Access to NHS Dentistry

Nusrat Ghani Excerpts

Thursday 22nd May 2025 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. Because so many Members wish to contribute and we have to conclude by 5 pm, we will have a time limit of three minutes starting from now. I call Sir Julian Lewis, who I think can manage that—I think you can do it.

--- Later in debate ---

[Several hon. Members rose—]

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call Ben Maguire. [Interruption.] I call Dr Andrew Murrison.

--- Later in debate ---

[Peter Prinsley]

That is certainly a suggestion that should be investigated.

We must increase the number of dentists, as we have only 24 dentists for every 100,000 people in the east of England. We also need to increase the number of training providers and training places, but even with the opening of a dental school it will take ages for there to be new dentists.

One suggestion is that we sort out the dental accreditation system. Hon. Members may not know that there are only 600 opportunities to take the accreditation exam each year, but there are 6,000 people planning to take the exam—that will take 10 years. We must get the General Dental Council to increase the number of exam opportunities.

We have begun to address this political emergency, but we must go further with a clear and fair offer focusing on what the Minister described as the triangle of patients, practitioners and the public purse, providing a service that ensures that we give excellent, affordable care for all, including prevention, especially for the most vulnerable, and in a way that means we can pay for it. NHS dentistry can be saved. Let us have a sign on the door saying, “Urgent NHS dental appointments available here.” Would that not that be great?

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call the Liberal Democrat spokesperson.

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[Dr Chambers]

I absolutely welcome that fantastic initiative.

I visited two dental practices in Winchester, and both told me exactly the same thing: they want to do more NHS work, and they want to be there for their communities, but because of the current NHS dental contract they simply cannot make it financially viable. They are effectively subsidising their NHS patients with income from private work. The British Dental Association estimates that private dentistry in England cross-subsidises NHS care to the tune of £332 million a year, which is due to rise to £425 million if NHS practices are not offered any help with the tens of thousands in additional staff costs brought in by the increase in national insurance. With the NHS work they do perform, they do not have time for the education—the proactive, holistic healthcare— that they want to do. Instead, they have to get people through in a quick turnaround. I say this clearly: dentists are not the problem. They are doing their best within a contract that is outdated and damaging.

I also want to speak to something that is often overlooked in this conversation: oral health is not just about teeth. I know that my dentist colleagues, as in veterinary practice, routinely identify serious conditions such as oral cancers and squamous cell carcinomas during routine dental checks. Those cancers are often aggressive but spotted early, they can be treated. We also know that infections in the mouth can lead to things such as endocarditis, which is not a trivial condition, and there is good evidence that periodontitis can contribute to the onset of dementia. How many cancers are we missing? How many heart problems are we not avoiding by not having routine dental checks?

I will sum up now as I know that we are pushed for time. The Liberal Democrats will continue to fight tooth and nail for an NHS that includes dentistry. I managed to avoid making any jokes about equine dentistry, and Members will be glad to hear that straight from the horse’s mouth. We do not want NHS dentistry to be an afterthought; it has to be a core part of a truly universal, holistic health service. Everyone deserves access to routine dental care. Many Members have said that they live in areas that are dental deserts, where NHS dentists are rarer than hen’s teeth. It is clear that we have cross-party consensus. Let us get the dental contract reformed and let us make this Parliament the last one during which anyone has to extract their own teeth.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call the shadow Minister.