Dental Activity Form Processing

Providers submit forms (FP17) to us detailing dental activity data. The data recorded on the FP17 shows the patient charge collected, the number of units of activity performed and treatment banding information.

  • We receive over 3 million FP17 forms every month.
  • FP17s are processed through our systems within a maximum period of three days.
  • Data captured from these forms is used to produce the providers' pay statements and the performers' monthly superannuation allocation.

Important changes to the FP17 form from 1 April 2016 (England)

    Urgent courses of treatment within two months

    Information on referrals for advanced mandatory services

    Adjustment request form (CSS8A)

     

    Guidance for completion of forms

     

    England

    Completion of form guidance FP17 - England - 1 April 2016 onwards

    Completion of form guidance FP17O - England - 1 April 2016 onwards

    Wales

    Completion of form guidance FP17W - Wales - 1 April 2016 onwards

    Completion of form guidance FP17OW Wales - 1 April 2016 onwards

     

    Sample forms

     

    England

    FP17 - England - wef 1 April 2016

    FP17O - England - wef 1 April 2016

    PR - England - wef 1 April 2016 (large print version) 

     

    Wales

    FP17W -Wales - wef 1 April 2014 (Welsh language version)

    FP17W -Wales - wef 1 April 2014 (English language version)

    FP17OW - Wales - wef 4 Dec 2012 (Welsh language version)

    FP17OW - Wales - wef 4 Dec 2012 (English language version)

    PRW form large print

     

    Year end reports


    Guidance notes on why UDAs/UOAs and patient charge revenue may vary between NHS Dental Services data and dental practice records

    Technical guidance for end of year reports on activity and patient charge revenue 2011/2012 - England

    Technical guidance for end of year reports on activity and patient charge revenue 2011/2012 - Wales