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Complex Care Pathways in NHS dentistry in England

Guidance on Complex Care Pathways in NHS dentistry in England, including eligibility, pathway structure, claiming requirements, and patient charges.

Contents

  • Overview
  • Eligibility for complex care pathways
  • Complex Care Pathway 1
  • Complex Care Pathway 2
  • Complex Care Pathway 3
  • Roles and responsibilities of the practitioner
  • Claiming, declarations, and late submissions
  • Additional and follow-up treatment
  • Managing non-attendance and short notice cancellations

Overview

Complex Care Pathways (CCPs) were introduced by NHS England in June 2026 to support the management of patients with more advanced or unstable oral health needs, including significant dental decay and moderate to severe periodontitis. Each CCP operates over a defined period, six or 12 months, allowing practitioners to assess, stabilise, and treat patients in a more holistic way. This extended timeframe supports continuity of care and enables the delivery of multi-stage treatment plans, particularly

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Complex Care Pathways: To choose or not to choose - that is the dento-legal question

As Complex Care Pathways take hold in practice, Len D’Cruz explores the emerging dento‑legal questions, clarifying whether their use is truly optional or a decision carrying wider professional implications.