NHS Dentistry: South-west

Anna Sabine Excerpts

Tuesday 12th November 2024 Westminster Hall

[Anna Sabine (Frome and East Somerset) (LD)]

I thank my hon. Friend the Member for Honiton and Sidmouth (Richard Foord) for securing the debate. As the MP for a rural constituency in Somerset, I do not need to repeat the well-known fact that the south-west is one of the worst dental deserts in England.

As a mum, and as someone who received excellent dental care as a child because my grandad was a dentist, I particularly worry about the effects on children. With such a scarcity of NHS practices accepting new patients and with the rising cost of living, working families simply cannot afford to go private. More often than not, that means that parents have to unwillingly forfeit their children’s health.

This is a topic that people care about up and down the country. The regular emails I receive about it from my Frome and East Somerset constituents normally describe the same regrettable situation: they cannot get a space, there is no room anywhere in the vicinity and they are forced to go to hospital. However, one recent casework email was particularly stark: it was from a retired man and his wife who have recently become kinship carers for their two grandchildren following the sudden death of their daughter. Although one child had “luckily” already started orthodontic treatment prior to their mum’s death, the grandparents cannot find a single NHS practice that will onboard the other child. They receive the state pension and one child benefit. Luck should never be a factor in the question of children’s health, let alone set two siblings apart. NHS dentistry should be there to level the playing field and give access to all, regardless of background or family set-up.

I know from having met local dentists and national dentist groups that the growing consensus is that there are two reasons why there are so few spaces in NHS dental practice. One reason is budget; the other is the availability of NHS dentists, many of whom are leaving the NHS or leaving dentistry altogether because of low morale and stress. Recruitment is already difficult, but retainment is even more so. NHS dentistry has been chronically underfunded. The UK spends the smallest proportion of its health budget on dentistry of any European nation, and England spends almost half less per head than other parts of the UK.

Just as working families in the south-west are struggling with the rising cost of living, high inflation, energy costs and the cost of everyday household items, so are NHS dental practices. The chronic underfunding has coincided with rising overheads. Most notably, the rise in employer’s national insurance contributions announced in the Budget will have a severe impact on NHS dental practices, which are already on their knees. That tax rise will significantly affect health and care services for patients. The Liberal Democrats fear that it will only make the crisis in our NHS and social care sector even worse.

We have urged the Chancellor of the Exchequer to urgently rethink the rise in employer’s national insurance contributions, either by cancelling it for all employers or at the very least by exempting those employers that provide vital health and care services, including GP services, dentists, social care providers and pharmacies. Without that exemption, the health and care crisis will only worsen and regional disparity will widen. Children in the south-west region will depend on good fortune. Parents will feel helpless and will be forced to make sacrifices. It risks setting apart and setting back thousands of children.

Access to Primary Healthcare

Anna Sabine Excerpts

Wednesday 16th October 2024 Commons Chamber

[Anna Sabine (Frome and East Somerset) (LD)]

Before I make some brief comments about dentistry, I must say that some Government Members seemed genuinely confused about our claims that the Liberals had anything to do with the founding of the NHS. I urge them to google the Beveridge report.

My grandfather was a dentist, so as a child I was privileged enough to have access to dental care as and when I needed it, although when I was eight I did fall down the stairs at his surgery and break my arm while he was doing my dad’s fillings, so possibly his health and safety was not as good as his dentistry. Many children nowadays do not have the same access to dentistry as I did as a child. In the past year in Somerset, the percentage of children seen by a dentist was just 42%, when the English average is more than 55%. The percentage of adults seen in the past two years is still only 32%.

The Darzi review revealed that only about 30% to 40% of NHS dental practices are accepting new children and adult registrations. That is leaving many with no option but to go private. My constituency of Frome and East Somerset is also considered a dental desert. It is predominantly rural, which means that access to services is even more limited. The lack of public transport means that accessing dental services is difficult already, and with practices not taking on new patients, they are pushed even further afield. I had an email from two constituents from Frome earlier this month. They have been unable to see an NHS dentist for four years due to a lack of availability for new patients. They said in their email that

“it not only affects our oral health, but contributes to broader health issues that can arise from neglecting dental care”,

and they are anxious about potential long-term impacts.

Getting a dentist appointment should never be as hard as it is now, and I urge support for our motion to help reduce dental deserts and rescue NHS dentistry from disaster.