Oral Answers to Questions

Adrian Ramsay Excerpts

Tuesday 14th April 2026 Commons Chamber

[Karin Smyth]

These organisations play an important role. We are making sure that they are treated fairly, and are supported to play a bigger role. They will be supported by the forthcoming plan for voluntary, community and social enterprise spending targets to 2028, and a combined action plan for small and medium-sized enterprises and VCSEs. That will include measures to ensure clearer visibility of opportunities, earlier market engagement, proportional financial and evaluation requirements, and a strong performance on prompt payment across the health system.

[Adrian Ramsay (Waveney Valley) (Green)]

T6. The British Dental Association has highlighted that current budgets allow just 39% of adults to access NHS treatment within a two-year period. Is that really the height of the Government’s ambition, and if not, what access percentage are the Government aiming for?

[Stephen Kinnock]

We are working closely with the BDA on long-term contract reform. It has to be about getting the balance right, so that dentists are incentivised to do NHS dentistry and we maximise access. A public consultation on fundamental contract reform is coming before the summer, and I am sure the hon. Member will want to take part in it.

Oral Answers to Questions

Adrian Ramsay Excerpts

Tuesday 24th February 2026 Commons Chamber

[Stephen Kinnock]

We come to this Chamber month in, month out for these oral questions but we never hear an apology from those on the Opposition Benches for the mess in which they left NHS dentistry. For the Conservatives, sorry really does seem to be the hardest word.

With regard to the hon. Gentleman’s question, we have delivered 1.8 million additional appointments between April and October 2025, compared with the same period before the general election. I would be happy to furnish him with the precise numbers of how many more have been provided in his constituency and his ICB area. He can watch his post box for that information.

[Adrian Ramsay (Waveney Valley) (Green)]

The Daily Mirror reports that of the nearly 1 million urgent dental appointments that have been commissioned by integrated care boards since April, 900,000 have not been taken up because of strict rules around the scope of treatment. Meanwhile, in my constituency and around the country, too many people are going without the treatment that they need. Will the Minister update us on when the Government expect to meet their targets on urgent appointments?

[Stephen Kinnock]

Our manifesto commitment was about improving access to urgent dental care, and that is precisely what we have done by commissioning hundreds of thousands of additional urgent treatments. It became clear as we were working through that process that the clinical definition was too narrow and out of step with the common-sense interpretation, so we acted on the advice of the chief dental officer and broadened the definition. From this April, urgent care will be embedded in the contract, and of course we continue to work with the sector on long-term contract reform.

National Cancer Plan

Adrian Ramsay Excerpts

Thursday 5th February 2026 Commons Chamber

[Ashley Dalton]

I thank my hon. Friend for his question and offer my condolences on the loss of his Auntie Hillary. Yes, this plan is designed to ensure that an extra 320,000 people at the end of the course of the plan will have had their lives saved or be living well with cancer after their five-year diagnosis. We want to make sure that everybody gets that opportunity, regardless of where they live.

[Adrian Ramsay (Waveney Valley) (Green)]

I welcome the national cancer plan, and in particular the Minister’s focus on early diagnosis and ending the scandal of postcode inequality. Cancer Research UK has highlighted that limited funding could significantly impact on progress against the plan, so can the Minister assure us that she is allocating funding in order to meet her own rightful ambitions, and say whether she is engaging with Cancer Research UK and others in the sector on the funding that is needed?

[Ashley Dalton]

Yes, I can confirm that, but it is not always about throwing extra money at things. It is about using the resources that we have in a better, more targeted way to be more impactful. I have worked with Cancer Research UK from day one of developing this plan and it has run right the way through it. We continue to work with the organisation as we move forward to make the plan a reality.

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.

--- Later in debate ---

[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?

ADHD Diagnosis

Adrian Ramsay Excerpts

Tuesday 20th January 2026 Westminster Hall

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

It is a pleasure to serve under your chairship, Ms Vaz. I thank the hon. Member for Sefton Central (Bill Esterson) for securing this important debate.

Delays and problems relating to ADHD diagnosis are not just a marginal administrative issue, but a profound failure of our system to meet medical needs early, effectively and equitably. For too many children and adults, long waits for diagnosis can negatively shape their entire life trajectory, harming their educational attainment, mental health, employment prospects and personal relationships.

NHS estimates suggest that 2.5 million people in England have ADHD, including nearly half a million children and young people, yet demand continues to vastly outstrip capacity. In September 2025, over 60% of both adults and children had been waiting more than a year for an ADHD assessment.

