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NHS England November 2022

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Jason Handcock
  • Updated

In late November, NHS England practices will be able to view and claim for the new band 2 treatment values. This article outlines the changes being introduced and how these are represented in EXACT. 

Note: Practices must be on EXACT V13.755 or above. Read more about upgrading EXACT here.

The banding update has produced the following message in preparation for the late November changes.

Please ignore the incorrect date/wording error.
This has occured due to historical data logging during the change over from manual to automatic fee updates.

image__20_.png

 

Band 2 explained

The changes being implemented for band 2 treatments are,

Band UDAs Treatment
2(a) 3 Everything not covered under band 2(b) or 2(c).
2(b) 5 Either Non-Molar Endodontics to permanent teeth
or a combined total of three or more teeth requiring fillings or extractions.
2(c) 7 Treatment involving Molar Endodontics to permanent teeth.

The clinical data field, Endodontics (9305) has been replaced with molar endodontics (9370) and non-molar endodontics (9371) on 1st October 2022, read more about the changes introduced in October here.

The new endodontic codes are not displayed in EXACT.

These are automatically added to an FP17 and transmitted to the NHS with claims.

Changes in EXACT

When charting an NHS course of treatment the UDA total will display the new value of UDAs from the date as defined by the NHS. Some examples of this are shown below.

Note: The new band 2 values will be calculated by Compass. The visual displays in EXACT are a visual aid to assist in UDA management.

If you have any queries regarding the number of UDA's that are to be or have been awarded for a banded course of treatment, please contact your NHS team.
NHS contact details can be found here.

Band 2(b)

Charting a third extraction or filling increases the UDA count to 5 UDAs.

NHS_Autumn_-_band_2_extraction.gif

NHS_Autumn_-_band_2_filling.gif

Band 2(c)

Charting molar endodontics to a permanent tooth adds 7 UDAs to the course of treatment.

NHS_Autumn_-_band_2_molar_endo.gif

Band 2 combination

Charting a combination of bands increases the UDA count.

NHS_Autumn_-_band_2_combination.gif

Reporting

We understand the importance of reporting on your UDA's to track UDA progress and monitor your position against your targets. To achieve this we have added these new UDA figures to both the UDA or UOA Breakdown report as well as UDA/UOA report.

The UDA or UOA Report will display the new band 2 UDA values as per any charting.

NHS_Autumn_-_Reports_-_UDAorUOA.PNG

The UDA or UOA Breakdown will display the new band 2 UDA values on individual rows, replacing the original Band 2 row.

NHS_Autumn_-_Reports_-_Breakdown.PNG

Referrals and Incomplete treatments

When referring patients or claiming for incomplete treatment the band 2 UDA count will be displayed on the selection window to help you claim for the treatment you have completed.

NHS_incomplete.PNG

Continuation of a new Band 2 treatment

If a patient has a continuation course of treatment where the original was a Band 2(a), 2(b) or 2(c) the patient charge for the continuation treatment does not change.

For example; a patient has a Band 2(b) course of treatment (COT) then within the continuation time period has a band 2(c) COT. The patient charge remains the same for all band 2 treatment.

New banding not showing (after NHS change date)

If any of the above features are not showing in your EXACT and the NHS change date has passed, please check the following,

  1. Your EXACT software is on or above V13.755.
    Check this by navigating to Help - About, if EXACT is below the required version please upgrade EXACT.
  2. You have the latest fee update downloaded.
    Check this by navigating to File - Payors - NHS. Next to the Bands Setup the date should be that of the NHS changes, if this date is not present update your fees.
  3. Check the dataset assigned to the services being charted, NHS Datasets, Service Codes & Categories.
  4. Check the band set on the services being charted, follow the help article Set or Update Services NHS Banding.
  5. If the charting is not displaying the new figures after performing the steps above, contact the support desk for further investigation.

Please Note: List view will not display the latest band 2(a), 2(b) or 2(b) UDA values, to correct this, chang to tab view.

To change your view,

  1. Select the spanner on the Service List tab.
  2. Click select treatment planning display mode.
  3. Change the selection to Separate Course of Treatment into tabs.
  4. Press Finish.

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