NHS Treatment in Downall Green at a Glance
| NHS dental services | NHS Cheshire and Merseyside Integrated Care Board |
|---|---|
| NHS orthodontic charges | Free for eligible under-18s; adults pay Band 3 (£332.10) |
| Deprivation | More deprived than most of England |
| Residents under 16 | 20.1% (Census 2021) |
| Aged 10 to 15 locally | 7.6% of 1,531 residents, the main age band for NHS orthodontic treatment |
| Nearest practice listing NHS | Boutique Dental 23, Ashton in Makerfield — 1.5 miles; 16 within 10 miles |
| Nearest secondary schools | Cansfield High School — 1.1 miles St Edmund Arrowsmith Catholic High School, Ashton-in-Makerfield — 1.7 miles |
| Nearest university dental hospital | Liverpool University Dental Hospital, Liverpool — about 14 miles |
| Area type (ONS) | Urban: Nearer to a major town or city |
| Daily activities limited by health | 20.8% of residents in the surrounding census area (Census 2021) |
Sources: Census 2021 (NOMIS), DfE Get Information About Schools, ONS geography, UK NHS dental charge schedules and our orthodontic practice register. Distances are straight-line.
Practices listing NHS orthodontics near Downall Green
On our practice register: 17 practices within 5 miles of Downall Green, 43 practices within 10 and 192 practices within 20. The closest is Boutique Dental 23 in Ashton in Makerfield, 1.5 miles south-east. The nearest listing NHS orthodontics is Boutique Dental 23, 1.5 miles south-east.
| Practice | Distance | NHS | Private | Google rating |
|---|---|---|---|---|
| Boutique Dental 23Ashton in Makerfield | 1.5 miles south-east | ✓ | ✓ | 4.9 (136 reviews) |
| Ashton Smile ClinicAshton in Makerfield | 1.6 miles south-east | ✓ | ✓ | 4.7 (86 reviews) |
| Alverna House Dental Practice | Dental Implants and Invisalign Provider St HelensSt Helens | 3.1 miles south-west | ✓ | ✓ | 4.8 (257 reviews) |
| WIGAN ORTHODONTIC CENTREWigan | 3.5 miles north-east | ✓ | – | – |
| Market Street Dental PracticeWigan | 3.6 miles north-east | ✓ | ✓ | 4.2 (85 reviews) |
| St. Raphael's Dental PracticeSkelmersdale | 3.8 miles north-west | ✓ | ✓ | 4.9 (429 reviews) |
✓ listed in the practice's own information; – not mentioned, which doesn't mean not offered. Straight-line distances.
Nearest places to Downall Green with practices listing NHS orthodontics
The closest town with practices listing NHS orthodontics is Ashton in Makerfield, 1.5 miles south-east; the next are St Helens (3.1 miles south-west) and Wigan (3.5 miles north-east).
| Place | Practices | Nearest |
|---|---|---|
| Ashton in Makerfield | 2 | 1.5 miles south-east |
| St Helens | 1 | 3.1 miles south-west |
| Wigan | 2 | 3.5 miles north-east |
| Skelmersdale | 2 | 3.8 miles north-west |
| Golborne | 1 | 4.0 miles south-east |
| Rainford | 1 | 4.8 miles west |
Counted from the practices on our register around this place, nearest first. Straight-line distances.
Best-reviewed practices within 20 miles of Downall Green
Of the practices within 20 miles with at least 10 Google reviews, the highest rated is Circ Dental in Standish (5.0 from 166 reviews), 6.0 miles north.
| Practice | Google rating | Distance |
|---|---|---|
| Circ DentalStandish | 5.0 (166 reviews) | 6.0 miles north |
| St. Raphael's Dental PracticeSkelmersdale | 4.9 (429 reviews) | 3.8 miles north-west |
| Greenlane Dental PracticeLeigh | 4.9 (137 reviews) | 7.2 miles east |
| Boutique Dental 23Ashton in Makerfield | 4.9 (136 reviews) | 1.5 miles south-east |
Ratings are each practice's public Google review average and say nothing about clinical quality. Straight-line distances.
