NHS Dentists

Adrian Ramsay Excerpts

Thursday 5th February 2026 Commons Chamber

[Alex Easton]

Apologies, Madam Deputy Speaker. We all understand that there are regional differences in how dental contracts work across our UK nations. However, a common theme is identified: many of our NHS dentists feel that they are being asked to do more to address complex needs with resources that simply do not match the reality on the ground. My research indicates that in some parts of the United Kingdom, the very way that dentists are paid actively works against the long-term interests of patients. The current system rewards quick, high-volume work rather than the kind of long-term, preventive care that is essential if we are serious about keeping mouths in Britain healthy.

Many of our newly qualified dentists tell me that the NHS contracts are inflexible, overly bureaucratic and in many cases financially unsustainable for anything beyond the most basic level of service.

[Adrian Ramsay (Waveney Valley) (Green)]

The hon. Member is making a strong case. The number of dentists leaving the NHS across the UK is driven by chronic underfunding and the failed dental contract. Last month, the Minister suggested that long-term fundamental reform might only be introduced from 2027 onwards. Does the hon. Member agree that that reform must be brought forward as soon as possible and that we need clarity on when? Does he also agree that the one-third cut in real terms of the dentistry budget that we have seen since 2010 must be reversed by this Government?

[Alex Easton]

I agree that reforms need to be brought forward a lot quicker.

What is the result? I will tell hon. Members what it is: we are seeing a growing number of dentists reducing the amount of NHS work, handing back NHS contracts altogether and leaving the profession earlier than they intended. I do not, for one moment, accept that that is a question of dedication or commitment. Our dentists, dental nurses, therapists and practice staff put in a hard shift day after day in a system that too often feels stacked against them. Their burnout is real; their morale is low. They are left apologising to patients, not only in North Down but right across the United Kingdom, for a system that is not of their own making and not under their control.

There is a human cost here. This must never be reduced to a dry debate about contracts and budgets, because behind every statistic is a person. Let us think of the elderly person in a British care home struggling to eat properly because they cannot get regular dental visits and their dentures no longer fit; the British parent trying desperately to get their child seen for a broken tooth, only to be told that their nearest NHS dentist is many miles away; or the low-income British citizen—the person who never missed an NHS check-up—now being told they can only be seen privately, at a fee far beyond their means.

Let me be absolutely clear: dental health is not a luxury; it is integral to our overall health and wellbeing. The facts are stark. Poor oral health is linked to heart disease, diabetes, respiratory infections and complications in pregnancy. Untreated tooth decay can cause severe pain, days lost from work or school, and a serious blow to confidence and mental health. Let us be honest: inequality runs through this story like lettering in a stick of rock. People on low incomes and those living in our most deprived areas are more likely to suffer the consequences of poor oral health and less likely to be able to escape them. Regrettably, the British reality in 2026 is this: children from our most deprived communities are still far more likely to be admitted to hospital for tooth extraction under general anaesthetic than anything else—an experience that is traumatic and, in many cases, entirely preventable.

I recognise that health is a devolved matter and that the four nations of our United Kingdom have taken different approaches to organising and funding NHS dentistry. In Wales, new contract models focused on prevention and patient-centred care are being piloted. Yet, as I understand it, patients still report serious difficulties in finding an NHS dentist and securing regular check-ups.

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[The Minister for Care (Stephen Kinnock)]

I congratulate the hon. Member for North Down (Alex Easton) on securing this important debate. I thank him for his work to raise awareness of the challenges facing dental patients in his constituency and across the United Kingdom. It is vital that we work together, across the four nations of the United Kingdom, to tackle the long-standing problems that adults and children have been facing in accessing an NHS dentist when they need one. I also thank other hon. Members and hon. Friends for their powerful contributions to the debate. I know that access to dentistry is a matter of continuing concern for Members and their constituents.

The concerns Members have raised support the many testimonies I have heard directly from patients, dentists, members of the wider dental team, and their representatives. In July 2024, we inherited a dental system in crisis. That is evident in the adult oral health survey of 2023, which provides the first picture of adult oral health in England for more than a decade, and shows poor oral health in adults. Among adults with their own teeth, over two fifths—41%—showed evidence of obvious decay, 93% had some form of gum disease, and 19% had one or more potentially urgent dental conditions. This Government are determined to fix that.

