Anyone who has tried to find an NHS dentist recently knows the routine. You ring the first practice on the list. Not taking NHS patients. The second. Children only. The third. There is a waiting list, no, they cannot say how long. By the fifth call you start wondering whether NHS dentistry still exists in your town.

It does, but it helps to understand what you are ringing into. A dental practice is not like a GP surgery with a catchment area. Practices hold NHS contracts for a fixed amount of work per year, and once that allowance is spoken for, the practice can be full for NHS purposes while happily booking private patients the same afternoon. Nobody at the desk is being difficult. They have simply run out of NHS capacity.

What 'accepting NHS patients' means in practice

Because capacity opens and closes through the year, acceptance is a moving target. A practice that was full in March may take on new NHS patients in April when its contract resets, or when families move away. That is why the honest answer to 'are you accepting?' is often 'not today, but ask again'. If a practice offers to add you to a waiting list, take it, and ask two questions: roughly how long the list is, and whether they will phone you or expect you to keep checking. Lists that rely on you calling back reward the persistent.

Be a little wary of the phrase in adverts and directories. 'Accepting NHS patients' sometimes means children only, or only patients exempt from charges, or new patients on a plan with occasional NHS work. It costs nothing to ask exactly who they are accepting before you get your hopes up.

Widening the net without wasting a week

Most people ring the three practices nearest home and stop. Think instead about everywhere you regularly are: near work, near the children's school, near a relative you visit. Unlike a GP, a dentist does not need you to live locally, so a practice two towns over on your commute is a perfectly good answer. In the meantime, if something is hurting rather than waiting, that is a different route entirely: call NHS 111, which can point you to urgent dental services whether or not you have a regular dentist.

Working through the list methodically

There are 3,025 dental practices listed on this site, and the listings show which practices describe themselves as taking NHS patients, private patients or both, along with contact details, so you can build a ring-round list in minutes rather than an evening. Start with dental practices near you and work outwards along your normal routes, or describe what you need and let practices come back to you.

One last habit worth keeping: when a practice does take you on, go to the check-ups. Patients who vanish for three years are the ones who find themselves back at the start of this article.