Healthcare Provision: East of England

Jess Asato Excerpts

Tuesday 3rd September 2024 Westminster Hall

[Jess Asato (Lowestoft) (Lab)]

I thank my hon. Friend the Member for Norwich South (Clive Lewis) for securing a debate on such an important issue, which I know is close to the hearts of all our constituents.

The NHS is clearly in crisis. Those who can afford to go private do so, while everyone else is forced to linger on long waiting lists. My constituents are frustrated, sometimes to the point of giving up waiting for urgent operations—and sometimes just for GP appointments. Lowestoft hospital in my constituency was closed a decade ago. The building now lies empty without a replacement, and we continue to wait for a long-term solution that benefits the community. As has been mentioned, the James Paget University hospitals rebuild is desperately needed. It is one of the two hospitals worst affected by RAAC—reinforced autoclaved aerated concrete—in the country.

It seems clear that the crisis in the NHS is no longer just an issue of funding and that investment must be coupled with reform to fundamentally improve health outcomes. I have been impressed, for example, by East Coast Community Healthcare, a staff-owned social enterprise that provides community-based NHS healthcare across Norfolk and Suffolk. ECCH demonstrates that things can be done differently, and that technical solutions and the freedom to innovate can allow providers to do more with the same funding and operate a system that is able to absorb rises in demand.

We sorely need to improve experiences of NHS care. For many, it has become something of a nightmare. I will focus on dental health. My constituents are particularly concerned about their inability to access NHS dentistry, and rightly so. Over the past 14 years, as we have heard, areas such as mine have become so-called dental deserts. As it stands, east Suffolk ranks seventh out of the 39 districts in the east of England for the lowest number of dentists.

Even where dentists are practising, residents find it impossible to get an appointment. In 2022, it was found that not a single dental practice in Suffolk was accepting new NHS patients. I have talked to far too many of my constituents who have been forced to rip out their own teeth. As we have already heard, that is happening right across East Anglia, and that is why I made improving access to dentistry one of my six election pledges. Although some progress has been made by the formation of the Norfolk and Waveney integrated care board, it is the dental system itself that is holding the NHS back from making improvements to accessibility. We currently have a system that does not work for patients or dentists. A survey by the Dental Defence Union of its members found that 41% are looking to reduce their hours and 31% are planning to leave the practice or retire early because of the sheer pressures of the system.

As NHS dentistry crumbles, I am particularly concerned about the impact on our children and young people. Data shows that almost a third of the 100,000 people who are admitted to A&E with tooth decay each year are children. It is the most common reason for children aged six to 10 to be admitted to hospital. Analysis from the British Dental Association found that on average, 116 children had to have their teeth extracted each day in 2022. In that same year, it was revealed that 40% of children—4.4 million—had not seen a dentist in the previous 12 months.

This is clearly an issue of inequality. Children from disadvantaged backgrounds suffer from worse oral health than their more affluent counterparts. It is a significant gap: 34.3% of children from deprived areas had dental decay in 2019, compared with 13.7% in less deprived areas. Poor health contributes to poor life outcomes. For example, teacher surveys have shown that poor oral health contributes to social exclusion, leading to children missing school. Breaking that vicious cycle is essential. If we cannot improve people’s health, how can we improve their lives? Instead of ensuring children get the best start possible in life, we are handing them rotten teeth and rotten chances to succeed.

I am glad that the Government have set their sights firmly on revolutionising dentistry in this country. Rebuilding NHS dentistry will be a difficult job but, unlike the previous Government, this Labour Government will not kick the can down the road. I am delighted that we have said we will create an extra 700,000 urgent and emergency dental appointments each year, including 100,000 for children. I welcome the financial incentives for new dentistry graduates to work in dental deserts such as mine. We will ingrain the importance of good dental health practice in children from a young age and crack down on the prevalence of hospital admissions for rotten teeth by introducing supervised tooth brushing for three to five-year-olds in schools. Most importantly, we will reform the dental contract, which is not fit for purpose and pushes dentists into private practice.

With an active Government willing to attack issues at the root—sorry for the pun—of the issue, I am confident that we can make significant process in this and all other areas of healthcare. Ultimately, the NHS is the way in which most people interact with the Government. If we can rebuild trust there by delivering improvements, we can also rebuild trust in politics and the ability of the Government to improve lives. If we can get the basics right, then all the other issues become easier to solve.