MyGDCDirect access - Updated 1 November 2025
Patients have the option to access care from different members of the dental team, without needing to see a dentist first.
This page explains what different members of the dental team can do when seeing patients directly. It also sets out what the GDC expects from dental professionals who choose to practise in this way.
Prior to 2013, a referral from a dentist was required for members of the wider dental team to provide care to a patient. This meant that patients had to be seen by a dentist before being treated by any other member of the dental team.
While working under direct access is possible for many dental professionals, employers should not expect dental care professionals to provide direct care to patients if they do not feel confident to do so.
What the GDC expects
- All dental professionals must be trained, competent, and indemnified or insured for any care they provide.
- All dental professionals must work within their scope of practice.
- All dental professionals must continue to follow GDC guidance, including the Standards for the Dental Team and the Scope of Practice.
All who intend to provide services direct to patients should review, and reflect on, their training and experience to assure themselves that they have the necessary knowledge and skills.
Dental professionals wishing to provide treatment directly to patients should confirm with their indemnity or insurance provider that they are covered to work in this way.
Clear information for patients is vital. Practices which offer treatment via direct access should make sure that their practice publicity (e.g. leaflets, brochures and websites) is clear about:
- What treatments are available via direct access.
- The arrangements for booking an appointment with a dental care professional.
- What will happen if the patient needs treatment that the dental care professional cannot provide, for example when it is beyond the scope of practice of their profession.