NHS Dentistry: South-west

Claire Young Excerpts

Tuesday 12th November 2024 Westminster Hall

[Claire Young (Thornbury and Yate) (LD)]

I thank my hon. Friend the Member for Honiton and Sidmouth (Richard Foord) for securing the debate.

Last year, a staggering 58% of children in south Gloucestershire were not seen by an NHS dentist, despite the NHS recommending that under-18s see a dentist at least once a year. When we talk to dentists, however, that is not surprising. As we emerged from the pandemic, one local dentist stopped NHS work for all, including children. When I spoke to those at the practice, they were clear that the contract was at fault, but they also explained that they would have liked to continue NHS dentistry for children but NHS England in the south-west was not supportive.

The last Conservative Government failed to fix the broken contract, and the new Government have yet to show that they grasp the scale of the challenge. We are calling for an emergency rescue plan, including the use of the underspends that have been referred to today to boost the number of appointments.

I will mention a couple of examples from my inbox. The first I alluded to recently in the Adjournment debate on rural NHS dentistry led by my hon. Friend the Member for Chippenham (Sarah Gibson). A constituent who had to retire from his job due to health and mobility issues is entitled to free NHS dentistry, yet he was unable to find treatment anywhere near where he lives. Facing a dental emergency, he ended up having to seek private treatment, because of the pain he was in. He struggled to afford it, but felt he had no choice.

Later, my constituent experienced another painful dental issue. This time, when he contacted the NHS, he was told that there was provision but, because he was now registered, it was unavailable to him; it was available only to unregistered patients. As a result, he had to pay £95 for a small temporary filling at a private practice. He was then told he was not entitled to be enrolled as an NHS patient, as he was registered as a private patient with the practice. I hope the Minister will agree to look into that situation to ensure that everyone can get the care they need.

Another issue I will draw attention to is people missing appointments. A constituent of mine got in touch to complain that, although he is one of the lucky ones in the area who is still able to access dental treatment on the NHS, he was shocked to see a sign saying that 39 people had missed their appointment last month. Staff confirmed that that was the number of people who missed appointments at the practice with no warning or formal cancellation—and that is just one practice. They also said that number was actually quite low, and that it was regularly much higher.

Because those missed appointments were no-shows, not cancellations, the slots could not be offered to other people desperately in need. That resulted in the equivalent of more than eight days of lost work. That brings us back to the question of the contract and how we can make sure that dentists are rewarded for their time, because it adds to the problem of them not being remunerated in a way that enables them to continue NHS work. It is also a question of making the best use of limited resources. I welcome the Minister’s thoughts on how to ensure that happens.

Over 12 million people were unable to access NHS dental care last year. That is more than one in four adults in England, and three times as many people as before the pandemic. I echo the comments made by my hon. Friend the Member for Torbay (Steve Darling) about the challenges, particularly in rural areas, and look forward to hearing the Minister’s comments on that. We have been warning about the issues for years, yet there has been little decisive action to address the crisis. The British Dental Association has been pushing hard to get the Government to ditch the current failed dental contract and instead move to a more prevention-focused, patient-centred system that rewards dentists for improving the overall health of the communities they serve.

In short, I welcome the warm words from the Government on dentistry, but we need more than words; we need action. I urge this Government not to kick the can down the road as the previous Government did.