NHS Wales are introducing some new regulatory changes as of 1st April 2022, the main changes implemented are;
- Changes to Datasets
- Exam type
- Risk Assessment (ACORN) and Urgent Courses of Treatment
- NICE Guidance updated
- Endodontic Treatment
- Dental Care Professional (DCP)
- Not all of the following data will be visible until 1st April 2022
- Version 13.561 or above is required to have access to all of these changes
- If on auto-updates your practices will receive this version prior to 1st April
- If not on auto-updates, the help article Upgrading EXACT will guide you through the process
Some new data sets have been added alongside a new service for each data set, these can be seen below. These can be added to an existing category, follow our article on Configuring Service Categories for help on this.
|Service Code||Payor||Description||Effective Date|
|NHS·ALCOHOL||9368||Brief Intervention in Alcohol Use & Referral||from 01/04/2022|
|NHS·CAR-MORE-RQ||9355||Caries Treatment Offered but Further Self Care Improvement Required||from 01/04/2022|
|NHS·DIET||9366||Dietary Changes Agreed||from 01/04/2022|
|NHS·FL-TP/RINSE||9359||High Fluoride Toothpaste/Daily Rinse||from 01/04/2022|
|NHS·FLTP-ADVICE||9369||Advice on Fluoride Toothpaste & Spit No Rinse||from 01/04/2022|
|NHS·HYG-M/W||9360||Oral Hygiene Mouthwash||from 01/04/2022|
|NHS·ID-CLN-AIDS||9350||Inter Dental Cleaning Aids||from 01/04/2022|
|NHS·MED-M/W||9361||Oral Medicine Mouthwash/Sprays||from 01/04/2022|
|NHS·O-HYG-IMP||9351||Oral Hygiene Improvement||from 01/04/2022|
|NHS·P-MORE-RQ||9356||Perio Treatment Offered but Further Self Care Improvement Required||from 01/04/2022|
|NHS·PLQ-FACTORS||9348||Removal of Plaque Retentive Factors||from 01/04/2022|
|NHS·SALIVA-PROD||9365||Artificial Saliva Products||from 01/04/2022|
|NHS·SMOKE||9367||Brief Intervention in Smoking/Tobacco Use & Referral||from 01/04/2022|
|NHS·TB-ADVICE||9349||Toothbrushing Advice||from 01/04/2022|
|NHS·VIRTUAL-CON||9354||Virtual Consultation Provided as Part of COT||from 01/04/2022|
|Toothbrushing Instruction, Inter Dental Cleaning and Plaque Retentive Factors||Inactive from 01/04/2022|
|Extraction||Inactive from 01/04/2022|
|Extraction Non-surgical||Use from 01/04/2022|
|Extraction Surgical Removal||Use from 01/04/2022|
The Data Set tabs (Data Set 1 and Data Set 2) have been truncated to one tab titled 'Clinical Data Set'.
This tab will only display datasets that have been charted, previously it displayed all dataset with a mark next to those which had been charted. If you have charted a service and the correct category is not showing on this tab you will need to assign the dataset to this service, for assistance with this please follow the help article NHS Datasets, Service Codes & Categories.
Two new drop-down menus will be visible on the FP17 window,
These menus will allow for you to choose both the Exam Type and why the patient attended your dental practice.
Although these will be visible in EXACT from V13.561 which will be released prior to 1st April 2022 they are not required to be used until 1st April 2022.
If any of these services are charted before this date no action is required as none of this data will be transmitted to the NHS due to a date restriction within EXACT that will stop anything being transmitted earlier than the required date.
Risk Assessment (ACORN)
Risk Assessments are no longer required to be completed on urgent courses of treatment due to this the checkbox for Urgent Care has been removed from the Risk Assessment.
From 01/04/2022 when charting an urgent Course of treatment you need to delete the Risk Assessment and chart as normal.
BPE data and Plaque scores are required to be sent along with every course of treatment, this will be automatically transmitted as per NHS regulations.
Guidance for NICE guidelines has been updated
Endodontic treatment codes are 9370 (molars) 9372 (Non molars). EXACT will change this code based on the tooth it is charted on.
However you will need to ensure the chart graphic is set to TOOTH FRAME for that service, EXACT will recognize if this is a molar or non-molar and add the equivalent code to the transmission - 9370 or 9372.
To edit a chart graphic:
Select Configure > Services to open the List Service Items screen.
Locate and double-click the Service Item.
- Change Chart Graphic to Tooth Frame.
Dental Care Professional (DCP)
In order to add/register a DCP Provider on a course of treatment, the provider requries their GDC number to be added to their Provider profile. For more information on how to add this information view the Dental Care Professional (DCP) help article.