4Application for inclusion in the supplementary list(1) Subject to paragraphs (8) and (9), an application by a dentist for the inclusion of his name in the supplementary list shall be made by sending the Primary Care Trust an application in writing, which shall include the information mentioned in paragraph (2), the undertakings and consents required by paragraphs (3) and (6) and any declaration required under paragraph (1), (4) or (5).
(2) The dentist shall provide the following information—
(a) his full name;
(b) his sex;
(c) his date of birth;
(d) his private address and telephone number;
(e) a declaration that he is a fully registered dentist included in the Dentists Register;
(f) his professional registration number and date of first registration in the Dentists Register;
(g) chronological details of professional experience (including the starting and finishing dates of each appointment together with an explanation of any gaps between appointments) and any additional supporting particulars, including whether that experience was in the provision of general dental services (whether as a principal or assistant) and an explanation of why he was dismissed from any post;
(h) names and addresses of two referees who are willing to provide clinical references relating to two recent posts (which may include any current post) as a dentist which lasted at least three months without a significant break, and where this is not possible, a full explanation and the names and addresses of alternative referees;
(i) the name and address of the principal dentist who, or the body which, proposes to employ him as an assistant in the provision of general dental services and whether or not that name is included in a Primary Care Trust's dental list and, if that person has partners, associates or directors, the names and addresses of any such persons;
(j) whether the general dental services, which he is to assist in providing, are restricted to orthodontic treatment; and
(k) has any outstanding application, including a deferred application, to be included in a list or an equivalent list.
(3) The dentist shall provide the following undertakings and consent—
(a) undertaking to provide the declarations and documents required by regulation 9;
(b) undertaking to provide general dental services when employed as an assistant;
(c) undertaking not to assist in providing general dental services in the area of another Primary Care Trust or equivalent body from whose supplementary, dental or services list he has been removed, except where that removal was at his request or in accordance with regulation 10(7), without the consent, in writing, of that Primary Care Trust;
(d) undertaking to notify the Primary Care Trust within 7 days of any material changes to the information provided in the application until the application is finally determined;
(e) undertaking to notify the Primary Care Trust if he is included, or applies to be included, in any other list held by a Primary Care Trust or equivalent body; and
(f) consent to the disclosure of information in accordance with regulation 9.
(4) The dentist shall send with the application a declaration as to whether he—
(a) has any criminal convictions in the United Kingdom;
(b) has been bound over following a criminal conviction in the United Kingdom;
(c) has accepted a police caution in the United Kingdom;
(d) has accepted and agreed to pay either a procurator fiscal fine under section 302 of the Criminal Procedure (Scotland) Act 1995 or a penalty under section 115A of the Social Security Administration Act 1992;
(e) has, in summary proceedings in Scotland in respect of an offence, been the subject of an order discharging him absolutely (without proceeding to conviction);
(f) has been convicted elsewhere of an offence, or what would constitute a criminal offence if committed in England and Wales, or is subject to a penalty which would be the equivalent of being bound over or cautioned;
(g) is currently the subject of any proceedings which might lead to such a conviction, which have not yet been notified to the Primary Care Trust;
(h) has been subject to any investigation into his professional conduct by any licensing, regulatory or other body, where the outcome was adverse;
(i) is currently subject to any investigation into his professional conduct by any licensing, regulatory or other body;
(j) is to his knowledge, or has been where the outcome was adverse, the subject of any investigation by the National Health Service Counter Fraud Service in relation to fraud;
(k) is the subject of any investigation by another Primary Care Trust or equivalent body, which might lead to his removal from any of that Primary Care Trust's lists or any equivalent lists;
(l) is, or has been where the outcome was adverse, the subject of any investigation into his professional conduct in respect of any current or previous employment;
(m) has been removed, contingently removed, refused admission to, or conditionally included in any list or equivalent list kept by another Primary Care Trust or equivalent body, or is currently suspended from such a list and if so, why and the name of that Primary Care Trust or equivalent body; or
(n) is, or has ever been, subject to a national disqualification,
and, if so, he shall give details, including approximate dates, of where any investigation or proceedings were or are to be brought, the nature of that investigation or proceedings, and any outcome.
(5) If the dentist is, has in the preceding six months been, or was to his knowledge at the time of the originating events a director of a body corporate, he shall in addition make a declaration to the Primary Care Trust as to whether the body corporate—
(a) has any criminal convictions in the United Kingdom;
(b) has been convicted elsewhere of an offence, or what would constitute a criminal offence if committed in England and Wales, or is subject to a penalty which would be the equivalent of being bound over or cautioned;
(c) is currently the subject of any proceedings which might lead to such a conviction, which have not yet been notified to the Primary Care Trust;
(d) has been subject to any investigation into its provision of professional services by any licensing, regulatory or other body, where the outcome was adverse;
(e) is currently subject to any investigation into its provision of professional services by any licensing, regulatory or other body; or
(f) is to his knowledge, or has been where the outcome was adverse, the subject of any investigation by the National Health Service Counter Fraud Service in relation to fraud;
and, if so, he shall give the name and registered office of the body corporate and details, including approximate dates, of where any investigation or proceedings were or are to be brought, the nature of that investigation or proceedings, and any outcome.
(6) The dentist shall consent to a request being made by the Primary Care Trust to any employer or former employer, licensing, regulatory or other body in the United Kingdom or elsewhere, for information relating to a current investigation, or an investigation where the outcome was adverse, by them into the dentist or a body corporate referred to in paragraphs (2), (4) and (5).
(7) If, in the case of any application, the Primary Care Trust finds that the information, references or documentation supplied by the dentist are not sufficient for it to decide his application, it shall seek from that dentist such further information, references or documentation as it may reasonably require in order to make a decision and that dentist shall supply the material so sought to the Trust.
(8) Subject to regulation 21, the Primary Care Trust shall decide whether the dentist is to be included, (whether conditionally or otherwise) in its supplementary list, or decide to defer that decision under regulation 7, within the period of 21 days beginning with the date on which all the information, references or documentation required by these Regulations or otherwise necessary to make its decision have been received by that Trust.
(9) In the case of an application to a Primary Care Trust by a dentist, who is included in the dental list or the services list of that Trust, seeking to withdraw from that list and to include his name in its supplementary list, that dentist shall only be required to provide the information required by paragraph (2) insofar as—
(a) he has not already supplied it to that Trust; or
(b) it has changed since it was provided.
NOTES
Initial Commencement
Specified date
Specified date: 3 March 2003: see reg 1(1).
Extent
These Regulations apply to England only: see reg 1(2).