Paragraph 6 Course of treatment
England and Wales
Except in the case of orthodontic services and dental public health services, the contractor shall provide mandatory and additional services to a patient by providing to that patient a course of treatment.
The contractor shall use its best endeavours to ensure that a course of treatment F1that is not a complex care pathway is completed within a reasonable time from the date on which—
the treatment plan was written in accordance with paragraph 7(1); or
where a treatment plan is not required pursuant to that paragraph, the initial examination and assessment of the patient took place.
The contractor shall complete a course of treatment that is a complex care pathway in accordance with the time frame specified in the appropriate row in Table C in Schedule 2, unless the period for completion of the complex care pathway is extended in accordance with sub-paragraph (2B).
The period for completion of a course of treatment that is a complex care pathway may be extended beyond the period specified in the appropriate row in Table C in Schedule 2 where there has been a suspension in accordance with paragraph 38C, for the period of that suspension.
Where a contractor provides urgent treatment to a patient, the urgent treatment provided shall constitute a course of treatment and no other services shall be provided during that course of treatment F3, unless the other services are provided as part of a complex care pathway and the urgent treatment is for an intra-oral injury which—
occurs suddenly;
is not related to caries or disease that is identified for the purposes of establishing eligibility for the complex care pathway; and
is clinically assessed as requiring reparative care within 7 days.
Where a contractor provides a standalone fluoride varnish treatment to a patient during, or within three months of, another banded course of treatment, the standalone fluoride varnish treatment is to be regarded as part of that other banded course of treatment F5, unless that other banded course of treatment is urgent treatment.
If a course of treatment is—
terminated before it has been completed; or
otherwise not completed within a reasonable time,
any further services to be provided to that patient under the contract must be provided as a new course of treatment.
A course of treatment may only be terminated by—
the contractor—
when the circumstances referred to in paragraph 3(1) of this Schedule (violent patients) occur and notice that it will no longer provide services has been given to F6NHS England;
where the patient has refused to pay a charge in the circumstances referred to in paragraph 4 of this Schedule (refusal to pay NHS Charges during treatment); or
where, in the reasonable opinion of the contractor, there has been an irrevocable breakdown in the relationship between the patient and the contractor and notice of such a breakdown has been given to the patient and NHS England;
the patient; F7...
a person specified in paragraph 1(2) of this Schedule acting on the patient's behalf F8; or
NHS England, where declarations for complex care pathways have been suspended for three months or more.
If the contractor is unable to complete the course of the treatment which has been commenced for reasons beyond its control, it shall give notice to NHS England of the extent of the treatment so provided and the reason for its inability to complete the remainder.
Annotations
Textual amendments
- F1
Words in Sch. 3 para. 6(2) 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(2)
- F2
Sch. 3 para. 6(2A)(2B) 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(3)
- F3
Words in Sch. 3 para. 6(3) 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(4)
- F4
Sch. 3 para. 6(3A) inserted (1.4.2026) by The National Health Service (Primary Dental Services and Dental Charges) (Amendment) Regulations 2026 (S.I. 2026/265), regs. 1(2), 7(2)
- F5
Words in Sch. 3 para. 6(3A) 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(5)
- F6
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
- F7
Word in Sch. 3 para. 6(5)(b) 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(6)(a)
- F8
Sch. 3 para. 6(5)(d) and word 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(6)(b)