Unfortunately NHS Commissioning standards have changed.

We are now obliged to carry out all NHS treatment on under 12’s using inhalation sedation only.

We are now obliged to carry out all NHS treatment on over 12’s and adults under inhalation sedation or ‘basic’ intravenous sedation using a single drug.

This limits the types of treatment that we may be able to carry out on NHS contract, and regrettably we cannot guarantee that we will be able to complete all of the treatment you have been referred for.

We remain compliant with National ‘IACSD’ sedation guidelines which allow us the clinical freedom to use -where necessary -alternative 'advanced' sedation techniques on a non- NHS (private) basis.

If it looks like treatment will not be successful under ‘basic’ sedation, the options will be to refer you onward to Community Dental Service or Hospital (where facilities allow) or back to your own dentist for the treatment to be attempted under local anasethetic, or to discuss re-referral on a private basis.

We wish to make clear that this situation is purely as a result of NHS commissioning and completely beyond our control, but assure you of our best efforts in continuing to provide high standards in NHS treatment where possible.