There's no information in the NHS Dental Regulations regarding this.
The only advice we can offer is based on recommendations from:
- the Department of Health and Social Care (DHSC)
- the British Dental Association (BDA)
- various professional indemnity organisations
A clinician must always take an initial full medical history in discussion with the patient to be sure the treatment proposed is appropriate and acceptable to the patient.
This history must be signed by the patient or their representative and the clinician.
General Dental Practice's with computerised records are advised to keep a signed and dated hard copy base-line medical history questionnaire.
Medical histories must be updated at the start of each subsequent Course of Treatment (CoT) and ideally, signed by the patient and clinician at each update.
Care must be taken in updating medical histories in the presence of third parties including family members. Confidential information must not disclosed without the patient's consent.
If you do not agree with this information or need further clarification, you must seek a definitive opinion from your professional indemnity organisation.