In my constituency of Dewsbury and Batley, Rachel reached out to me rightly outraged at an 18-month wait for ADHD assessment, with Kirklees council working through a backlog from November 2022. Another constituent, Laura, has spoken about her difficulty accessing medication even after diagnosis. The pressure on councils has been increasing on all fronts, with funding decreasing at the same time over the 14 years of the previous Government. I am not blaming the councils, but they do need support.

[Adrian Ramsay (Waveney Valley) (Green)]

I thank the hon. Member for giving way. He makes the point very strongly that long waiting times mean that children are being left behind. As we have heard, it was revealed last week that many integrated care boards are capping the number of assessments without telling GPs or patients. Does the hon. Member agree that a child’s access to diagnosis and support should not depend on where they live or whether their parents can afford to go private?

[Iqbal Mohamed]

I completely agree. We hear the phrase “postcode lottery” a lot, and we should not have a postcode lottery in our country for access to essential healthcare and educational services. Everybody should have equal access to the support that is available to other people, without having to go private.

The consequences of these delayed assessments are stark. Families are pushed towards private assessments they cannot afford, entrenching a two-tier system that makes a mockery of the NHS’s spirit of free care at the point of use by rendering access contingent upon income.

The Justice Gap also reports that around 25% of prisoners have ADHD, with many entering the system having not been diagnosed. They are more prone to reoffending.

I will conclude to give time for other colleagues to speak. I urge the Government to look at this issue holistically, as mentioned by the hon. Member for York Central (Rachael Maskell), and provide support for children, adults and offenders. I believe that investment would render a greater return.

Budget Resolutions

Adrian Ramsay Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Adrian Ramsay (Waveney Valley) (Green)]

This Budget was billed as a plan for renewal. In Waveney Valley, renewal is measured by what people actually feel: lower bills, better services, affordable local food and the protection of our irreplaceable natural environment, yet Kevin, a trustee of the Waveney food bank, told me a few days ago that demand continues to grow, reflecting hardship nationwide. Trussell reports that around 14 million people, including 3.8 million children, faced food insecurity last year. Scrapping the two-child limit in universal credit is very welcome indeed, and something I have long called for, but it alone cannot tackle structural poverty.

The Budget raises £26 billion, but most is held back to expand fiscal headroom rather than easing household pressures. Threshold freezes hit low and middle-income families, creating a disproportionate burden on ordinary households, while the wealthiest are still not paying their fair share. Opportunities to tax extreme wealth have been missed, and this decision punishes the many to protect the privileges of the few while families and public services continue to struggle.

Schools are facing severe financial pressure. Headteachers in my constituency report cutbacks to subject options and support services, and recruitment and retention remain challenging. Special educational needs are under particular strain. Demand for special educational needs and disabilities services has doubled, with deficits rising from £6.6 billion to £13.4 billion in three years and councils warning of insolvency. Thousands of children face long waits for assessments, and schools must meet needs without sufficient staff, training or funding. Urgent action is needed to stabilise SEND and schools funding in order to improve access and support.

The Budget was also a missed opportunity for farmers already struggling with rising costs and succession pressures. Agricultural property relief remains capped at £1 million per person, hitting ordinary family farms rather than the people I know the Government are trying to target: those buying up farmland to avoid tax. Along with experts such as Dan Neidle, I have argued that the APR threshold should rise to around £10 million to clamp down on tax avoidance without penalising family farms that make little money day to day.

Core farm costs have also been frozen. The environmental land management schemes remain underfunded, complex and difficult for smaller farms to access, preventing investment in nature restoration, climate-resilient practices and improved animal welfare. The sustainable farming incentive remains closed to new applicants, stalling access to properly funded schemes that are essential for environmental protection and a secure food supply.

The Budget promises 250 new neighbourhood health centres, which I very much welcome—they could restore rural services, and I look forward to seeing them in market towns across Waveney Valley—but there is no clarity on what it will mean for dentistry, which is already at a crisis point. Financing the health centres through public-private partnerships raises concerns and questions about long-term costs given the failures of PFI. Public investment must serve patients, not private profit.

This Budget makes promises with some welcome elements, but does not deliver the scale of renewal that our country needs. Public services are stretched, farmers are struggling, schools and councils face unsustainable pressures, and families across Waveney Valley continue to battle hardship. Kevin at the Waveney food bank hopes that one day he will be able to close the food bank for good, but on the basis of this Budget, there is a long way to go.

