NHS Dentistry
Debate between Peter Gibson and Mary Kelly Foy(10 months ago)
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Peter Gibson
The hon. Lady and I share the same integrated care board. If this is to do with austerity, why has she not engaged with our local ICB to ask it about the underspend and the provision in her constituency?
Mary Kelly Foy
I do speak to the ICB whenever I need to and it has told me, as I am about to say, that our welfare state, of which the NHS is a part, has been hollowed out. The system is wrong. Austerity has caused these problems: it is not the pandemic; it happened many years before then.
Supporters of austerity often say they do not want to burden future generations with debt, but austerity and preventive healthcare are incompatible; we cannot have both. The healthcare problems this Government have caused our constituents—issues that could have been prevented with funding and investment—will now be more expensive to resolve down the line. Conservative Members have saddled future generations with poorer health, poorer opportunities and ultimately a poorer country, and it is time for them to go.
Dental Care: Durham
Debate between Peter Gibson and Mary Kelly Foy(1 year, 5 months ago)
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Mary Kelly Foy (City of Durham) (Lab)
Vast areas of our country are increasingly described as “dental deserts”, places where not a single dental practice is accepting new NHS patients, and County Durham is one such place. We in Durham have witnessed dental services decay at an alarming rate. In my constituency today, there will be children sat in classrooms struggling to concentrate because of something as preventable as toothache. So it is hardly surprising that tooth decay is now the leading reason for children being admitted to accident and emergency in our country.
This scandal is not unique to Durham or the north-east; it is a problem everywhere. In 2023, dentistry is available on the NHS on paper but not in practice. The British Dental Association has described NHS dentistry as entering its final act. The horrifying experiences of my constituents, which I will outline, will certainly strengthen that claim, but before I turn to my constituents, let me state a chilling fact: Britain has poorer oral health than any other developed economy.
Peter Gibson (Darlington) (Con)
The hon. Lady raises an important point about children’s dentistry. Does she agree that prevention is better than cure? Would she welcome a return to dentistry in schools?
Mary Kelly Foy
Of course, prevention is better than cure, and that is one of the reasons why so many children have to go to A&E. If problems were identified and prevented in young children, there would not be the cost implication for services further down the line. In an ideal world, we would have dentists in schools.
As I said, Britain has the poorest oral healthcare among developed countries. Can the Minister honestly say that we have genuine preventive oral healthcare in our country? Over the past 13 years, dentistry has become unaffordable and unavailable for many of my constituents. Nearly 400 have contacted me in dismay at their recent experiences. I thank them for their contributions and I hope the Minister can give them some reassurance today.
My constituents know that the problem is not with the dentists themselves. They know that dentists are trying their best for their patients. The problem lies at the Government’s door. In the time that I have, I can share only a portion of the pain and suffering that my constituents have had to endure. One moved to Durham over four and a half years ago but still cannot find an NHS dentist, despite being told after a kidney transplant that it was vital that they had regular dental check-ups to monitor their health. Now they have a broken tooth and simply cannot afford to fix it.
Another constituent told me how she had to borrow money to afford a private appointment. She is now 30 weeks pregnant and exempt from dental charges, but her exemption is worthless as there are no appointments available for her. A young girl in my constituency tripped over and shattered her teeth. Her family contacted me because they could not find a dentist to help her. Luckily, after I reported the case on social media, a local dentist was kind enough to help her out, but our health system should not be based on charity. Constituents have also contacted me about do-it-yourself dentistry. In case the Minister is unaware, that is when people fit their own fillings and extract their own teeth without anaesthetic or any professional training.
I have raised the alarming experience of my constituent Ray in the Chamber before, but I do so again because his case underlines why access to dentistry should be not a luxury, but an integral part of our health system. Ray was unable to find an NHS dental appointment, so, out of utter frustration, he decided to go private. Following his appointment, Ray was diagnosed with oral cancer, for which he is now receiving treatment. As there is a cost of living crisis, we have a duty to ask, what if Ray had not been able to pay for private treatment? What if the cancer had continued to go undetected? Frankly, Ray might not be here today. It is morally wrong that Ray was put in that position. No one in my constituency —or anywhere, for that matter—should be put in that position.
