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.

Information on referrals for advanced mandatory services

Adjusment request form (CSS8A)

 

Guidance for completion of forms

 

Completion of form guidance FP17 - England - 1 April 2014 onwards

Completion of form guidance FP17W - Wales - 1 April 2010 onwards

Completion of form guidance FP17O - England - 1 April 2010 onwards

Completion of form guidance FP17OW Wales - 1 April 2010 onwards

 

Sample forms

FP17 - England - wef 1 April 2014

FP17W -Wales - wef 1 April 2014 (Welsh language version page 2)

FP17W -Wales - wef 1 April 2014 (English language version page 2)

FP17O - England - wef 1 April 2013

FP17OW - Wales - wef 4 Dec 2012 (Welsh language version page 2)

FP17OW - Wales - wef 4 Dec 2012 (English language version page 2)

PR - England - wef 1 April 2010 (large print version) 

PRDP - England - wef 1 April 2014 - Dental Contract Pilot version only

PRDP - England - wef 1 April 2014 (large print version)- Dental Contract Pilot version only 

PRW form large print

PRW welsh version.

 

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