Oral Answers to Questions

Adrian Ramsay Excerpts

Tuesday 21st October 2025 Commons Chamber

[Dr Ahmed]

I am very grateful to my hon. Friend for sharing her personal experiences, and I would be delighted to meet her.

[Adrian Ramsay (Waveney Valley) (Green)]

I welcome the approval of plans for a new dental school at the University of East Anglia. What arrangements and incentives will the Minister put in place to keep dental graduates in the most poorly served areas, such as my constituency of Waveney Valley?

Oral Answers to Questions

Adrian Ramsay Excerpts

Tuesday 22nd July 2025 Commons Chamber

[Ashley Dalton]

NHS England has worked with key stakeholders to develop a framework to aid integrated care systems to commission high-quality services for children and young people with cerebral palsy, including as they transition to adult services. Guidance from the National Institute for Health and Care Excellence on cerebral palsy in the under-25s also sets out key considerations in transition planning.

[Adrian Ramsay (Waveney Valley) (Green)]

Data published last week shows that despite the Government’s initial action, the proportion of dentists working in the NHS in Norfolk and Waveney continues to drop. I am pleased to hear about the Government’s work on the dental contract, but the Public Accounts Committee is clear that this will work only if it is backed by sustainable funding. I will give the Minister another chance to answer the question: will the Government ensure that the extra funding that has been put into the Department is actually reflected in extra funding for NHS dentistry?

[Stephen Kinnock]

One thing that I made clear to officials when I came into this post was that every penny that is allocated to NHS dentistry must be spent on NHS dentistry. We are in a crazy situation where demand for NHS dentistry is going through the roof, yet we have had underspends. That needs to stop. We will focus the spending on where it is most needed, including areas that are under-served, such as the hon. Gentleman’s constituency.

Oral Answers to Questions

Adrian Ramsay Excerpts

Tuesday 17th June 2025 Commons Chamber

[Stephen Kinnock]

We have provided hospices in England with a record £100 million in capital funding, as my hon. Friend will know. ICBs are responsible for commissioning palliative and end-of-life care services, including hospices, to meet the needs of their local populations. NHS England has published statutory guidance to support that. I would of course be more than happy to meet my hon. Friend to discuss that further.

[Adrian Ramsay (Waveney Valley) (Green)]

The British Dental Association recently published analysis showing that the proportion of NHS funding spent on dentistry more than halved under the Conservatives, who failed to account for inflation and demand to the cost of £1 billion. It is no wonder that we have dental deserts across much of the country. Will the Secretary of State ensure that dentistry receives its fair share of funding from the new NHS funding allocated in the spending review?

[Stephen Kinnock]

The hon. Gentleman is absolutely right to point to the neglect and incompetence of the past 14 years. We are fighting to get NHS dentistry back to where it needs to be. An important first step, of course, is the 700,000 additional urgent appointments and supervised tooth-brushing programme, but long-term contract reform is what is needed, alongside the investment that will come through the spending review.

NHS England Update

Adrian Ramsay Excerpts

Thursday 13th March 2025 Commons Chamber

[Wes Streeting]

That is a brilliant question. We have put in place a transformation team, led by Sir Jim Mackey, which we will work with to start fundamentally changing the way the NHS works, by shifting more power, resources and responsibility out of Whitehall and closer to the frontline and the communities where decisions are made, and by getting rid of the unnecessary bureaucracy that drives patients and staff to distraction.

[Adrian Ramsay (Waveney Valley) (Green)]

I thank the Secretary of State for his statement. We all want to see a well-run NHS that delivers for patients, but as he knows, patients are being treated in corridors, staff are severely overstretched and too many people cannot get access to a GP or a dentist when they need one. In that context, I was concerned to read in the media last week that there are plans for £7 billion of cuts to services, and for ICBs to be asked to cut costs by 50%. Can he reassure us that, as we go into the new financial year, we will not see cuts to frontline services? When I meet the chief executive of Norfolk and Waveney ICB next week, will I hear that cuts to frontline services are being considered as a result of Government budgets?

[Wes Streeting]

The reports relate to the deficits sent into NHS England ahead of the 2025-26 financial year. Those are completely unaffordable for the NHS and completely unrealistic. Those financial plans are being revised as we speak, which is why leaders have gathered in London today to receive that message and that set of instructions. I am asking frontline leaders to improve services and reform ways of working, and they will have my support in doing that. As for the resources that are going in, I gently point out that the investment that the Chancellor unlocked for the NHS and social care in her Budget dwarfs that which was promised in the Green party’s manifesto.