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Dental Nurse Insurance

Please take a few moments to fill in your details below. One of our specialist advisors will call you back to discuss your specific cover requirements.

ⓘ Please note we can only cover Dental Nurses, Dental Therapists, Dental Hygienists, and Orthodontic Therapists.

Enquiry form

Proposer Details

First Name *

Surname *

Date of birth *

Address *

Postcode *

Mobile number *

Email *

Date you would like cover to start *

Are you qualified? *

Yes

Are you a student nurse? *

Yes

GDC registration number *

Occupation *

Dental nurse

Dental therapist

Dental hygienist

Orthodontic therapist

Risk Assessment

Answers must be based on your duties for your confirmed occupation at present or within the next year. The insurer may request evidence of training at any point during the lifetime of your policy.

Do you undertake any extended duties within the General Dental Council’s (GDC) Scope of Practice? *

Yes

Are you qualified and competent to undertake duties of a Tutor / Assessor or a Moderator? *

Yes

Are you working in any of the following environments: NHS hospital, Care Community, Prisonservices or the Ministry of Defence? *

Yes

If you have answered Yes to any of the above, please provide details, including specific qualifications and experience below

Do you work within the General Dental Council’s (GDC) scope of practice? *

Yes

Do you understand and carry out effective health and safety procedures? *

Yes

Do you practice safe infection control procedures? *

Yes

Are you trained in CPR, medical emergencies and common dental emergencies? *

Yes

Do you carry out Personal Development Planning (PDP) / Continuous Personal Development(CPD)? *

Yes

Indemnity

Have you had previous cover in place? *

Yes

Was your policy on a claims made basis? *

Yes

If yes, please provide your retroactive date? *

Provider, Dates, Premium *

Have any claims for malpractice or negligence ever been made against you? *

Yes

Are you aware of any complaint, claims or circumstances, past or present, which might become a claim against you? *

Yes

Do you have you any convictions for theft, fraud or dishonesty that are not spent under the Rehabilitation of Offenders Act? *

Yes

Have you ever been made bankrupt, insolvent or liquidated? *

Yes

Have you ever been served with any county court judgements or other similar judgements in relation to debt? *

Yes

Have you ever had this type of insurance refused or declined? *

Yes

Have you ever had this type of insurance cancelled or special terms imposed on your insurances? *

Yes

If you have answered Yes to any of the above, please provide further information

If you would like your Practice Manager or Employer to be noted as a contact on your record, please confirm their full name

How did you hear about us?

Please keep a record (including copies of letters) of all information you supply to Everywhen Insurance that relates to this application.

Important guidance notes

Any incident that could lead to an allegation of professional misconduct must be handled immediately and in accordance with the following requirements:

Contact Everywhen Insurance by telephone on 01438 739731, fax on 01438 747465 or by email to careclaims@everywhen.co.uk for initial help and advice.
Do not enter into correspondence or discussions with the patient or anybody acting on their behalf without first seeking the approval of Everywhen Insurance.
Send any correspondence you may receive to Everywhen Insurance by first class post, having kept copies for your own records, and ensure you include:
- A clear photocopy of your notes relating to the patient
- A plain English transcript of your notes including a full explanation of the treatment provided
- A written authority for your insurers to release the patient notes to either the claimant or his representative
- A statement of the circumstances giving rise to the claim
- Your draft letter of response to the patient or other individual acting on the patient’s behalf. (This will be approved by Everywhen Insurance who will then authorise it’s release).
Ensure that any further correspondence or documents you may receive are immediately forwarded to Everywhen Insurance having kept copies for your own records. Again you should not enter into any further correspondence with the claimant without authorisation from Everywhen Insurance.

Claims and Underwriting Exchange

Insurers pass information to the Claims and Underwriting Exchange Register, run by Insurance Database Services Limited (IDS Ltd). The aim is to help us check information provided and also to prevent fraudulent claims. When we deal with your request for insurance, we may search these registers. Under the conditions of your policy, you must tell us about any incident which may or may not give rise to a claim. When you tell us about an incident, we will pass information relating to it to the registers. You can ask us for more information about this.