Access to NHS Dentistry

Caroline Voaden Excerpts

Thursday 22nd May 2025 Commons Chamber

[Caroline Voaden (South Devon) (LD)]

NHS dentistry is in crisis, and South Devon is no exception. According to the Nuffield Trust, it is now at

“its most perilous point in its 75-year history.”

Parents are pulling out their children’s teeth at home. Pensioners are travelling abroad for basic dental treatment. Hundreds of people in the dental desert of South Devon have simply given up hope of ever seeing an NHS dentist again.

Last year, 13 million adults across the country could not get an NHS dental appointment—more than one in four. In my constituency, the situation is even worse. Over 60% of adults and 50% of children in Devon have not seen a dentist in the past two years. No local practices are accepting new NHS patients, and waiting times can stretch into years.

The crisis is driven by an underfunded and outdated system that is pushing professionals out. In England, NHS dentistry receives just £38 a head. In Scotland, I am told that it is nearly double that. Each year, hundreds of millions of pounds in dental funding goes unspent, not because it is not needed, but because dental practices cannot recruit or retain staff under the current contract.

The rigid contract system is also preventing dentists coming up with innovative ideas, such as a proposal for a no-frills, low-cost dental service in Dartmouth in my constituency that got nowhere because of NHS red tape. I ask the Minister when will we hear about a reformed dental contract?

The Dental Defence Union has highlighted other issues that are contributing to the collapse. One major concern is falling morale among dental professionals. In a 2022 survey of nearly 500 dental staff, 86% reported experiencing increased workplace pressures over the past two to three years—a clear signal that the working conditions are driving people out of the profession.

Dentists are also losing money to provide NHS care. For every denture they fit, they are out of pocket by more than £40. No wonder over 60% of NHS dentists say they plan to leave. We need urgent action. That is why the Liberal Democrats are calling for real reform. We are campaigning to end dental deserts and to guarantee access to an NHS dentist for everyone who needs urgent or emergency care. Our dental rescue package would bring dentists back to the NHS by fixing the broken contract and using flexible commissioning to meet local needs.

We want an emergency scheme to ensure free NHS check-ups for those who are already eligible, such as children, new mothers, pregnant women and people on low incomes. We are also calling for guaranteed access to dental care for anyone needing treatment before chemotherapy.

The longer this goes on, the worse it gets. South Devon needs proper dental care, not more delays. Yes, preventive dental care costs money, but prevention is always better and cheaper than cure.