The NHS route from Downall Green, step by step
| Step | Where it is from here |
|---|---|
| 1. Your dentist screens | The nearest general dentist on our register is mydentist, 7.1 miles away. They check the Index of Orthodontic Treatment Need and refer. |
| 2. The NHS orthodontic practice | The nearest practice listing NHS orthodontics is Boutique Dental 23, Ashton in Makerfield, 1.5 miles away. Referrals go to a practice with an NHS contract. |
| 3. The hospital for complex cases | The nearest university dental hospital is Liverpool University Dental Hospital in Liverpool, about 14 miles away. |
| 4. Who commissions it | NHS dental services around Downall Green are commissioned by NHS Cheshire and Merseyside Integrated Care Board. |
NHS orthodontics is free for eligible under-18s and is reached by referral. Distances are straight-line.
NHS orthodontics in Downall Green funds treatment for patients who meet the IOTN clinical need threshold. For eligible under-18s it's outstanding value — full treatment at no charge at all. The main limitation is waiting time, which can be substantial across St. Helens.
NHS Orthodontic Costs in Downall Green
On the NHS, one course of treatment runs from fitting right through to retainers, with nothing added along the way.
Going private for the same metal braces in Downall Green costs roughly £1,500–£3,500; you're paying for immediate access and appliance choice rather than a better clinical result.
The NHS Orthodontic Pathway in Downall Green
For eligible patients in Downall Green, the NHS route follows a defined sequence from dentist to specialist:
- Dental check-up: Your dentist performs an initial IOTN assessment and, if eligible, makes a formal referral.
- Referral to NHS orthodontist: You join the waiting list for the local NHS orthodontic service covering Downall Green.
- Specialist assessment: An orthodontist confirms your IOTN score, takes records, and confirms whether NHS treatment proceeds.
- Brace fitting: Metal fixed braces are fitted — typically 60–90 minutes.
- Active treatment: Adjustment appointments every 6–8 weeks for 18–24 months on average.
- Retention: Retainers provided at completion as part of the NHS course of care.
NHS Orthodontic Access in Downall Green
NHS orthodontic treatment is free for under-18s who meet the clinical threshold. Adults who do qualify pay the NHS Band 3 charge, £332.10 in England from April 2026, which covers the whole course. How long NHS treatment takes to start in St. Helens depends heavily on the individual practice's current caseload.
What's available in Downall Green depends on the practice, so it's worth checking directly what each one offers. Downall Green's deprivation ranking places it in a more deprived band than most of England. OHID's regional oral-health data records visible dental decay in 31.2% of local 5-year-olds. Census 2021 counts 1,531 residents in the neighbourhood around Downall Green, 7.6% of them aged 10 to 15, above the 6.7% average across St. Helens. Complex cases can be referred to a hospital orthodontic department; the nearest university dental hospital to Downall Green is Liverpool University Dental Hospital in Liverpool, about 14 miles away. Downall Green sits within NHS Cheshire and Merseyside Integrated Care Board for NHS dental commissioning. Downall Green's ONS geography type is urban: Nearer to a major town or city. 20.1% of Downall Green's residents are under 16, per the 2021 Census. Families in Downall Green are served by secondary schools including Cansfield High School (1.1 miles) and St Edmund Arrowsmith Catholic High School, Ashton-in-Makerfield (1.7 miles). 7 secondary schools are within three miles. Downall Green's Local Authority area covers 76 schools and 26,828 pupils, according to DfE figures. Measured by orthodontic practices within five miles (17), Downall Green has more choice than 88% of towns in England. There is no orthodontist on our records in Downall Green itself. The closest on record are Boutique Dental 23 in Ashton in Makerfield, about 2 miles away; Pemberton Dental Practice in Wigan, about 2 miles away; and Alverna House Dental Practice | Dental Implants and Invisalign Provider St Helens, about 3 miles away. NHS capacity is limited — practices often have closed lists for new NHS patients, which is why private treatment is the realistic route for many adults and for those who cannot wait.
