NHS Treatment in Up Holland at a Glance
| NHS dental services | NHS Lancashire and South Cumbria Integrated Care Board |
|---|---|
| NHS orthodontic charges | Free for eligible under-18s; adults pay Band 3 (£332.10) |
| Deprivation | Around the England average |
| Residents under 16 | 13% (Census 2021) |
| Aged 10 to 15 locally | 5.6% of 1,535 residents, the main age band for NHS orthodontic treatment |
| Nearest practice listing NHS | St. Raphael's Dental Practice, Skelmersdale — under a mile; 15 within 10 miles |
| Nearest secondary schools | Up Holland High School — 0.1 miles St Peter's Catholic High School — 1.1 miles |
| Nearest university dental hospital | Liverpool University Dental Hospital, Liverpool — about 13 miles |
| Area type (ONS) | Urban: Nearer to a major town or city |
| Daily activities limited by health | 19.7% 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 Up Holland
On our practice register: 17 practices within 5 miles of Up Holland, 34 practices within 10 and 192 practices within 20. The closest is St. Raphael's Dental Practice in Skelmersdale, 0.9 miles north-west. The nearest listing NHS orthodontics is St. Raphael's Dental Practice, 0.9 miles north-west.
| Practice | Distance | NHS | Private | Google rating |
|---|---|---|---|---|
| St. Raphael's Dental PracticeSkelmersdale | 0.9 miles north-west | ✓ | ✓ | 4.9 (429 reviews) |
| BRIGHT ORTHODONTICS - SKELMERSDALESkelmersdale | 2.6 miles north-west | ✓ | – | – |
| Rainford OrthodonticsRainford | 3.4 miles south-west | ✓ | ✓ | 4.0 (41 reviews) |
| RAINFORD ORTHODONTIC PRACTICESt. Helens, Ryde | 3.4 miles south-west | ✓ | – | – |
| Market Street Dental PracticeWigan | 3.8 miles east | ✓ | ✓ | 4.2 (85 reviews) |
| WIGAN ORTHODONTIC CENTREWigan | 3.8 miles east | ✓ | – | – |
✓ listed in the practice's own information; – not mentioned, which doesn't mean not offered. Straight-line distances.
Nearest places to Up Holland with practices listing NHS orthodontics
The closest town with practices listing NHS orthodontics is Skelmersdale, 0.9 miles north-west; the next are Rainford (3.4 miles south-west) and St. Helens, Ryde (3.4 miles south-west).
| Place | Practices | Nearest |
|---|---|---|
| Skelmersdale | 2 | 0.9 miles north-west |
| Rainford | 1 | 3.4 miles south-west |
| St. Helens, Ryde | 1 | 3.4 miles south-west |
| Wigan | 2 | 3.8 miles east |
| Ashton in Makerfield | 2 | 4.4 miles south-east |
| Standish | 1 | 4.5 miles north-east |
Counted from the practices on our register around this place, nearest first. Straight-line distances.
Best-reviewed practices within 20 miles of Up Holland
Of the practices within 20 miles with at least 10 Google reviews, the highest rated is Axis Podiatry Ltd in Chorley (5.0 from 216 reviews), 8.5 miles north-east.
| Practice | Google rating | Distance |
|---|---|---|
| Axis Podiatry LtdChorley | 5.0 (216 reviews) | 8.5 miles north-east |
| Circ DentalStandish | 5.0 (166 reviews) | 4.5 miles north-east |
| St. Raphael's Dental PracticeSkelmersdale | 4.9 (429 reviews) | 0.9 miles north-west |
| Greenlane Dental PracticeLeigh | 4.9 (137 reviews) | 9.5 miles east |
Ratings are each practice's public Google review average and say nothing about clinical quality. Straight-line distances.
The NHS route from Up Holland, step by step
| Step | Where it is from here |
|---|---|
| 1. Your dentist screens | The nearest general dentist on our register is Parbold Dental Practice, 4.7 miles away. They check the Index of Orthodontic Treatment Need and refer. |
| 2. The NHS orthodontic practice | The nearest practice listing NHS orthodontics is St. Raphael's Dental Practice, Skelmersdale, under a mile 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 13 miles away. |
| 4. Who commissions it | NHS dental services around Up Holland are commissioned by NHS Lancashire and South Cumbria Integrated Care Board. |
NHS orthodontics is free for eligible under-18s and is reached by referral. Distances are straight-line.
