Asked for Dental NHS Scale and Polish.Told "Go to Hygienist at £25 extra"

Pennylane

Good to see this thread is still continuing. I've met loads of people who have been charged separately for a S & P and it just isn't fair.

boozercruiser

Pennylane wrote: »

Good to see this thread is still continuing. I've met loads of people who have been charged separately for a S & P and it just isn't fair.

Tell me about it Pennylayne.:)

And yes...IT IS NOT FAIR ......or right or just.:mad:

boozercruiser

Using information that other kind posters have given here, I have dug out this info which I hope will help you also.

Although the regulations below refer to Wales, looking at the England Regulations I cannot see any difference. If you wish to check this for yourself then go to http://www.gov.im/lib/docs/dhss/health/sd10006doc.pdf
NATIONAL ASSEMBLY FOR WALES
STATUTORY INSTRUMENTS
2006 No. (W. )
NATIONAL HEALTH SERVICE, WALES
The National Health Service (Dental Charges) (Wales) Regulations 2006

SCHEDULE 1 Regulation 4(1)
Band 1 Charges – Diagnosis, treatment planning and maintenance
(a) clinical examination, case assessment and report
(b) orthodontic case assessment and report
(c) advice, dental charting, diagnosis and treatment planning
(d) radiographic examination, including panoral and lateral headplates, and radiological report
(e) study casts including in association with occlusal analysis
(f) colour photographs
(g) instruction in the prevention of dental and oral disease including dietary advice and dental hygiene instruction
(h) surface application as primary preventive measures of sealants and topical fluoride preparations
(i) scaling, polishing and marginal correction of fillings
(j) taking material for pathological examination
(k) adjustments to and easing of dentures or orthodontic appliances
(l) treatment of sensitive cementum
　
SCHEDULE 2
Regulation 4(2)
Band 2 Charges - Treatment
(a) non-surgical periodontal treatment including root-planing, deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing
(b) surgical periodontal treatment, including gingivectomy, gingivoplasty or removal of an operculum
(c) surgical periodontal treatment, including raising and replacement of a mucoperiostal flap, curettage, root planning and bone resection
(d) free gingival grafts
(e) permanent fillings in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate, including acid etch retention
(f) sealant restorations
(g) endodontic treatment of permanent or retained deciduous teeth
(h) pulpotomy
(i) apicectomy
(j) extraction of teeth
(k) transplantation of teeth
(l) oral surgery including surgical removal of cyst, buried root, unerupted tooth, impacted tooth or exostosed tooth and alveolectomy
(m) soft tissue surgery in relation to the buccal cavity and lips
(n) frenectomy, frenoplasty and frenotomy
(o) relining and rebasing dentures including soft linings
13
　
(p) addition of tooth, clasp, labial or buccal flange to dentures
(q) splints (other than laboratory fabricated splints) in relation to periodontally compromised teeth and in connection with external trauma
(r) bite raising appliances (other than laboratory fabricated appliances)
　
SCHEDULE 3
Regulation 4(3) and (4)
Band 3 Charges- Provision of Appliances
(a) porcelain, composite or acrylic mastique veneers, including acid etch retention
(b) inlays, pinlays, onlays and palatal veneers, in alloys containing 60% or more fine gold, porcelain, composite resin and ceramics
　
Crowns including any pin or post aids to retention
(c) full or three quarter crown cast in alloys containing not less than 33
1/3% fine gold or platinum or palladium
(d) full or jacket crown cast in alloys containing stainless steel or cobalt chromium or nickel chromium
(e) crown in porcelain or synthetic resin and other non-metallic crowns
(f) full or jacket crowns in alloys containing not less than 33
1/3% fine gold or platinum or palladium, or alloys containing stainless steel or cobalt chromium or nickel chromium, with thermally bonded porcelain
(g) jacket crown thermally bonded to wrought platinum coping
(h) prefabricated full or jacket crown, including any pin or post retention
(i) crowns in other materials
　
Bridges including any pin or post aids to retention
(j) bridges in alloys containing 60% or more fine gold with or without thermally bonded facings
(k) bridges cast in alloys containing stainless steel, cobalt chromium or nickel chromium, with or without thermally bonded facings
(l) acid etch retained bridges
(m) bridges in other materials
(n) provision of full (complete) or partial dentures, overdentures and obturators in synthetic resin or metal or both synthetic resin and metal, including any cast or wrought metal components or aids to retention
(o) orthodontic treatment and appliances
(p) other custom made appliances excluding sports guards
14
SCHEDULE 4
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

