Treatment Choices and Cost Communication

Treatment Choices and Cost Communication relates to P 3.6. For dental nurses, this requires enough knowledge to support patients and colleagues, and to work safely within your scope of practice.
Funding affects access, treatment choices and trust. NHS charges and exemptions differ across the UK, and practices may offer private or mixed care. Dental nurses do not need to be funding specialists, but unclear cost conversations can undermine consent and lead to complaints.
What to notice in practice
- Cost changes: signpost to current information and escalate any clinical or financial uncertainty.
- Written estimates: ask what the patient or colleague needs next, then hand over or escalate clearly.
- Consent: ask what the patient or colleague needs next, then hand over or escalate clearly.
- Aftercare: ask what the patient or colleague needs next, then hand over or escalate clearly.
- Complaints: ask what the patient or colleague needs next, then hand over or escalate clearly.
Dental nurses should know where to find current official guidance, when to signpost patients, when reception or the dentist should answer, and when to pause care if there is a cost misunderstanding.
Good practice is practical and visible: prepare before consultations, listen to patients and colleagues, check understanding, hand over clearly, and raise recurring problems so the practice can learn from them.
Funding discussions should be clear, current and within role, because cost confusion can affect consent, access and trust.

