SEND Provision: East of England

Debate between Clive Efford and James Wild

Tuesday 8th October 2024 Westminster Hall

[James Wild]

No; the point I am making is that there are children in schools who will be hit with a very unfair tax of 20%—a charge that their parents will have to pay. That seems to be completely disregarded by the Labour party, which is disappointing, to say the least.

To conclude, the last Government set out a comprehensive package of reform, after a lot of work with the sector. During a debate here in September, the Minister said that the Labour Government were determined to fix the SEND system—alleluia to that. I hope that we will hear much more today about the Minister’s plans for practical action to be taken, rather than her talking about the last 14 years.

The Minister also referred on that occasion to the importance of working together. I will abuse my position to remind her of an invitation that has gone to her and the Education Secretary to join Norfolk MPs and members of Norfolk County Council who are coming to Westminster tomorrow, specifically to talk about SEND. I helped to push for that meeting and I hope that the Minister might be able to come along, even briefly, to hear about some of the challenges that we face. Ultimately, every Member here wants to ensure that children and families in their constituency get the support to realise their potential. I look forward to hearing her comments.

[Clive Efford (in the Chair)]

I would like to call the mover of the motion at two minutes to 4. If you can remember that, Minister, you will do me a big favour.

Access to NHS Dentistry

Debate between Clive Efford and James Wild

Thursday 10th February 2022 Westminster Hall

[James Wild (North West Norfolk) (Con)]

I congratulate the hon. Member for Bradford South (Judith Cummins) and my hon. Friend the Member for Waveney (Peter Aldous) on securing this important debate. Our constituents in Norfolk and Waveney face similar challenges in getting access to NHS dentists.

This is a long-running problem, which my predecessor also pursued following the closure of a dentist in Snettisham. I raised this issue in my maiden speech and I have focused on it ever since due to the inadequate provision in west Norfolk. Of course, the restrictions put in place during covid have further reduced access, as others have said. The British Dental Association estimates that 40 million appointments were lost overall, but the situation before covid was poor.

The National Audit Office found that my constituency had the lowest number of dentists per head in the country. Moreover, Norfolk had the lowest level of dental activity delivered in the country, with only 65% of contracted NHS activity delivered compared with the national median figure of 96%. My right hon. Friend the Member for Basingstoke (Mrs Miller) also made that point. And, at 17.5%, Norfolk had the highest percentage of people who were unsuccessful in trying to get an NHS dental appointment.

Since being elected I have met the NHS East of England team regularly to press for better access to dentists, particularly following the closure of the mydentist practice in King’s Lynn. I am pleased that those discussions led to a procurement process, which, although delayed by covid, took place from summer last year, and that that procurement has been successful, with the NHS having just announced two new contracts for Smile Care Norfolk to increase access to dentists in King’s Lynn. I want to put on the record my thanks to the NHS East of England team for its efforts in successfully completing the procurement, which will mean that from 1 July my constituents will have better access.

As my hon. Friend the Member for Waveney said, it is disappointing that Fakenham and Thetford have not been successful in the procurement process. If my hon. Friend the Member for Broadland (Jerome Mayhew) catches your eye, Mr Efford, I am sure that he will speak about that.

Members have also touched on the supply of dentists. Office for Students figures show that there were 895 dental students in 2020, rising to 983 in 2020, compared with 810 in 2019. The 2022 intake, however, is just 809. Given the challenges in dentistry provision, we should be increasing that number, not reducing it. We should consider measures that enable those who are undertaking training to spend time in those areas where coverage is weakest. We should also be more direct and require those who have qualified to spend time in those areas as well.

I note that none of the 11 dental schools in England is in East Anglia. Given the low levels of dental coverage, I join the hon. Member for York Central (Rachael Maskell) in putting in a bid for one in East Anglia, Norfolk, King’s Lynn, to help address that gap.

Another issue that has been raised is that the contract dates from 2006. My hon Friend the Minister candidly referred to it last month as a “disastrous contract” with perverse incentives—or disincentives—for NHS dentists to take on NHS work. I am sure she will be able to update us on when new measures will be introduced to provide a greater focus on prevention and care for individual patients.

In conclusion, the new services coming to King’s Lynn are warmly welcome and will improve access. However, further reforms are needed, including to training and the contract, to ensure that people have the access to dentistry that they need and deserve.

[Clive Efford (in the Chair)]

You have all been very disciplined in keeping speeches brief, so I am grateful for that. We are well on time. I call Wera Hobhouse.