Changes to be made to FP17 form from April 1

Changes to be made to FP17 form from April 1

Important changes to the FP17 form are being introduced from April 1, 2016. The changes are the addition of new clinical items, addition of a new exemption category and a change to evidence of exemption seen. The BDA has raised concerns with NHS England over these changes.

NHS Business Services Authority (NHS BSA) has announced several significant changes to the FP17 form from April 1 this year. These changes include the addition of three new items in the clinical data set section (Part 5a).

Practices will now be required to record:

  • the number of teeth which are decayed;
  • the number of teeth missing;
  • the number of teeth filled.

NHS BSA has said the data will be used to assess whether the health outcomes of patients receiving NHS dental care are improving over time as well as providing a quality indicator for the NHS Outcomes Framework from 2017. It may also be used to help assess the dental needs of the local population and the commissioning and review of services.

If you use chairside software with charting, the software will automatically generate the summary information providing a complete charting is recorded and will prompt you to check this is correct. All that needs to be done is to confirm either that the values are correct, or to make amendments where necessary. If you submit paper FP17s completed by hand or are using software where amendments are necessary, you will need to calculate the summary score for each box. In order to do this you will need to follow the rules set out in the table in the full guidance note.

Also Universal Credit is to be added as an exemption category, along with a change to evidence of exemption or remission from ‘Evidence of exemption or remission not seen’ to ‘Evidence of exemption or remission seen’ with a yes/no indicator. NHS BSA says more details will be available ‘in due course’.

The BDA has raised concerns with NHS England over the speed of roll-out, the additional clinical time required, the implications it will have on practices without chairside systems, and the poor quality that may emerge without adequate investment in training. Whilst assurances have been given that 2016/17 will be a trial year and that the field on the FP17 will at present remain non-mandatory in terms of processing, the BDA will continue to monitor the situation closely and feedback concerns to NHS England.

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