For families in Up Holland, the NHS pathway offers a subsidised route to fixed braces for eligible children. It's free for eligible under-18s and aimed primarily at children and teenagers with significant malocclusion. Understanding its limits helps families in Up Holland plan around realistic waiting times.
NHS Orthodontic Access in Up Holland
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. NHS waiting times in Lancashire are not fixed — they depend on the referring practice and local demand at the time.
Appointment availability and the range of treatments on offer both vary practice to practice around Up Holland. Up Holland sits close to the England average for deprivation. 26.7% of 5-year-olds across this ICB have visible dental decay, per OHID's most recent figures. In the census neighbourhood around Up Holland, 5.6% of the 1,535 residents are aged 10 to 15, below the 6.7% average across Lancashire, the age band in which most NHS orthodontic treatment begins. For hospital-based orthodontic care, Up Holland is about 13 miles from Liverpool University Dental Hospital in Liverpool. Classified by ONS as urban: Nearer to a major town or city, Up Holland sits within NHS Lancashire and South Cumbria Integrated Care Board for NHS dental commissioning. With just 13% of residents under 16, Up Holland skews toward an older population. Families in Up Holland are served by secondary schools including Up Holland High School (0.1 miles) and St Peter's Catholic High School (1.1 miles). 3 secondary schools are within three miles. With 16 orthodontic practices within five miles, Up Holland is better served than 87% of towns in England. We hold no orthodontic practice records in Up Holland itself. The closest on record are St. Raphael's Dental Practice in Skelmersdale, under a mile away; Pemberton Dental Practice in Wigan, about 2 miles away; and Rainford Orthodontics, 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.
How the NHS Route Works in Up Holland
For eligible patients in Up Holland, 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 Up Holland.
- 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.
What NHS Treatment Costs in Up Holland
The NHS route covers the whole course, from the specialist assessment to the retainers at the end.
Private treatment in Up Holland trades cost for speed and choice — around £1,500–£3,500 for metal braces, but starting within weeks and with ceramic, lingual and aligner options on the table.
Orthodontic Eligibility in Up Holland
Whether you or your child qualifies for NHS treatment in Up Holland comes down to a structured assessment. NHS-contracted orthodontists in Lancashire apply the same national criteria consistently. Understanding the scoring in advance means a more informed conversation with your dentist.
Can Adults Get NHS Braces in Up Holland?
In practice, NHS orthodontic treatment in Up Holland is almost exclusively for patients under 18. Adult NHS orthodontic slots are very limited and reserved for exceptional functional cases. Adults seeking orthodontic treatment should plan for private care — no waiting list and full choice of treatment type.
Orthodontic Treatment for Children in Up Holland
Spotting a developing problem early rarely means treating it straight away. Understanding the difference between monitoring, interceptive and definitive treatment helps parents navigate it. A photo assessment is a gentle way to get an early steer before booking anything.
NHS Orthodontics for Children in Up Holland
Children in Up Holland who meet the IOTN eligibility threshold are entitled to NHS-funded orthodontic treatment. Referrals are made by the child's dentist once most adult teeth have erupted. NHS treatment for children is almost always metal fixed braces.
Frequently Asked Questions — NHS Treatment in Up Holland
Where is the nearest orthodontist to Up Holland?
On our register, the nearest orthodontic practice to Up Holland is St. Raphael's Dental Practice in Skelmersdale, about 0.9 miles to the north-west. The next closest are Pemberton Dental Practice (1.7 miles) and BRIGHT ORTHODONTICS - SKELMERSDALE (2.6 miles).
How many orthodontic practices are near Up Holland?
Our register has 17 practices within 5 miles of Up Holland, 34 practices within 10 miles and 192 practices within 20 miles.
Is there an NHS orthodontist near Up Holland?
The nearest practice to Up Holland that lists NHS orthodontic treatment is St. Raphael's Dental Practice in Skelmersdale, about 0.9 miles to the north-west. Others nearby include BRIGHT ORTHODONTICS - SKELMERSDALE (2.6 miles) and Rainford Orthodontics (3.4 miles).
How deprived is Up Holland compared with the rest of England?
By the national deprivation index, Up Holland is close to the England average for deprivation. It doesn't affect NHS orthodontic eligibility, which is decided on clinical need alone.
Is Up Holland a family area?
Census data puts 13% of Up Holland's population at under 16.
What kind of area is Up Holland?
ONS classifies Up Holland as urban: Nearer to a major town or city.
Is tooth decay common among young children near Up Holland?
OHID figures for this ICB show 26.7% of 5-year-olds with visible dental decay.
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 Lancashire
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