Reforms to NHS Dentistry

Jim Shannon Excerpts

Thursday 27th April 2023 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

May I say what a pleasure it is to speak and give a Northern Ireland perspective to this debate, as I do in every debate I attend? The Minister has no responsibility for Northern Ireland—he knows that; I know that. Nonetheless, I would like to add a Northern Ireland perspective, which will back up the comments that others have made.

This is a matter of increasing concern as more and more dentists are refusing NHS clients and leaving a wide number of people without access to basic dental care. I will give two examples. One constituent came to see me after her front teeth bridge had fallen out, and we could get her a dentist only outside of the constituency, because there are no NHS dentists prepared or able to take that work on. It took one of my staff more than an hour to find someone accepting NHS dental charges, as all dentists have switched to a pay monthly plan. It is clear that covid-19, Ukraine and the rising prices are all taking their toll as the pressure lines up against dentists as well. Another lady come to see me who was in her 80s. She told me that because she does not do online banking, she had to pay a year in advance to stay on her dentist’s books. I find that reprehensible to say the least. While that lady did have the wherewithal to do so, not everyone does. With this happening, I believe that we can see the end of free NHS dental care. It cannot be that those on a low income ignore a loose filling until they lose a tooth, and yet that is what is happening.

Having said that, I have to make it clear that I am not saying that the dental industry is greedy. I am saying that I believe the Government must step in and devise a new scheme that will adequately compensate dental practices and allow people to access the dental service they so desperately need.

I received an interesting briefing from Denplan that highlighted the fact that more than 19 million dental appointments were lost over the course of 2020. Some 70% of Denplan member dentists reported concerns about the future financial stability of their practice, while

“the pandemic also exacerbated issues with mental health and wellbeing.”

The surveys included in the briefing

“indicated that dentists believe there is a misunderstanding of the industry in general”

—this is what the industry itself is saying—

“which has manifested into a relatively poor relationship between policymakers and the dental profession over the years. Member dentists who responded to the October 2020 survey, indicated dental services are often treated as an afterthought, with the government’s communication with the sector considered to be lacking.”

If I were to take one ask from today’s debate, that would be it. I know that this is a Minister who understands: he is always easy to speak to and engage with, and he understands things very well. May I ask him now to engage with the dentistry sector to come up with some ideas about how to move forward? That is what they desperately need.

The briefing states that

“67.52% of respondents to the 2020 survey, said they ‘strongly disagreed’ with the statement ‘the government understands the dental sector’.”

It is clear that the Government do not understand it. Moreover,

“36% of respondents said the pandemic had affected their oral health—with 50% of those who had seen a decline in their oral health, saying that they had had appointments delayed, or were unable to book any dental appointments with their dentists… According to our data, the pandemic also changed…attitudes towards dental treatment, with 29% saying that following issues during Covid-19, they now value their oral health more and are more likely to visit a dentist.”

That, at least, has been a plus factor. However, the briefing continues:

“Nonetheless, existing backlogs and an exodus of staff is preventing patients from accessing the dental care they need”.

Others have mentioned that.

I am very conscious of the timescale that is expected of me, Mr Deputy Speaker, but I want to make a very quick comment. On Tuesday morning, I saw a television programme—we probably all saw it—about a lady who, because she could not access a dentist, removed 12 of her teeth. That had all sorts of impacts, affecting her social engagement and causing her anxiety. A dental charity then stepped in and restored all her teeth. Today she is engaging with people again, and is back at work.

Sometimes people resort to doing things that they really should not do, and would not normally do. According to the briefing, some 41% of people in Britain said that they

“would be willing to undertake DIY dentistry”.

That worries me as well. Among younger people the figure was 48%, and among seniors it was some 28%.

Let me end by quoting Ciara Gallagher, chair of the Northern Ireland Dental Practice Committee. She has said this:

“In the meantime, practices need help, they need hope, and they need urgent action from the department to know that they have a future. They need support so that they are not being financially starved out of the NHS.”

I join all my colleagues who are present today, on both sides of the Chamber, in asking for better liaison with the dental industry, and increased funding to shore up NHS dental access throughout this great United Kingdom of Great Britain and Northern Ireland.