Practice News

our service

March 2020

I am delighted to announce that our extended contact activity has just been confirmed. Should you wish to make an appointment for yourself or someone else, kindly get in touch with us at your convenience. -Conrad Costa



May 2018

We have updated our privacy policy in accordance with GDPR legislation. Our website does not track you, nor do we collect any information about you whilst you browse our website. We do not covertly make you mine Bitcoin on our behalf nor do we drop any cookies or sell you adverts. We value our own privacy very much and therefore have a lot of respect for your online privacy.

Patient satisfaction Survey

August 2016

Our patient satisfaction survey, which had been ongoing since April, is now closed. We would like to thank all those who participated. We would nonetheless welcome your feedback (whether written, verbal or by email) at any time. Our Friends and Family Test remains ongoing.

New Practice manager

January 2016

We would like to extend a warm welcome to Ms Angelique van Woerkom, who joins us at Castle and Costa as our new Practice Manager. Angelique has many years of experience as a Dental Care Professional and had worked for us frequently as a locum. She is familiar with our working system and is very eager to learn and help us improve our service.

New Associate Dental Surgeon

August 2015

We are pleased to welcome Dr Gavin Gill to our practice as our new associate dental surgeon, following the retirement of Dr Gillian Fellows. Dr Gill has many years of experience in general practice and in teaching hopsitals and will prove to be an asset to our team.

CQC inspection and report

June 2015

We are delighted to announce that Castle and Costa Dental Surgeons have passed their CQC inspection. Following a visit by two inspectors, we were given a clean bill of health - as well as a few suggestions - which we have taken on board. For more information, visit our Resources page.

Dementia Awareness training

November 2014

We extend our congratulations to our dental care professionals and dentists after they were awarded an NVQ level II in dementia awareness training. This will enable us to engage with our patient base better and to improve our understanding of their condition.

Conrad and audrey Costa

March 2013

We are pleased to announce that following the sad demise of Mr Castle, Conrad and Audrey Costa have recently taken over the running of the practice and will strive to maintain and improve the good standard of care that Castle and Costa have been delivering to the non-ambulatory for the past years.

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About Us

Welcome to Castle and Costa. Castle and Costa is the trading name of a general partnership set-up by Conrad and Audrey Costa. We currently provide dental assessments, preventive care and other treatment to non-ambulatory patients on a domiciliary basis in Norfolk. Our practice was started in 1996 by A E (Bill) Castle and since then, we have increased our capacity and also increased the range of treatments we are able to provide. Thanks to the understanding of the (now defunct) Norfolk Primary Care Trust, we have been able to provide all our treatment through the NHS. For more information, please download our practice information leaflet.

Please note we do not see patients at our practice base in Drayton. Neither do we treat fit patients able to attend a surgery. Our services are provided entirely by making visits to our patients.

We currently employ 3 dental care professionals and engage the services of 3 dental surgeons. In 2014, we were able to make around 3,900 patient contacts, visit at least 120 homes and covered around 22,000 miles.

Our aim is to deliver dental care by reaching out to those who cannot access the service for themselves. Seeing that disability can affect 1 in 4 of the UK population, our service can be extremely valuable to a group of vulnerable individuals who are permanently or temporarily non-ambulatory due to physical, mental or social reasons. We recognise that our target population will potentially suffer from the same sort of oral health problems as the general population but will have difficulty accessing treatment. Moreover, poor oral health can pose an additional burden on such individuals and can reduce their quality of life significantly.

The Services We Provide Include:


Patient-Centred Care

Our care is patient-centred and we do our utmost to ensure that we work effectively within a multi-disciplinary framework (when appropriate) to deliver our care in a safe and considerate manner. We always strive to ensure that the treatment we provide is appropriate given the setting, the nature of the dental problem, the facilities available at the time and the more general well-being of our patients. Whenever it is considered to be more appropriate, a referral to secondary services (e.g. the hospital, sedation services etc.) is made accordingly. Our staff regularly undertake training in Dementia Awareness, Mental Capacity, Cross-Infection Control, Record-Keeping, Data Protection and Basic Life Support.

At Castle and Costa, our practices of infection control are current and conducted in line with HTM 01-05 guidance. We regularly audit our practice protocols and procedures to ensure that they are effective and are being followed properly.

We satisfy all legal requirements relating to health and safety in the workplace and radiation protection. All patient information is confidential and is handled by the staff at the practice in line with the Data Protection Act. Should you require access to your records, please submit your request in writing to the Practice Manager.

We are committed to sharing our scientific knowledge and clinical expertise with the next generation of dental health professionals and from time to time (but only with our patients’ permission), we may undertake the training or teaching of aspiring professionals.

We operate a zero-tolerance policy towards discriminatory, violent, aggressive or threatening behaviour. Our staff may refuse to deal with patients under such circumstances.

For further information regarding the provision of NHS services in your area, please visit the Patient Advice and Liaison Service (PALS) website.

Hours and Visits

In order to maintain our standard of care, we make visits to our patients in a logical geographic fashion. We will normally give our patients an appointment for a given day and we are able to telephone our patients or their carers prior to arrival on the day. Since some of our patients may take longer than others and because of the somewhat unpredictable nature of vehicular journeys on Norfolk roads, we regret we may only be able to give a very general estimated time of arrival.


Appoitnments and New Patients

In order to make an appointment as a new or current patient, please fill out a medical history form and send it to us by fax or email. You can call our office on 01603 869 600 or send us an email to

Please note that we routinely use Public-Key Cryptography (OpenPGP RFC 4880) in-house to secure our communications and we will be more than happy to encrypt our correspondence to you that way. For more information and to download our PGP keys, please visit our resources page.

Our colleagues who work within the NHS and have access to a secure email account can contact us securely on

If you send us a plain-text email however, we will assume that you are happy with non-encrypted communication and will email you back in plain text. Please be aware that plain text emails may (and will most likely) be intercepted and read by third parties.

Alternatively, please fax your request to us on 01603 208 562.


Our Hours

Our office hours are Monday to Friday from 8:30 to 18:00. Our practice manager also acts as our administrator and receptionist and may be dealing with other matters arising from time to time. Should our telephone be unmanned, kindly leave a message on the answerphone leaving your name and telephone number and we will contact you as soon as possible.

Should your query be urgent, kindly phone our practice manager on her mobile telephone on 07885 913 279. Dental emergencies are defined as uncontrolled bleeding from the oral cavity, pain that cannot be controlled by using pain-relief medication or a dental infection that causes a swelling which is increasing in size. We are obliged to attend to our existing patients who are suffering from a dental emergency within 2 working days.

As of 2006, responsibility for weekends public holidays and out-of-hours care falls with the local health authority. Should you require emergency dental care in such circumstances, please call NHS Norfolk on 111.

For more information, please download our practice leaflet