Covid-19: Dental Services

Barry Gardiner Excerpts

Thursday 14th January 2021 Commons Chamber

[Barry Gardiner (Brent North) (Lab) [V]]

The Book of Proverbs says:

“Confidence in an unfaithful man in time of trouble is like a broken tooth.”

We are in a time of trouble and there are lots of broken teeth. While I make no aspersions about the fidelity of the Prime Minister, I can tell him that confidence in his Government, even before covid, was already at an all-time low with the dentists I speak to in Brent. There has been a total lack of investment in dental laboratories, a failure to recruit and train dental technicians, flawed dental contracts and chronic underfunding.

My hon. Friend the Member for Putney (Fleur Anderson) has lucidly set out the key demands of the British Dental Association: abandon the activity targets; support practices to increase the number of patients they can see safely; prioritise access to the vaccine; safeguard the supplies of PPE; and extend the business rates holidays to dentists. I will not rehearse and repeat her excellent arguments; I want to give voice to the frustration felt by the dentists who continue to serve my constituents in Brent so well.

The BDA has catalogued the failure to properly communicate with the public, but what I had not appreciated until I spoke with my local dental committee is just how poor the Government’s communication with dentists themselves had been. I quote from their letters. One said that

“dental services have often been treated as an afterthought with no understanding of the NHS contract imposed on the profession. Dental practitioners found out in May on the news, at the same time as patients that they were to reopen in June…The panic and frustration this caused is deplorable. Dental practices, despite being high risk because of the aerosol generating procedures, were not able to access PPE from the Government portal until September and the vital FFP3 masks were not added to that until November. It is clear that little thought, if any, had been given to dentists and their teams.”

One dentist wrote:

“When on the 8th June our high street practices in England were allowed to resume face-to-face care, the reality of what a new normal might look like hit…fallow time means the number of patients able to be seen is significantly reduced. It was anything but ‘business as usual’. I ask myself, at this time, what would be the worst thing to impose on dental practices? Very high up on my list would be precisely what the government has decided to impose—targets. The emphasis on targets from the NHS clearly prioritises a metric and finance over patient interest. To achieve targets, footfall would have to increase and non-urgent patients be prioritised.”

My local dental committee tells me:

“Many practices are already finding the conflicting strain too much, and this comes on top of the emotional and physical drain of wearing full PPE for hours every day…The imposition of a target at this time serves no purpose whatsoever other than to destabilise, perhaps terminally, NHS dental provision, and to demoralise an already exhausted profession further.”

Covid-19 has been felt most severely by those who were already more likely to have poor health outcomes—

[Mr Deputy Speaker (Mr Nigel Evans)]

Order. Sorry, Barry; we are going to have to leave it there because we have run out of time. I will call James Wild next, and then hopefully we will get Scott Mann back on the line.