NHS Dentists: South-West England

John Penrose Excerpts

Wednesday 24th May 2023 Westminster Hall

[Kevin Foster (Torbay) (Con)]

It is a pleasure to serve under your chairmanship, Ms Elliot. I congratulate my hon. Friend the Member for West Dorset (Chris Loder) on securing this debate on a vital issue for our region.

The issues with getting a new NHS dentist in the south-west are, sadly, all too well known. I have regularly been contacted by constituents who, when their current NHS dentist has retired, or in one case converted to a fully private practice, are unable to find a new practice accepting NHS patients. Last night, when I checked the NHS website for Torquay, there were no practices listed as accepting new NHS patients. Although many were listed as not having recently given an update, their position is easy to work out from the feedback I receive. As has already been set out, the issue is not limited to Torbay.

For me, there are two key areas of focus for tackling this issue: ensuring that more of the existing dental workforce and practices offer NHS services, including by accepting new patients for registration; and expanding the future dental capacity in the south-west through training and recruitment. On the first point, the key will be to ensure that contract arrangements are attractive and provide a viable proposition to those who will provide the services.

I am aware that NHS England is holding further discussions with the British Dental Association and other stakeholders for contract reforms that are planned to take place this year. The Government talk about aiming to reduce barriers to patients trying to access dentists by changing the arrangements for treatments such as root canals, improving patient communication and recruiting overseas dentists—although we should not always assume there is a pot of skilled labour available over an immigration bridge—so it would be good to hear more about the progress being made. Where it is not possible in some areas to secure new contracts with providers, will the Government consider looking at more direct provision? We simply cannot allow deserts of treatment to exist.

On expanding future capacity, the Association of Dental Groups has said that the key to easing the burden of the unmet need for dental services is simply going to be more dentists, which includes creating more training spaces. I am aware that in England the Government fund the training of around 800 dental students per year. In the past, the Government have said that places are capped to ensure that teaching, learning and assessment standards are maintained, as well as to ensure that there are enough high-quality placements for each student.

It is clear that the current level of supply is not going to meet future demand. There does, though, appear to be more capacity for training. In 2020, the cap on the number of dentistry school places in England was lifted, to accommodate the higher number of students meeting their university offers following changes to exam arrangements prompted by the covid-19 pandemic. Similarly, in 2021 the cap was adjusted again. That suggests that capacity is available.

In 2022, the Dental Schools Council called for an increase in the number of dental school places. The DSC presented three proposals agreed by the deans of UK dental schools to safeguard dental training and secure and improve the supply of future dentists by increasing dental school places. Again, that suggests that there is capacity to expand good-quality training here in the UK, ideally in the south-west.

[John Penrose (Weston-super-Mare) (Con)]

Does my hon. Friend agree that it is essential that dentistry, along with other medical disciplines, is included in the upcoming NHS staffing plan, which we all hope will involve a substantial increase in the number of people being trained at all grades of medical discipline, including dentistry?

[Kevin Foster]

Yes.

I look forward to the Minister’s response, and have two specific questions for him, in addition to those already raised. First, what progress is being made with renegotiating the contract, and what results is he expecting to see in the south-west this year from those renegotiations in terms of the increased accessibility of NHS dental services? Secondly, what plans does he have to create additional training spaces in the south-west, given that we know that where people train is where they are likely to stay and practise?

For too many in the south-west, NHS dentistry has become a service that is difficult to access and hard to register for. I hope that in his response the Minister will set out clearly the action we will see to get more dental practices to provide NHS services, and more dentists providing NHS services across the south-west region.