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1. He must notify the GDC within 7 days of any post he accepts for which GDC registration is required and the Commissioning Body on whose Dental Performers List he is included. 2. If employed, he must provide contact details of his employer to the GDC within 7 days of this determination and allow the GDC to exchange information with his employer or any contracting body for which he provides dental services. 3. He must inform the GDC within 7 days of any formal disciplinary proceedings taken against him, from the date of this determination. 4. He must inform the GDC within 7 days of any complaint made against him, from the date of this determination. 5. He must inform the GDC if he applies for dental employment outside the UK, within 7 days of such an application being made. 6. He must not work as a locum or undertake any out-of-hours work or on-call duties and must not work as a sole practitioner. 7. At any time he is employed, or providing dental services, which require him to be registered with the GDC, he must place himself and remain under the *supervision of a workplace supervisor nominated by him, and agreed by the GDC. The supervisor shall be a GDC registered dentist working at the same practice, but not necessarily the same location, as him and shall supervise him in respect of the following: • his clinical practice. 8. He must not return to work until the workplace supervisor has been approved by the GDC. 9. At least every two months he shall arrange for an auditor to conduct an audit of his patients’ records, including in respect of treatment planning, pre-operative assessments, radiographic practice, obtaining valid consent and record keeping. The Auditor must be a GDC registered dentist and must be approved by the GDC. The registrant must share the completed audits with his supervisor. 10. He must allow his workplace supervisor to provide reports to the GDC monthly and immediately upon concerns being raised. The reports shall cover the following (including but not limited to): • confirmation (bi-monthly) that audits of patients’ records have been conducted in respect of treatment planning, pre-operative assessments, radiographic practice, obtaining valid consent and record keeping, evidence of these audits and any comments. 11. He must inform within 7 days the following parties that his registration is subject to the conditions, listed at 1 to 10 above, and provide evidence to the GDC that this has been done: a. Any organisation or person employing or contracting with him to undertake dental work; b. Any prospective employer (at the time of application); c. The Commissioning Body or Health Board in whose Dental Performers List he is included or seeking inclusion (at the time of application); d. Every member of the dental team and all employees at the practice(s) where he works. They must also be informed that they should contact the GDC immediately if they are concerned about his fitness to practise and/or his compliance with the conditions. 12. He must permit the GDC to disclose the conditions, listed at 1 to 12 above, to any person requesting information about his registration status. * In the context of this interim order “supervision” means that the registrant’s day to day work must be supervised by a person who is registered with the GDC in their category of the register or above. The supervisor need not work at the same location as the registrant, but must make himself/herself available to provide advice or assistance should they be required. The registrant’s work must be reviewed at least once fortnightly by the supervisor via one to one meetings and case-based discussion. These fortnightly meetings must be focused on all areas of concern identified by the conditions.

The case examiners considered a complaint relating to treatment provided to one patient between 1 February and 31 May 2023. They found a real prospect of a practice committee finding most of the factual allegations proved and a real prospect of those allegations being found to amount to misconduct, but no real prospect of a practice committee finding the registrant’s fitness to practise to be currently impaired by reason of misconduct. The case examiners considered that the matters alleged were serious, and may be seen to represent a significant departure from the following professional standards (from Standards for the Dental Team, 2013): • 1.7 – You must put patients’ interests before your own of those of any colleague, business or organisation • 2.3 – You must give patients the information they need, in a way they can understand, so that they can make informed decisions • 3.1 – You must obtain valid consent before starting treatment, explaining all the relevant options and the possible costs • 4.1 – You must make and keep contemporaneous, complete and accurate patient records • 5.3 – You must give patients who complain a prompt and constructive response, and • 7.1 – You must provide good quality care based on current evidence and authoritative guidance. It was considered appropriate and proportionate to close this matter by issuing the registrant with a warning, to be published for a period of 12 months. Further departures from professional standards of this nature may bring the registrant’s fitness to practise into question, and publishing the warning serves to remind the registrant and the wider profession that such conduct is unacceptable and must not be repeated. Publication of the warning also satisfies the wider public interest in the matter. The registrant is reminded that this warning forms part of his fitness to practise history, even after it ceases to be published, and may need to be disclosed when requested.

The case examiners formally warn the registrant that: • a failure to undertake full and appropriate diagnostic assessments may lead to deficient treatment planning and inadequate care. The registrant must ensure that he carries out sufficient diagnostic assessments as part of both general treatment and to assist with treatment planning. • appropriate and clinically justified radiographs should be taken and these should be carefully graded for quality assurance and a full report made within the clinical record. Any radiographs taken should be of sufficient diagnostic quality to ensure that diagnoses are confirmed and treatment is appropriate. • failure to maintain accurate and detailed records can impact upon ongoing patient care. Clinical records must be sufficiently detailed so as to allow future audit or review, to understand any and all clinical considerations, justifications and potential diagnostic conclusions reached as well as the actions carried out by the registrant and the information discussed with the patient. • failure to obtain informed consent undermines patient choice and the benefits of the treatment provided. The registrant must ensure treatment options, risks and benefits are fully communicated to patients. Further, the registrant must ensure that the consent process is fully documented and should be understood by the patient or their carer, including when treatment plans change during the course of care. • failing to diagnose and/or treat dental disease may have an adverse impact on the long-term dental health of patients. The registrant must ensure that, where there is clinical evidence for a condition, that this is appropriately diagnosed and that the diagnosis is documented in the clinical records. • patients expect treatment to be carried out to an acceptable standard. The registrant must ensure that he adheres to current guidance and that the treatment he provides is of an appropriate quality. • when adverse incidents or iatrogenic damage occurs during treatment, he has a professional duty to fully explain what has occurred and the reasons for this, as well as offering an apology to the patient and any remedial treatment. A failure to fully explain the cause for such an incident may lead to patients being misled as to the reasons for the incident. The registrant must ensure that that he adheres to his duty of candour at all times. • failure to respond to patient complaints in a timely manner can add to the patient’s concerns. The Registrant must respond to all complaints in line with appropriate NHS complaints procedures and GDC Principles of Complaints Handling, so that patient complaints are dealt with in a thorough, timely and open fashion.