This is the traditional type of practice outside the NHS and usually is run on a basis of charging for the time taken to carry out a procedure plus any laboratory fees. Laboratory fees are often multiplied by a factor of between two and three and a half.

2. Capitation.

There are numerous schemes available for capitation based practice, all of which are run on a similar basis. Patients are grouped into one of many categories and a set amount is then charged on a monthly basis. This covers the patient for all of their dentistry but laboratory costs are usually excluded and have to be paid by the patient.

3. Independent.

Over the last few years the term "Independent" has crept into Dentistry as a term used for some procedures performed outside the NHS.

Usually the fees charged are based on a fee per item system similar to the existing NHS.

CHANGING FROM NHS TO "INDEPENDENT" PRACTICE.

It is essential to know that you, the staff and the patients are made aware of exactly how the new system will operate. If the patient is an existing NHS patient the continuing care contract must be cancelled by using a withdrawal form (FP18). This is sent to the HA who forward a copy to the patient and a letter explaining that their treatment will no longer be within the NHS.

The NHS superannuation scheme is probable the best pension scheme available and expert advice must be taken as to the funding and provision of alternative schemes.