Why is this happening? My visit to a dental practice in Gilesgate this week provided some of the answers. The practice has just one dentist working two days a week seeing NHS patients, and it has 10,000 patients on its books. It does not take a genius to work out why my constituents cannot see a dentist. It is clear why dentists are closing their doors to NHS patients, and it is certainly not because of a lack of demand. The problem, which the BDA has identified, is that the unreformed NHS dental contract means that dentists are pushed into the private sector to keep their practices afloat financially. As one dentist said to me:
“Every day I’m providing some treatment for nothing or at a loss—working the best I can, caring for NHS patients the best I can within the dental contract.”
He also went on to say that the Government are clearly winding down NHS dentistry in the hope that the public will accuse dentists of being greedy.
The exodus of dentists is clear for all to see—except, it seems, the Government, who continue to deny there is a crisis in NHS dentistry.
Leamside Line
Debate between Peter Gibson and Mary Kelly Foy(2 years, 9 months ago)
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Mary Kelly Foy (City of Durham) (Lab)
It is an honour to serve under your chairmanship, Mr Hollobone. I pay tribute to my hon. Friend the Member for Washington and Sunderland West (Mrs Hodgson) for securing this debate. She is a tireless campaigner for the Leamside line, and the entire region is grateful for her work.
In Durham we hear a lot from the Government about levelling up. The term has been used so interchangeably by members of the Cabinet in reference to every scrap of funding or half-baked policy that is thrown our way in the north-east that it has pretty much lost all meaning. In Durham, it is spoken about with increasing irony and frustration, with the words “So much for levelling up” becoming more and more common every time the Government over-promise and under-deliver.
Levelling up should be about more than delivering one-off funding or a few insecure jobs. It should be about transforming the infrastructure of our left-behind regions and improving our schools, homes, roads, railways, economies and so much more, so that the communities we live in—those we are proud to call home—can deliver to a person in the north-east the same quality of living and the same life chances as someone in a more affluent region has. Investment in our transport systems, including our railways, is integral to that.
Transport infrastructure has been underfunded in the north. That is not my opinion; it is fact. In 2019-20, transport spending was more than £560 higher per head in London than in the north-east, while transport investment was almost £380 higher per head in London. The levelling-up agenda was meant to right those wrongs and make up for the years of deprivation and underfunding. That is why I and many of my colleagues in the region are frustrated beyond belief at the Government’s continued refusal to invest in the north-east’s transport infrastructure by reopening the Leamside line.
There are few issues that I and my neighbour, the hon. Member for Sedgefield (Paul Howell) agree on, but on the reopening of the Leamside line we are in complete agreement about its benefits for County Durham and the wider region. In fact, the campaign is supported by virtually every politician in the north-east, regardless of their political party, as well as by our region’s major employers and business groups. That is because the economic and social benefits of reopening the line are clear.
Reopening the line would create more capacity for rail freight, taking polluting lorries off the road. In turn, that could allow more longer-distance passenger services to operate from Durham station on the east coast main line. It would drastically improve connectivity across the region, with the potential to bring rail services to Bowburn, Belmont park and ride and West Rainton in my constituency, creating new public transport links with major employment centres such as Nissan and transforming the economic opportunities for people in County Durham. Reopening the line could also be an integral step in attracting thousands of jobs to County Durham. I have heard at first hand from stakeholders in Bowburn of the benefits of the Leamside line for the Integra 61 site and the surrounding villages, and I am happy to rasie their support today.
Although the Government agree that the plans have
“good potential in terms of transport and socioeconomic benefits”,
they believe that
“the overall cost of the reinstatement remains prohibitive”.
Even though the entire project would cost just £600 million and bring new levels of connectivity to the north-east, it is deemed to be too expensive by those in Government. Do Ministers understand how insulting that is to our region when HS2 is projected to cost at least £80 billion? In the north-east, we are all too often treated as second-class citizens and as less deserving of investment.
Mr Philip Hollobone (in the Chair)
Order. If the hon. Lady is generously giving way, she needs to resume her seat. I say to the hon. Gentleman that I am keen to have a debate across the Chamber, of course, but there are still two hon. Members who have yet to contribute, and he has already done so. Hon. Members need to be mindful of that.
Peter Gibson
I am grateful to the hon. Lady for giving way. Can she outline to the House why the last Labour Government did not deem it necessary to reopen the Leamside line?
Mary Kelly Foy
I thank the hon. Gentleman for that intervention. [Interruption.] Yes, there were probably a number of reasons, to do with the preceding Government and some of the rules that were in place. All I can say is that my hon. Friend the Member for Washington and Sunderland West has been fighting for years and years.