Dentistry: Access for Cancer Patients

Debate between Andrea Leadsom and Richard Foord

Wednesday 17th April 2024 Westminster Hall

[The Parliamentary Under-Secretary of State for Health and Social Care (Dame Andrea Leadsom)]

It is a pleasure to serve under your chairmanship, Mr Dowd. I congratulate the hon. Member for Stretford and Urmston (Andrew Western) on securing this really important debate on behalf of Michele and all the other petitioners. I would of course be delighted to meet Michele to hear her views, and I particularly take note of her call for all cancer patients to be advised of the potential impact of cancer treatment on their oral health. That is a really solid and actionable thing that I undertake to take away today. I look forward to meeting Michele and the hon. Gentleman in due course.

I wish to take this chance to pay tribute to the Mouth Cancer Foundation, the Oral Health Foundation and Dentaid, to name just a few of the excellent charities that provide support and advice to so many.

I thank all Members who have spoken in what has been an excellent debate. I say to the hon. Member for Tiverton and Honiton (Richard Foord) that I fully appreciate the challenges in Devon. He will no doubt welcome the fact that a mobile dental van, which will be quite a boost for very underserved and geographically distant areas, will be forthcoming for Devon in the near future. In addition, one of the real problems in Devon—this is not the hon. Gentleman’s fault at all—is that in his area on average only around 57% of commissioned units of dental activity are actually undertaken by dentists. I am sure he might like to talk to his local integrated care board about that, if I can help in any way, I would be delighted to.

As I will come on to talk about, our dental recovery plan attempts to incentivise further NHS dentists to really ramp up delivery. In fact, we have already seen hundreds of thousands of new dental treatments just since 1 March, when the plan went live. Unfortunately, the data is not publishable as yet, but I feel really optimistic. I totally understand what Members say about it being not good enough—I totally get that—but we are seeing rapid improvements and I encourage the hon. Gentleman to talk to his local ICB.

[Richard Foord]

On the Minister’s point about only 57% of the units of dental activity being taken up in Devon, is that not a workforce issue?

[Dame Andrea Leadsom]

No. How it works is that the ICB commissions dentists to provide NHS dentistry, and the NHS contractor undertakes to fulfil a number of units of dental activity. If they do not do that, for whatever reason, at the end of the financial year the ICB claws back the money they gave the NHS dentist to fulfil that contract. I am not judging anything; I am merely giving the hon. Gentleman information that I hope is helpful to him.

Air Quality in Towcester

Debate between Andrea Leadsom and Richard Foord

Wednesday 19th October 2022 Commons Chamber

[Dame Andrea Leadsom]

Thank you, Madam Deputy Speaker.

I was describing Towcester, a beautiful town in the heart of my South Northamptonshire constituency. It is an idyllic scene until the traffic starts. Most days, and sometimes all day, cars queue down the A5 Watling Street, which is the high street through Towcester. Buses cannot pass the cars parked either side, and worst of all, whenever the M1 or the M40 are up the creek, which can happen at any point during the day or night, we have heavy goods vehicles squeezing their way through the narrow gap between parked cars. They often have to drive on to the pavement with air brakes wheezing, tooting their horns to each other to signify, “You first.”, “No, you first.” I will never forget the day, when my son was 12, that we were walking past the town hall where the pavement narrows to only two feet wide. He dropped a ball into the road and leant out to catch it just as an HGV came past. I grabbed him, but if I had not, that would have been the end of him.

HGV drivers have little concern for busy families with pushchairs or elderly residents crossing the street with walking sticks. The only crossroads in the town is at the historic Saracens Head pub, mentioned in Charles Dickens’s, “The Pickwick Papers”. Back in the day, as a coaching inn, it would have been a beautiful stop-off point for travellers, but now, having a pint in its pub garden is akin to having a beer alongside several gallons of diesel fumes. This road is unbelievably unsuitable for the size and volume of traffic that is using it, and quite apart from the obvious dangers for cyclists and pedestrians, the traffic is having an appalling impact on Towcester’s air quality, noise levels and quality of life for residents.

Towcester has been in need of a ring road for probably 50 years, and since becoming MP for South Northamptonshire in 2010, resolving that issue has been one of my main local priorities. The beauty of the town drew the eye of Persimmon Homes, which agreed to build a relief road for the town, among other things, in return for planning permission for more than 2,000 new homes on the edge of Towcester. I am no nimby and neither are my constituents. The new housing has been welcomed, and new residents are enjoying the lovely independent retail offer of Towcester, as well as the stunning walks through parkland that used to belong to the Easton Neston estate. As always seems to happen in these situations, the houses are being built at breakneck speed, but after 12 years of my beating down the door of National Highways, the local council, the Department for Transport and Persimmon, we have somehow only managed to achieve a road to nowhere. I have a meeting with them all together once a month; everyone is keen to get the job finished, but as hon. Members can imagine, the sparks occasionally fly.

The relief road will ultimately join the A5 with the A43 as a bypass to the town centre. After years of negotiation, the DFT has agreed that signage will push traffic out of the town and on to the relief road. A new consultation is also under way to improve the look and feel of Towcester town centre and put traffic calming measures in place. The future for Towcester is promising, but that happy vision is probably the best part of two years away or more.

The centre of Towcester was declared an air quality management area as long ago as September 2005. Since then, pollution levels have steadily got far worse; they are currently well above the target level set by the Government. West Northamptonshire Council wrote to all residents of Watling Street and the surrounding areas in March 2021 about air quality, reminding them that their properties fall within an air quality management area and that they might wish to reduce the amount of air pollution to which they are exposed. I am absolutely certain that they all agree.

One of the specific measures that the council proposed was to keep windows adjacent to the road closed during peak traffic periods and to ventilate homes as much as possible through windows that face away from the primary traffic route. You can imagine how residents felt about that advice, Madam Deputy Speaker. Quite rightly, many constituents have contacted me to ask why help in the form of the relief road is not being expedited. They also want to know what we can do in the meantime to protect local people from the damage that is being done to their lungs.

[Richard Foord (Tiverton and Honiton) (LD)]

Average levels of asthma and chronic obstructive pulmonary disease are higher in my part of Devon than across the rest of England. Congestion in Cullompton would be eased by a relief road and by the reinstatement of a railway station. Does the right hon. Member agree that railway stations and relief roads can improve air quality?