Re: dental charges nhs
- From: "Aosmosis" <spamp@xxxxxxxx>
- Date: Fri, 5 Jan 2007 14:40:05 -0000
I understand where you are coming from but the NHS DPD has a habit of
changing the rules as and when they see fit.
The PCT will not have a problem with this as this brings in more revenue for
the NHS. The new contract is written so badly and there is too much
generalisation.
You cannot make rules and arrangements for every single eventuality.
Urgent treatment is BAND 4, where I think you are getting confused is that
it is the same as a band 1 charge i.e. £15.50.
The banding has a UDA value associated with it , obviously being a lay
person this should not concern you.
If a filling was a part of a course of treatment even if it is only 1 then
it comes under BAND 2 which attracts a charge of £42.40
You may find yourself deregistered, although technically you cant call it
deregistration, the dentist may refuse to see you - and he is perfectly
within his rights to do so under the new contract. The PCT are responsible
for making alternative arrangements, which may involve you travelling a
considerable distance.
"WAWELDRAGON" <waweldragon@xxxxxxxxxxxxx> wrote in message
news:1167948771.651648.162010@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Aosmosis you are wrong about the Band. It is not band 4 as you
state It is urgent treatment under BAND 1. In the regulations
this is covered within SCHEDULE 4 (not band 4 I beleive) I am not a
dentist, and these are not medical questions but ones of payment.
I copy the regulations here. Notice that ONE permanent filling is
covered by a Band 1 Payment. I think where a dentist does not
provide a single permanent filling within band 1 then they might be
properly asked why not. The range of Band 1 services can include
far more time consuming processes than doing one filling.
I have not had sight of the contract. No one in the PCT or the
dental practice will let me see it. Whats more the dentist sent me
the money back without explanation, and his receptioninist told me
he is too busy to book appointments.
I will keep the group informed of developments, but it would not be
fair for me to identify the dentist, or the PCT .
It is clear to me that dentists feel (perhaps reasonably) that the
new contracts are a a rough deal. But its also tempting for
practitioners to use the new rules creatively as I believe was
happening in my case. In contacting the DPD of the NHS I consider
I acted properly on their advice in challenging the proposed charge to
fill one tooth of nearly 60 pounds,. It wouldnt surprise me if
thats not far off a private level fee.
Regulation 4(5)
Urgent Treatment under Band 1 Charge
(a) examination, assessment and advice
(b) radiographic examination and radiological report
(c) dressing of teeth and palliative treatment
(d) pulpectomy or vital pulpotomy
(e) re-implantation of a luxated or subluxated permanent tooth
following trauma including any necessary endodontic treatment
(f) repair and refixing of inlays and crowns
(g) refixing a bridge
(h) temporary bridges
(i) extraction of not more than 2 teeth
(j) provision of post-operative care including treatment of infected
sockets
(k) adjustment and alteration of dentures or orthodontic appliances
(l) urgent treatment for acute conditions of the gingivae or oral
mucosa, including treatment for pericoronitis or for ulcers and
herpetic lesions, and any necessary oral hygiene instruction in
connection with such treatment
(m) treatment of sensitive cementum or dentine
(n) incising an abscess
(o) other treatment immediately necessary as a result of trauma
(p) not more than 1 permanent filling in amalgam, composite resin,
synthetic resin, glass ionomer, compomers, silicate or silico-phosphate
including acid etch retention
Aosmosis wrote:
"WAWELDRAGON" <waweldragon@xxxxxxxxxxxxx> wrote in message"WAWELDRAGON" <waweldragon@xxxxxxxxxxxxx> wrote in message
news:1167412495.793652.231590@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Le Huart wrote:
I'm assuming this is from the UK. Doing treatment in this manner may
stretch the ethics of the dentist, but it appears to be allowable
under
NHS and a way of increasing the practice income if the NHS fee
schedule
is very low. This is analagous to medicaid in nthe USA.
Well, apparently, according to the Dental Practice Division of the
NHS,
the dentist should not charge for an urgent band 1 and a band 2
when doing the permanent filling. The rules provide that a band 1
can
extend to a single permanent filling. BUT they say that as a course
of treatment required coming back later for ther permanent filling,
it
is a single course of treatment in total, and chargable under band 2,
not both charges, one band 1 and one band 2.
The problem is that the local Primary Care TRust in my area back the
dentist and they claim that the Dental Practice Division of the NHS is
wrong. Added to which, in the light of my challenge, the PCT wrote
to me and pointed out that they had (withjout being asked) advised
the dentist he could if he wishes, refuse to undertake the permanent
filling and remove me from his list.
How can it be correct that a 15.50 "urgent" attendance covers up to
three extractions and one permanent filling, and yet my dentist wants
to charge me twice, a 15.50 and a 42.40 for filling one tooth
I have to stop you there as it only counts as the same course of
treatment
if the same materials are being used.
You do not possess the knowledge of a dentist to be able to appreciate
the
properties of materials used for fillings.
If for example the tooth flared up after the filling was done would you
claim negligence?
The dentist is quite within his rights to charge the aforementioned
charges.
1) £15.50 for emergency treatment, Band 4
2) £42.40 for a checkup and x-rays that MAY be necessary, and any
fillings
that may be necessary. It doesnt strictly come under the same course of
treatment as you can only replace like for like.
news:1167687478.583993.217100@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
If Aosmosis is replying to my post (2 are cited) I make the
following points
1. I have not seen any rules that state a course of treatment is only
a single course if identical materials are being used on more than
one attendance.
2. The advice I received from the Dental Practice Division of the NHS
supports my position that where an urgent case where treatment begins
with a temporary dressing and cannot be completed with a permanent
filling until another day it is then ONE COURSE OF TREATMENT
Under your translation of the provisions, any individual attending a
routine appointment for 15.50 who needed a temporary dressing that day
and a later appointment for the permanent filling , could be charged
15.50 for THAT course of treatment and thenm 42.40 for the permanent
filling COURSE .
Clearly this cannot be accurate
3. Where in the midst of a treatment plan within a 42.40 course, a
patient presents with a hithertoo unrecognised problem, the dentist is
obliged to treat that WITHIN the existing course of treatment
4. You are wrong, it is NOT a BAND 4 for urgent treatment,
AND 15.50 covers routine examination and X rays plus hygeine
42.40 covers more extensive work short of the highest band
Are you a dentist ? If so then you need to wise up on the
provisions .
Waweldragon
Yes I am a UK qualified dentist.
From the remarks you have made you must have read the contract nGDS
regulations, as you clearly state that BAND 4 is NOT urgent treatment.
If you read the contract terms and conditions there mention of identical
materials is stipulated.
As you are not a dentist you are not in the capacity to make such
inferences
from the NHS contract. It is well known that the PCT say one thing and the
BSA DPD say another.
.
- References:
- Re: dental charges nhs
- From: Aosmosis
- Re: dental charges nhs
- From: WAWELDRAGON
- Re: dental charges nhs
- From: Aosmosis
- Re: dental charges nhs
- From: WAWELDRAGON
- Re: dental charges nhs
- Prev by Date: Re: Enamel
- Next by Date: Re: Teeth Extraction
- Previous by thread: Re: dental charges nhs
- Next by thread: How 'easy' is it to remove & re-do crowns?
- Index(es):
Relevant Pages
|
