NHS Treatment Availability
NHS patients are only seen on referral. Dentists refer patients to the Central Referral Centre who then send referrals to us. All patients under the age of 18 are offered an initial examination under the NHS. We will contact you to arrange an appointment after we have received a referral from your dentist. The NHS has strict guidelines on the availability of orthodontic treatment. We are commissioned by the NHS to treat patients under the age of 18 with a certain severity of orthodontic need. The level of severity is judged by an "Index of Treatment Need" (IOTN), with a score of 3.6 or higher necessary to be eligible for free NHS treatment.
Some children will not qualify for NHS treatment. If this is the case, we will explain the options for private treatment.
Although NHS orthodontic treatment is free to qualifying patients under 18, charges may be made for replacement of lost or damaged braces or retainers. Information on private treatment is available here
Your Rights and Responsibilities
We ask that you are punctual for your appointments and follow advice carefully as to how to look after you braces and keep your teeth and gums healthy. The practice is not responsible for any damage caused to the teeth by the unsupervised wear of braces. Repeated failure to attend appointments, excessive damage caused to appliances, or failure to maintain an adequate standard of oral hygiene may result in us having to stop treatment.
All patients attending St James Dental Practice have the right to be treated with respect and dignity. The Practice staff have equal rights. Violent or verbally abusive patients and accompanying persons will not be tolerated and will result in immediate cessation of treatment for the patient.
If you are unable to keep your appointment please let us know as soon as possible so that we can give the appointment to someone else. As well as wasting NHS time, missed appointments will lengthen your treatment, increasing your risk of tooth decay.