In Bristol, patients faced a controversial demand from dentists at Lodge Causeway Dental Centre: pay for a hygienist appointment or be denied NHS registration. Alice Worthington and Sam Mellor, two individuals who experienced this, describe how they were told to pay £69 for a hygienist appointment before being allowed to sign up as NHS patients. This practice is in violation of the NHS and dentists contract, which prohibits forcing NHS patients to pay for private services. The dental practice has apologized for any confusion, but the incident has raised concerns about the accessibility of NHS dental care. The British Dental Association (BDA) has described the scenario as "alarming", emphasizing the need for government support for those seeking NHS dental treatment. The dental practice has acknowledged the issue and is encouraging patients to contact them to discuss the matter. The NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board (ICB) has also weighed in, stating that patients should not be obliged to pay for an appointment at the time of registering. The ICB is urging affected patients to reach out to their customer services team for assistance.