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    • I suggest you start reading around this forum about the steps involved in taking a small claim in the County Court. It's very straightforward but you should understand the steps before embarking on it so that you are confident. We will help you all the way. Once you have done this basic reading then come back here and we can begin the process if you are happy to go ahead. On the basis of what you say, I expect that your chances are better than 90%. I also expect that West Cheshire Facilities Management will want to put their hands up before it goes to court and get a judgement against them. We would want to see your letter of claim before it sent off but I suggest that it is made clear that Social Security's have already been informed and that when you get a judgement against West Cheshire Facilities Management, you will make sure that social services and the health service generally are all circulated with copies of the judgement. If West Cheshire Facilities Management really want to take that risk with all of the reputational and business risk that accompanies it, then they are being extremely shortsighted.
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Should I be paying these dental charges?

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Hoping one or more of the gurus on here can answer this for me.

I'm 64 years of age and live in Wales.


Since having cancer treatment I have been having dental treatment to remove plaque from my teeth.


Initially this was done at a hospital dental department and there was no charge for treatments,


due to a shortage of hygienists the hospital passed me on to my NHS dental practice initially for 2 monthly visits which have quickly been reduced to 4 monthly simply because I'm managing to do a reasonable job of keeping the plaque down myself.


Since going to the NHS practice the routine has been a visit for a checkup then a second visit to see the hygienist


. I have never spent more than 5 minutes (timed) with the hygienist or the dentist.


From my first treatment onwards I have been charged £43 each time.


I queried this and was told it was because I have deep pockets between teeth and gums but I have found no mention on the NHS Wales site that this is a treatment that does not qualify as treatment included in the fee for a check up which does include a scale and polish and which I do not have to pay due to my age.


Should I be paying for these treatments.

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Perhaps have a word with the hospital where you were first having the treatment done. Ask if this is correct that you are being charged.

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Advice & opinions given by citizenb are personal, are not endorsed by Consumer Action Group or Bank Action Group, and are offered informally, without prejudice & without liability. Your decisions and actions are your own, and should you be in any doubt, you are advised to seek the opinion of a qualified professional.



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If it's done on the nhs, then there's a max amount they can charge in total. Doesn't matter what you have done, it can't exceed that amount. Even if you have to go back multiple times

Any advice i give is my own and is based solely on personal experience. If in any doubt about a situation , please contact a certified legal representative or debt counsellor..



If my advice helps you, click the star icon at the bottom of my post and feel free to say thanks


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A hygienist visit is often classed as cosmetic and chargeable in most practices at about £47-50 for that treatment.

If I have been of any help, please click on my star and leave a note to let me know, thank you.

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Local Services

Dentists - Frequently Asked Questions



How do I know if I am registered with a dentist?

Since 1st April 2006 patients are no longer required to be registered with a particular dentist. Patients can continue to see their usual dentist, who can choose to maintain a list of regular patients to whom they provide regular or ongoing treatment


Can I register for NHS or private care?

At the outset your dentist will agree with you whether your treatment will be under the NHS, or private, or a mixture of both. If you are not sure at any time, do not hesitate to ask your dentist or the practice receptionist.


Will I have to pay for treatment?

If you fall into any of these categories when a course of treatment starts you will not need to pay for your NHS dental treatment:


You are under 18, or are a full-time student under 19.

You are expecting a baby, or you have had a baby in the last 12 months.

You are named on a Tax Credit NHS Exemption Certificate.

You are named on an NHS HC2 certificate for full help with health costs.

Or, you get or are included in an award of someone getting:


Income Support,

Universal Credit (during the period April 2013 - March 2014),

Income-based Jobseeker's Allowance (contribution based JSA does not entitle you to help with health costs),

Income-related Employment & Support Allowance (contribution based ESA does not entitle you to help with health costs), or

Pension Credit Guarantee Credit, (Pension Credit savings credit on its own does not entitle you to help with health costs).

Other benefits such as Incapacity benefit, Personal Independence Payment, Armed Forces Independence Payment or Disability Living Allowance don't entitle you to help with health costs because they are not income related.


Dental examinations are free in Wales if:


You are under 25 years of age or

You are aged 60 or over.

Any subsequent treatment as a result of the free examination carries the appropriate charge.


Further information on health costs can be found in the booklet HC11W NHS Charges and The Low Income Scheme and on the help with health costs website (you can find information on 'How to claim a refund for health costs' by clicking here). Information on prescription charges in Wales is available on our Frequently asked questions about pharmacy services page.


What if I am not entitled to free treatment?

Before treatment begins, your dentist will discuss the procedures that are required and the probable cost, based on the new dental charging system. Your dentist must give you a written treatment plan and confirmation of the cost of the treatment if:


You ask for one at any time

You are seeing that dentist for the first time

You are considering having all or part of your treatment carried out privately

You are having a relatively long or complicated course of treatment

When you pay for your treatment you will be given a receipt. Your dentist will discuss methods of payment with you. The dentist is entitled to ask you to pay before you receive your treatment.


Since 1 April 2006, you will not have been charged for missed appointments – but if you continue to miss appointments they may decide not to offer you treatment in the future. A dentist may also terminate a course of treatment if the patient is violent or refuses to pay any charge due.


How much does NHS dental treatment cost?

Since 1st April 2006 NHS dental treatment costs have been organised under a simplified system which groups treatments under one of three price bands. The following list, which applies to Wales from 1st April 2015, includes examples of how current price bands relate to some common dental treatments, procedures and services;

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