NHS Dentistry in England

Feryal Clark Excerpts

Wednesday 22nd June 2022 Westminster Hall

[Feryal Clark (Enfield North) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Stringer. I thank the hon. Member for St Ives (Derek Thomas) for securing this important debate and praise hon. Members for their powerful contributions, which contained a lot of personal experiences setting out just how dire the situation is across the country.

Here we are again. The problem with NHS dentistry has come up time and again over recent months. No matter how much the Minister wants to bury her head in the sand, issues with access to NHS dentistry are just not going away. The situation is a national scandal, as recognised by Members from across the House, by the sector and by our constituents, whose heartbreaking cases continue to fill our postbags. One cannot help but feel emotional at the immense pain people are having to live with.

Shamefully, we know that children are particularly badly affected. Half of all children in England have no access to an NHS dentist, with 78 children under 11 going to A&E every single day for a tooth extraction. The hon. Member for St Ives described a family with three children, none of whom had ever seen a dentist, with one child only seen because they had to go to A&E. In Wakefield, a fifth of children suffer from tooth decay before the age of three. This is not just unacceptable; it is a downright disgrace.

In yesterday’s debate, the Minister held her hands up and recognised the problem in primary care. Frankly, I was delighted to finally hear something akin to humility from the Minister on access to NHS dentistry. However, just as it seemed we would make some meaningful progress, the same old script was rolled out and the blame was laid at the door of the Labour party. I put it to the Minister yesterday, and do so again today, that her party has been in government for 12 years. When Labour was in government and saw that the contract was not working, we committed to reforming it, as set out by my hon. Friend the Member for Sheffield Central (Paul Blomfield), and put that in our 2010 manifesto, just as this Government did in theirs.

[Anthony Mangnall]

How does the hon. Lady explain the Labour performance in Wales, where dental practices are going down and the system is not being addressed? It is clear that the Labour party has no suggestions.

[Feryal Clark]

I thank the hon. Gentleman for his intervention. If he wants to know about Labour’s performance on the NHS, he should look at the performance of the Labour Government between 1997 and 2010. Waiting times went from 18 months to 18 weeks.

[Several hon. Members rose—]

[Feryal Clark]

I will make progress because I have a lot to say in only five minutes.

Here we are again. After more than a decade in power, the Conservative party has absolutely nothing to show for it, other than a record of complete and utter failure. The Tory Government made a commitment to reforming the contracts in their 2010 and 2017 manifestos, so I would be fascinated—as, I am sure, would other hon. Members—to hear from the Minister what on earth has been happening for the past 12 years. If she is happy to associate herself with that record, that is her decision, but I would be embarrassed and ashamed, to be frank.

The Minister is presiding over a national scandal. It is simply not good enough to keep shirking responsibility. Whenever the Government have had something that looks like a plan, it has been woefully inadequate. I am sure that the Minister will—as other Members have—tell us about the £50 million of extra funding that we have heard so much about, but if she thinks that it has made a blind bit of difference, she is very much mistaken. I have been made aware that Yorkshire and the Humber, for which £8.3 million was allocated, drew down just £2.3 million. Barely any of that money was used by general dentists; it was used predominantly by hospitals.

I would be grateful if the Minister could confirm or deny whether yesterday, after being asked about this matter by my hon. Friend the Member for Sheffield Central, her answer was simply that we should wait for the data. At best, we have had a mixed response on when we will receive the full breakdown of how much of that £50 million was taken up. Can she confirm whether we will receive that data before the summer recess?

If that funding was designed to regain the confidence of dentists and encourage them to increase their NHS activity, it has completely and utterly failed. Across England, the number of patients being seen by an NHS dentist actually dropped by 22% overall between March and April. As the Minister will be aware—I mentioned this yesterday—there was a 34% drop in her own constituency. I ask her again: how can she expect dentists across England to have confidence in her when it is clear that she does not even have the confidence of dentists in her own patch?

One way of building trust would be to communicate with the profession. Yet just eight days before the start of the next quarter, dentists have no idea of the targets that they will be working to. Can the Minister confirm whether that announcement will be left until the eleventh hour once again? Furthermore, can she confirm that, as the Secretary of State said yesterday, the target will be 100% of pre-pandemic activity?

Let me remind colleagues of a story that my hon. Friend the Member for Lancaster and Fleetwood (Cat Smith) told in yesterday’s debate. A constituent of hers came to her surgery and placed on her desk the teeth that he had pulled out of his own mouth with pliers. Does the Minister think that such stories, which are now disturbingly common, are acceptable in 21st century Britain?

I am sure that the Minister will say once again that the Labour party is just shouting from the sidelines and does not have any plans, but when it comes to NHS dentistry, her Government have nothing to show for their 12 years of shouting from the centre circle. “Shouting” is a generous description, in the light of the Minister’s refusal even to speak to dentists at the Association of Dental Groups conference just a few weeks ago.

This Government might have a track record of failure, but it does not need to be that way. It is time for meaningful action that will make a difference to patients. I look forward to hearing the Minister’s answers.

[Graham Stringer (in the Chair)]

We are not short of time, but will the Minster leave a minute or two at the end of her speech for the mover of the motion to wind up?

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

It is a pleasure to serve under your chairmanship, Mr Stringer. I thank my hon. Friend the Member for St Ives (Derek Thomas) for securing this important debate—even if it is two days in a row that we have highlighted some of these issues. I thank hon. Members on both sides for speaking on the matter.

I am slightly disappointed in the response of the shadow Minister, the hon. Member for Enfield North (Feryal Clark). In yesterday’s debate, it was acknowledged that in all four nations, no matter who is in charge—whether it is the Labour Government in Wales, the SNP in Scotland, or in Northern Ireland, where the Assembly is still being formed after the election—there are exactly the same problems. In my speech yesterday I made reference to the fact that in Labour-run Wales there has been a 71% reduction in dental activity in the last year. The shadow Minister spectacularly failed to answer the intervention from my hon. Friend the Member for Totnes (Anthony Mangnall) on that very point.

It is important to recognise that, yes, there have been problems since before covid, but covid has dramatically impacted—

[Feryal Clark]

Here we go.

[Maria Caulfield]

The hon. Lady says, “Here we go,” but it is important to recognise that for two years there were no routine appointments available due to infection control measures. We are now back up to 95% of activity, but the backlog that existed before is significantly larger than it was.

It is also important to recognise that the nub of the problem around covid has been the dental contract. The shadow Minister may not have heard what I said yesterday, but we have been negotiating a new contract with the BDA; we started those negotiations on 24 March, a final offer went to the BDA on 20 May, and we are awaiting its response. We have been in negotiations; we have not just been waiting for the work to be done. We expect to make an announcement before the summer recess—I said that both at oral questions last week and in the debate yesterday. We will be making an announcement in the coming weeks on those contract reforms.