Children's Orthodontics in Downall Green
For many families in Downall Green, the question isn't whether their child needs treatment — it's when to start. Understanding the difference between monitoring, interceptive and definitive treatment helps parents navigate it. This guide explains the age-7 assessment, interceptive options and NHS access for children.
Children's Orthodontics in Downall Green — Local Context
Practices serving Downall Green differ in what they offer, from brace type to appointment availability. Census data puts 20.1% of Downall Green's population at under 16. Census 2021 counts 1,531 residents in the neighbourhood around Downall Green, 7.6% of them aged 10 to 15, above the 6.7% average across St. Helens. The closest secondary schools to Downall Green are Cansfield High School (1.1 miles) and St Edmund Arrowsmith Catholic High School, Ashton-in-Makerfield (1.7 miles). 7 secondary schools are within three miles. DfE figures put 76 schools and 26,828 pupils across Downall Green's Local Authority. 31.2% of 5-year-olds across this ICB have visible dental decay, per OHID's most recent figures. By ONS classification, Downall Green falls under urban: Nearer to a major town or city. NHS dentistry here is commissioned by NHS Cheshire and Merseyside Integrated Care Board. National deprivation data ranks Downall Green among England's more deprived areas. Downall Green has 17 orthodontic practices within five miles, more than 88% of towns in England. For hospital-based orthodontic care, Downall Green is about 14 miles from Liverpool University Dental Hospital in Liverpool. They typically offer children's assessments and NHS-funded treatment for eligible patients.
Orthodontic Eligibility in Downall Green
Many patients in Downall Green are surprised they don't automatically qualify for NHS braces. Even visibly crooked teeth may score below the threshold, which is why understanding IOTN matters. This guide explains how IOTN works, who qualifies, and what private options exist if you don't.
Adult NHS Orthodontic Access in Downall Green
Adults (18 and over) are rarely eligible for NHS orthodontic treatment in Downall Green. NHS funding for adults is generally limited to severe clinical cases — such as jaw surgery patients or those with significant cleft palate-related needs. Cosmetic adult orthodontics is not NHS-funded.
Frequently Asked Questions — NHS Treatment in Downall Green
Where is the nearest orthodontist to Downall Green?
On our register, the nearest orthodontic practice to Downall Green is Boutique Dental 23 in Ashton in Makerfield, about 1.5 miles to the south-east. The next closest are Ashton Dental & Implant Centre (1.6 miles) and Ashton Smile Clinic (1.6 miles).
How many orthodontic practices are near Downall Green?
Our register has 17 practices within 5 miles of Downall Green, 43 practices within 10 miles and 192 practices within 20 miles.
Is there an NHS orthodontist near Downall Green?
The nearest practice to Downall Green that lists NHS orthodontic treatment is Boutique Dental 23 in Ashton in Makerfield, about 1.5 miles to the south-east. Others nearby include Ashton Smile Clinic (1.6 miles) and Alverna House Dental Practice | Dental Implants and Invisalign Provider St Helens (3.1 miles).
What towns are near Downall Green?
Nearby towns include Garswood, Ashton in Makerfield, Stanley Bank.
How many families live in Downall Green?
Census data puts 20.1% of Downall Green's population at under 16.
Is Downall Green rural or urban?
ONS classifies Downall Green as urban: Nearer to a major town or city.
Who commissions NHS dentistry in Downall Green?
NHS dental commissioning in Downall Green falls under NHS Cheshire and Merseyside Integrated Care Board.
How much do NHS braces cost?
NHS orthodontic treatment is free for under-18s who meet the clinical threshold. Adults who do qualify pay the NHS Band 3 charge, £332.10 in England from April 2026, which covers the whole course. 18-year-olds in qualifying full-time education are also exempt, as are adults on certain benefits or low incomes, and one charge covers the full course from fitting to retainers.
Last updated: October 2026, compiled by the Virtual Consultant Online editorial team from our practice register and public data. Information is for educational purposes only and does not constitute clinical advice; it is not reviewed by a clinician. Sources: NHS, General Dental Council. How we compile our information.
NHS Treatment Across St. Helens
Explore nhs treatment information for other towns and cities in St. Helens — all with dedicated local pages and online assessment access: