.uk/uksi/2005/3361/schedule/3/paragraph/38A (the official version)
Page: https://openlegislation.uk/national-health-service-general-dental-services-contracts-regulations-2005/schedule-3/paragraph-38A
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.