Oct 30, 2025

NHS and HSE Braces: How to Access Funded Orthodontic Care

If your child needs braces, figuring out what help is available through the NHS or HSE can feel confusing. You want clear answers, realistic timelines, and a simple plan to get started.

This guide explains who qualifies for funded orthodontic care, how referrals work, what the HSE Cross Border Directive means in practice, and how we support you at every step so your child can begin treatment with confidence.

Who Qualifies for NHS or HSE Funded Orthodontic Treatment?

Eligibility depends on clinical need and age. Both systems focus on children and teenagers who have a clear health need for orthodontic care, not just a cosmetic preference.

NHS eligibility in Northern Ireland:

• Children under 18 may qualify if their orthodontic need meets the Index of Orthodontic Treatment Need (IOTN).
• A general dentist must assess your child first and make a referral to a Specialist Orthodontist if criteria are met.
• If accepted, standard fixed metal braces are provided, including retainers at the end of treatment.
• Waiting lists exist, so timing can vary by area.

HSE eligibility in the Republic of Ireland:

• Children are assessed by a school dental service or HSE dental clinic using a similar clinical index to determine need.
• If your child meets the criteria, they are placed on an HSE waiting list for treatment.
• Because waiting lists can be long, families often explore treatment through the Cross Border Directive to start sooner.

If your child does not meet the criteria, you still have options. Many families choose private treatment so their child can start sooner, select clear or ceramic braces, or explore aligner treatment.

At Zen Orthodontics, we can outline costs, timelines, and flexible payment plans during a free child assessment so you can make an informed decision without pressure.

How the Referral Process Works, Step by Step

Getting the referral right makes everything easier. Here's what to expect:

For NHS pathways:

• Visit your general dentist for an initial assessment.
• If your child meets IOTN criteria, your dentist will refer you to a Specialist Orthodontist who accepts NHS cases.
• After the orthodontic assessment, you will be advised about eligibility, the likely waiting time, and next steps.

For HSE pathways:

• Your child is assessed by the HSE dental service or school dental service.
• If clinically eligible, they are added to the HSE waiting list.
• You may proceed with local HSE treatment when a place becomes available, or explore the Cross Border Directive to begin treatment sooner in Northern Ireland.

If you are unsure where you stand, just ask. Our team can review your situation, guide you on what documents you need, and liaise with your dentist or HSE contact point.

What Is the HSE Cross Border Directive and How Does It Work?

The HSE Cross Border Directive allows Irish residents to receive planned healthcare, including orthodontics, in another EU or EEA country and apply for reimbursement from the HSE.

Because Northern Ireland is geographically convenient for many families, Newry is a popular location for treatment.

Eligibility:

• Your child must be on an HSE waiting list for orthodontic treatment, with documentation confirming eligibility.
• The treatment must be clinically necessary, not purely cosmetic.

Process in practice:

• Confirm your child's eligibility status and obtain documentation from your HSE dentist or the National Contact Point.
• Arrange a consultation with a Specialist Orthodontist in Northern Ireland.
• Receive a written treatment plan and cost estimate.
• Start treatment and pay the provider directly.
• Submit the required documentation to the HSE for reimbursement after treatment starts or as per current guidance.

Reimbursement:

• Families can receive reimbursement up to a set amount, subject to HSE rules at the time of application.
• We will explain which costs are typically covered, what documents to keep, and when to submit your claim.

Many families experience a much faster start through the directive - often a huge relief if your child is already waiting. For more details, visit our page on the HSE Cross Border Directive.

How Zen Orthodontics Supports NHS and HSE Referrals

We believe every family deserves exceptional orthodontic care and a smooth, stress-free experience.

Our team in Newry includes Specialist Orthodontists, Treatment Coordinators, and friendly support staff who guide you from first enquiry to final retainer.

Here's what we do for NHS and HSE pathways:

Paperwork and admin help

• We help you understand eligibility criteria and what evidence you need.
• We coordinate with your general dentist or HSE contact to ensure the referral is correct.
• For Cross Border Directive patients, we provide detailed treatment plans and receipts that meet HSE requirements.

Clear timelines and expectations

• You will know what each stage involves, how often appointments are needed, and how long treatment may take.
• Fixed brace appointments are usually every 6 to 8 weeks, with retainers provided at the end.

Flexible scheduling

• We offer evening appointments on Wednesdays and Thursdays, and we're easy to reach by train or bus.
• Free onsite parking adds convenience for families travelling from across Ireland.

A warm, reassuring environment

• We take time to explain every step, encourage questions, and make your child feel comfortable.
• You will receive starter packs, hygiene guidance, and continuous support from our team.

What Treatment Looks Like with Us

For funded pathways, standard fixed stainless steel braces are usually provided, often with coloured bands that children love to choose at each visit.

Treatment length ranges from 6 to 18 months, depending on the bite and crowding.

At the end, retainers are fitted and reviewed to keep the result stable.

If you decide to go private, you can choose from a wider range of options without waiting lists. We offer clear or metal fixed braces and aligner systems to suit different goals and budgets.

You can explore braces for kids to see how we personalise care and what to expect from your first visit.

Real Words from Parents

"The team explained everything clearly and took the stress out of the referral. My daughter is thrilled with her smile."

"Cross border was far simpler than I expected – the staff helped with every form and we started quickly."

"Friendly, professional, and brilliant with kids. We felt supported from day one."

Quick Checklist for Parents

• Ask your general dentist for an NHS orthodontic referral if you are in Northern Ireland.
• If you are in the Republic of Ireland, confirm your child's HSE eligibility and waiting list status.
• Consider the Cross Border Directive if the wait is long.
• Keep copies of all documents, letters, and receipts.
• Book a consultation with us for a clear plan and timeline.

Ready to Take the Next Step?

If your child is eligible for NHS or HSE support, we will help you navigate the process and start treatment with confidence.

If you prefer to begin sooner or choose a different brace style, we can map out private options with transparent costs and flexible payments.

Learn more about NHS braces, including eligibility and what's included, or read how HSE braces can work for your family if you're considering the Cross Border Directive.

You deserve a caring team that puts your child first.

At Zen Orthodontics in Newry, we combine clinical expertise with a warm, welcoming atmosphere so every visit feels easy and reassuring.

Contact our team or book a free child assessment online today — your child's smile will be with them forever, and we'd be honoured to help shape it.