Dental Protection has welcomed NHS England’s publication of new standard operating protocols (SOPs) for concise clinical record keeping, describing the initiative as a landmark moment that could help transform the working lives of dentists and their teams.
An update from NHS England published on 3 August 2026 says the protocols are intended to streamline record keeping by enabling clinicians to reference agreed procedures rather than repeatedly documenting routine steps in full.
It acknowledges that clinicians routinely repeat common treatment processes and that recording those same steps time and again creates an additional administrative burden while potentially obscuring appointment-specific information within the clinical record.
This announcement follows a British Dental Journal article, Note bloat, published in 2025, which argued for a more concise approach to record keeping and specifically advocated the use of SOPs to reduce unnecessary repetition in patient notes. The article was authored by Dental Protection’s Prof Raj Rattan alongside Dr Len D’Cruz Head of BDA Indemnity and Dr Shamir Mehta of the GDC.
Prof Raj Rattan, Global Adviser at Dental Protection, said: “This landmark guidance from NHS England has the potential to become a turning point in how dental records are created, helping the profession move away from defensive documentation and towards records that are proportionate, meaningful and centred on supporting high-quality patient care, while also freeing up a significant amount of time for dentists.
“Dentists report feeling trapped in a cycle where clinical records have become longer and longer, often driven by a perception that more words automatically mean better protection. Effective record keeping is not about documenting every routine step of every procedure in exhaustive detail. It is about creating records that are clear, accurate, clinically relevant and capable of demonstrating professional judgement and decision-making. The introduction of SOPs could be an important step in helping dentists to strike the right balance.
“If adopted widely, these protocols could help free up thousands of clinical hours across the dental profession every year. At a time when dentistry is facing significant workforce, access and capacity pressures, any measure that helps clinicians reclaim valuable time for patient care deserves serious attention.”
NHS England has published example SOPs covering a number of routine procedures, including dental extractions, root canal treatment, crown and onlay procedures and anterior composite restorations, while making clear that SOPs should complement rather than replace clinical judgement and patient-specific record keeping.
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Notes to editors
NHS England update on standard operating protocols (SOPs) on record keeping can be accessed here: https://www.england.nhs.uk/primary-care/dentistry/leading-the-change/concise-clinical-record-keeping/
The Note bloat article by Raj Rattan, Len D’Cruz and Shamir Mehta can be accessed here: https://www.nature.com/articles/s41415-025-8604-8
For further information contact: pressoffice@medicalprotection.org.
About Dental Protection
Dental Protection is a registered trademark and a trading name of The Medical Protection Society Limited (“MPS”). MPS is the world’s leading protection organisation for doctors, dentists and healthcare professionals. We protect and support the professional interests of more than 300,000 members around the world. Membership provides access to expert advice and support and can also provide, depending on the type of membership required, the right to request indemnity for any complaints or claims arising from professional practice.
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