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DDU advises to be clear about NHS fee exemption rules

13 October 2017

DDU advises to be clear about NHS fee exemption rules

The Dental Defence Union (DDU) is warning dental professionals to ensure patients have read and understood the rules about NHS fee exemptions to avoid misunderstandings and complaints.

The DDU says a number of dental practices have asked for advice after patients were fined £100 by the NHS Business Service Authority (BSA), on top of their fee for NHS treatment, after incorrectly claiming an exemption. In some cases, patients thought they had been wrongly advised about their exemption and expected the dental practice to reimburse them for the cost of the fine.

Department of Health figures reveal that since September 2014, 689,770 dental penalty charge notices have been issued by the BSA, of which 385,770 were issued in 2016-17.

Writing in the latest DDU Journal, Nick Torlot, DDU dento-legal adviser, said:

“Patients are responsible for ensuring they are entitled to claim free NHS dental treatment, but the rules can be confusing. Dental professionals can help by signposting patients to information such as the NHS BSA guidance sheet  so they can understand their eligibility and are less likely to incorrectly claim for free treatment.

“Unfortunately some patients might not understand that the auditing of NHS payments and charges is undertaken by the BSA, rather than the practice.

“Patients are often aggrieved by being fined when they believed they were exempt. A large number of complaints of this sort come from the fact that patients feel they were either given poor advice or misinformation when they were filling out the exemption form.”

The DDU has issued tips on how to minimise the risk of patients complaining, as well as helping them to understand their obligations:

1      Encourage patients to read the claiming free dental treatment factsheet which is available in a number of languages.

2      Ensure staff involved with handling NHS exemption forms (known as FP17PR) do not offer advice to patients, as it is not within their field of expertise and could lead the practice vulnerable to criticism if there is a complaint.

3      Explain that the BSA is a government agency and that the fines it administers to patients who incorrectly claim free treatment are not within the practice's control.

4      Sympathise with patients, acknowledging that the NHS exemption system can sometimes be difficult to understand, but that the responsibility for correctly claiming exemption lies with the patient.

The NHS BSA's website allows patients to check their eligibility for free treatment, and also includes the Practice Staff Guidance factsheet, which offers advice to dental professionals and staff.

Read the DDU Journal at:

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