Contents
- Overview
- Prior approval for general dentistry
- Changes in the new prior approval system
- Treatment items requiring prior approval
- Mandatory training (provisional listing)
- How provisional listing works
- The process after completion of mandatory training
- Provisional listing and terms of services and allowances
Overview
The changes set out in PCA(D)(2026)2, focus on updating the prior approval system for general dentistry and introducing new arrangements for mandatory training through provisional listing. They are intended to support the sustainability of NHS dental services.
From 1 November 2026, the financial threshold that determines when a course of treatment requires prior approval will be removed. This follows a rise in low clinical risk treatment plans being submitted solely because they exceeded the financial limit, leading to unnecessary delays. The new system will instead place emphasis on clinical considerations.
Changes effective from 31 January 2026 also allow GDC registered dentists to join the NHS list on a provisional basis while completing mandatory training. Previously, dentists entering NHS dental services for the first time, or returning after a break of twelve months or more, were required to complete mandatory training and a test of knowledge before listing. The new arrangements aim to improve opportunities for practices to recruit dentists in a timely way.
We have summarised the 2026 changes to the prior approval process and mandatory training but strongly recommend that dentists and dental body corporates read the Regulations and PCA(D)(2026)2 in full.