NHS England Update

Debate between Jim Dickson and Wes Streeting

Thursday 13th March 2025 Commons Chamber

[Wes Streeting]

NHS dentistry is in a terrible state and, in fact, in many parts of the country it barely exists. There are lots of reasons for that, and it is a source of constant astonishment to me that the dentistry budget was underspent year after year despite that situation. The Minister for Care is working with the British Dental Association to reform the contract. I know that Members are frustrated at the pace, and so am I. We are trying to clear an enormous challenge; it is not going to be easy, but we are committed to working with the profession. We are rolling out the 700,000 urgent dentist appointments and supervised toothbrushing, as we promised and as the BDA has welcomed, but we have a lot more to do. That requires working with the profession—not simply tinkering with the system as it is, but fundamentally rethinking it and how we rebuild it into an NHS dentistry service that we can be proud of.

[Jim Dickson (Dartford) (Lab)]

I welcome the statement, particularly the commitment to ensure that as much money in the NHS as possible is spent on the frontline, where it can really affect patient outcomes. Nowhere is that more needed than in my constituency of Dartford, which is the fastest growing town in the UK. That extra population is imposing a huge strain on our local district general hospital at Darent Valley, despite the excellent efforts of the staff there. Could the Secretary of State outline how the changes will support the shift we need to see from services being delivered in the hospital to the community, thereby relieving the strain on hospitals like Darent Valley?

[Wes Streeting]

The frustrating thing is that we are delivering the wrong care in the wrong place at the wrong time, which is delivering poorer outcomes for patients and poorer value for taxpayers. People cannot get a GP appointment, for example, which might cost the NHS £40, and then they end up in accident and emergency, which could cost £400. If people cannot find a bed for a delayed discharge and rehabilitation outside of hospital, they end up stuck in a hospital bed, wasting away at greater cost. In fact, when I was up in Carlisle earlier this year, such intermediate care was being offered by a local social care provider, commissioned by the NHS, at half the cost and of a much better quality than the hospital bed that patients had been discharged from. That shift to the community is about delivering better outcomes for patients and better value for taxpayers, and that will be reflected in our 10-year plan.