Our 10-year health plan confirms our commitment to transforming NHS dentistry so that it is fit for future generations. We have established a platform for future success by reducing the NHS dentistry underspend from £392 million in 2023-24 to just £36 million. The decrease in underspend is leading to an increase in NHS dentistry, but I absolutely accept that there is still a long way to go. Over the past 18 months, the Government have made great strides in improving NHS dentistry, not just for patients but for the dental workforce delivering oral care to our nation. My immediate priority when taking up this ministerial post was to ensure that people who need an urgent dental appointment are prioritised and able to access the care that they need quickly. It is essential that we direct care towards those who need it most.

We all have a duty to reduce health inequalities, which are sorely felt in NHS dentistry. That is why, since last April, we have been making extra urgent dental appointments available to ensure that patients with urgent dental needs can get the treatment they require. Those extra appointments are available across the country, and are more heavily weighted towards the areas in which they are needed most. We are also incentivising high street dentists to offer further appointments in order to maximise availability for those in need of urgent care.

We recognise that access to NHS dental services remains a challenge in certain parts of the country. In addition to our urgent appointments, integrated care boards are recruiting dentists through the dental recruitment incentive scheme—known as the “golden hello” scheme. That initiative offers a financial incentive to encourage dentists to work in underserved areas for a minimum commitment of three years.

This Government have heard dentists’ concerns that they do not think the current dental contract is fit for purpose. Talks are under way, including with the British Dental Association, to scope our plans for potential changes. We remain open-minded and keen to consider how different payment models could best improve the delivery of care to dental patients. In reforming the dental contract, we want to focus on matching resources to need, improving access, promoting prevention and rewarding dentists fairly. We also want to enable the whole dental team to work to the top of their capabilities.

But reforming the dental contract is a significant challenge, and there are no quick fixes or easy answers. That is why in our 10-year health plan, we committed to fundamental reform of the dental contract by the end of this Parliament, with significant steps in 2026-27. Talks are under way with the British Dental Association, and we are making progress on these matters.

In addition to delivering fundamental contract reform over the longer term, we have already made significant progress through our 2026 reforms. We held a public consultation last summer on changes to the current NHS dental contract to address the pressing issues that dentists and dental teams said they were experiencing. The Government’s response, published in December, took account of the views of the dental sector as well as people with lived experience. Our reforms will utilise the existing dental contract to deliver the right care to the right people, while incentivising dentists to provide more NHS care. By prioritising patients with the greatest needs and making more efficient use of dentists’ time, the changes will ensure that the NHS dentistry budget delivers value for money for the taxpayer.

From 1 April, we will start to implement the reforms. For the first time, we are introducing provisions in the dental contract to embed urgent dental care appointments, making it easier for patients to access this care. We are increasing payments to dentists to deliver that care from £42 on average to £75 for that unit of dental activity. We are providing new treatment pathways for patients with complex treatment needs, paid at a set fee of around £250 or £700 depending on the pathway, while enabling and encouraging dentists to deliver more preventive care. These reforms will make full use of the existing dental contract, to ensure that patients receive the right care at the right time, while creating clear incentives for dentists to provide more NHS care. As I say, they will kick in from 1 April.

England has more than 38,000 registered dentists, of whom 10,700 are full-time equivalent general dentists delivering NHS care. As we take forward our reform programme to rebuild NHS dentistry, we are clear that strengthening the workforce is key to achieving our ambitions. This Government are committed to publishing a 10-year workforce plan to set out actions to create a workforce that is ready to deliver the transformed service set out in our overall 10-year health plan.

We are taking steps to increase the capacity of our dental workforce. As announced in our 10-year health plan, we will make it a requirement for newly qualified dentists to practise in the NHS for a minimum period. We intend that minimum period to be at least three years. That will mean more NHS dentists, more NHS appointments and better oral health.

[Adrian Ramsay]

I thank the Minister for highlighting the need for the dental workforce to be strengthened. We have a dental desert in East Anglia. The University of East Anglia stands ready to open a new dental school. It has permission from the General Dental Council but is awaiting the funded undergraduate dental places that will be needed to start training new dentists from 2027. Can the Minister set out how those places will be made available on the basis of regional need, so that dental deserts such as the east of England can start to build a sustainable dental workforce?