NHS Dentistry in England

Scott Benton Excerpts

Wednesday 22nd June 2022 Westminster Hall

[Scott Benton (Blackpool South) (Con)]

It is a pleasure to speak under your chairmanship, Mr Stringer. In the last few months, I have received dozens of letters and emails from constituents about their difficulties in securing NHS dentistry, and I thank my hon. Friend the Member for St Ives (Derek Thomas) for securing this important debate.

A key part of levelling up is ensuring that health inequalities are addressed and that people’s access to vital dental treatment is not based on a postcode lottery. Only yesterday, I received an email from a constituent, Kayleigh. She was told by her dentist that she and her family would no longer be able to access routine NHS appointments. Kayleigh did exactly the right thing and called up other dentists in Blackpool and all along the Fylde coast, but time after time, the response she received was the same: “We are not taking on NHS patients, there is no waiting list, and there is no intention whatsoever to change that in the near future.”

Kayleigh works part time to help to support her young family, but private dental appointments are completely unaffordable and totally out of the question. She is one of thousands of my constituents in Blackpool who do not or cannot access NHS dentistry. It is difficult to establish a figure for how many of my constituents do not have an NHS dentist, but it is likely to be in excess of 10,000, or at least one in five adults.

The problems that our constituents are reporting to us are not being caused just by a lack of trained dentists. The number of dentists registered to provide care with the General Dental Council is actually at a record high, having increased by 2,000 since the start of the pandemic. The problems are being caused by two main issues, the first of which is the massive impact of the pandemic on dentistry.

The BDA estimates that more than 43 million dental appointments—more than a year’s-worth of dentistry in pre-covid times—has been lost due to the pandemic. There are of course steps that the Government could take to relieve that backlog, such as training more dentists or making it easier to bring in accredited foreign dentists to work in this country. I know that the Government are investigating these possible solutions, and the Minister has stated that legislation may be brought forward at the end of this year to address those points.

The second major issue is dentists opting to carry out more private dental work than NHS care. Nine out of 10 dental practices with significant NHS commitments report problems recruiting staff. When I was on a recent visit to a dental practice in Blackpool, the owners stressed the difficulty they have in recruiting and retaining trained dentists. This is a particularly acute problem for many coastal communities, as my hon. Friend the Member for Totnes (Anthony Mangnall) just mentioned, and exacerbates the challenges we have in providing NHS appointments in particularly deprived coastal communities.

The number of registered dentists is increasing, but many are now taking on a higher proportion of work in the private sector, and around 3,000 dentists in England have stopped providing NHS treatment altogether. There is not a shortage of dentists, rather a shortage of dentists motivated to take on NHS work. One example is Ivory Dental Care in my constituency, which recently wrote to patients informing them that from July it will no longer be offering NHS dentistry. That will result in an additional 2,000 Blackpool residents no longer being registered with an NHS dentist.

I am pleased that the Minister recently stated that an announcement on reforming the NHS dental contractual framework will be made soon, with the aim of paying dentists more fairly for their work. This is a vital step to stop a steady stream of NHS dentists leaving for more profitable, private work. It should also address the issues with low morale among dentists and turn the tide, so that the NHS is a more attractive place for them to work.

I know that this Government are serious about tackling health inequalities. It is appalling that children from the most deprived areas are already three times more likely to have hospital extractions, and oral cancers are obviously less likely to be spotted among those who have fewer routine dental appointments. We simply cannot allow such health inequalities in dental care to persist. One of the reasons I was elected to this House was because of the Government’s pledge to increase spending on our NHS, with the help of the budget rising from £133 billion at the start of this Parliament to £177 billion by the end of it. To that end, I welcome the additional £50 million that the Government made available for providing dental services earlier this year, but the reality is that this is actually falling in comparison with the overall health budget. We cannot put at risk the Government’s plans to level up the nation’s health by letting this continue. Dental health should be considered on an equal footing to the rest of our healthcare, so that we can further improve on the solid progress being made in towns such as Blackpool to reduce health inequalities.