NHS dental charges from 1 April 2010
�
The charge you pay depends on the treatment you need to keep your mouth, teeth and gums healthy. You will only ever be asked to pay one charge for each complete course of treatment, even if you need to visit your dentist more than once to finish it – either Band 1, Band 2 or Band 3. If you have to be referred to another dentist for another course of treatment, you can expect a second charge. Some minor treatments are free, including having stitches removed and repair to dentures (if they can be mended).
If you are not exempt from charges, you should pay one of the following charges for each course of treatment you receive:�
Band 1 course of treatment – £16.50
This covers an examination, diagnosis (e.g. X-rays), advice on how to prevent future problems, A SCALE AND POLISH, IF NEEDED!!!!!!, and application of fluoride varnish or fissure sealants. If you require urgent care, even if your urgent treatment needs more than one appointment to complete, you will only need to pay one Band 1 charge.
Band 2 course of treatment – £45.60
This covers everything listed in Band 1 above, plus any further treatment such as fillings, root canal work or if your dentist needs to take out one or more of your teeth.
Band 3 course of treatment – £198.00
This covers everything listed in Bands 1 and 2 above, plus crowns, dentures or bridges.
Free NHS dental treatment or help with health costs
You may be eligible for help with all or part of the costs of your NHS dental treatment. To see if this applies to you, see the leaflet NHS dental services in England, which is available from any NHS dental practice or at www.dh.gov.uk/dentistry
For advice on how to get help with health costs call 0845 850 1166 or see Help with health costs (HC11), which is available from Jobcentre Plus offices and NHS dentists, or at
www.nhsbsa.nhs.uk
For further information on NHS dental services and dental charges, see the leaflet NHS dental services in England, which is available from NHS dental practices, or the more detailed Guide to NHS dental services in England, which are available at www.dh.gov.uk/dentistry, or ask your primary care trust (PCT) for help.
Wales is the same....but a bit cheaper.

Now then, and my Dentist has said that I have some gum disease, and I am already in Band 2 due to Fillings and Extraction, I think a request now along the lines of......"I wish to request please....

non-surgical periodontal treatment including root-planing, deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing"

And thank you very much!!

Is that my Dentist looking at me with the face of a Slapped Bum?!!

welshdent

If all you want is nhs care an have zero intention of paying anything privately then yes, you can say you want that ;-)

welshdent

You would be surprised how many still want to seethe hygienist mind you - however in our place there is never a compulsion. If people request to see her they can but are made aware she is private. I won't allow my patients to see her as an nhs treatment though as it would cost me more than I am paid for the course.

jugglebug

I wont quote all your post bc
However should you go down that route you will likely to be training the overseas guy better than his corporate masters. He might very well also decide that every course you have in future will be band 2 as he has decided that you have gum disease and all your future polishes will qualify for the higher charge.

boozercruiser

welshdent wrote: »

If all you want is nhs care an have zero intention of paying anything privately then yes, you can say you want that ;-)

With great respect to you and every other Dentist out there Welshdent............

"If all you want is nhs care and have zero intention of paying anything privately"..................

You could say that!:rotfl:

boozercruiser

jugglebug wrote: »

I wont quote all your post bc
However should you go down that route you will likely to be training the overseas guy better than his corporate masters. He might very well also decide that every course you have in future will be band 2 as he has decided that you have gum disease and all your future polishes will qualify for the higher charge.

Well, he could TRY that on, but I wouldn't advise it!:)

P.S. Of course I was being just a tad flippant when I said that I would request....

"non-surgical periodontal treatment including root-planing, deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing"

But to me, the availability of that amount of cleaning and care available under Band 2 makes my point of "Why on earth should I have to pay an extra £28 for a separate Scale and Polish" even stronger, and the push by the Dentist towards the Hygenist even weaker.

coldstreamalways

Boozer, as well informed as you are I honestly can't see how you would be able to tell if you had a BPE of 2 or 3. If the dentist says you have BPE 3 and need band 2 treatment, what will you say? I wouldn't give you band 1 treatment if you needed band 2 as it wouldn't be what is indicated for the condition. If the dentist says you have BPE 2 then tries to charge you for band 2 then ok, you have a grievance but otherwise you may be missing out on what is needed?

welshdent

boozercruiser wrote: »

With great respect to you and every other Dentist out there Welshdent............

"If all you want is nhs care and have zero intention of paying anything privately"..................

You could say that!:rotfl:

But ... what if paying privately was cheaper?