If the patient requires further treatment during an open Course of Treatment (CoT) and the patient goes to the practice that the open CoT is with, this would be considered as part of the existing CoT and wouldn't attract further UDA.
The situation is different if the patient sees a performer working under a different contract, the performer should claim for an urgent CoT, charge the patient as normal if appropriate and they'll receive the appropriate UDA.
The only exception to this is detailed in DH factsheet 7b Gateway Reference 6990 which states:
- The patient is already undergoing a course of treatment and presents with a problem that requires urgent treatment. In these circumstances, the additional treatment should normally be provided as part of the existing course of treatment, as a variation of the treatment plan.
- In exceptional cases, for example a patient suffers intra-oral trauma as a result of an accident, an urgent course of treatment may be claimed.
It's important to note that when submitting a claim for urgent treatment it cannot be claimed under the further treatment within two months (continuation) rule and therefore should be claimed as a separate CoT. A patient charge should be collected if no patient exemption is indicated for an urgent CoT and you will receive the appropriate UDA.