Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 19th November 2024 Commons Chamber

[Jerome Mayhew (Broadland and Fakenham) (Con)]

4. What estimate he has made of the number of new dental training places needed in the east of England.

[The Minister for Care (Stephen Kinnock)]

Fourteen years of Conservative neglect and incompetence have left huge swathes of the east of England as dental deserts. As part of our 10-year plan, we will be working with NHS England to assess the need for more dental trainees in areas such as the east of England where we know that many people are struggling to find an NHS dentist. I am aware of the University of East Anglia’s plans to open a dental school and I recently met MPs from the east of England, including the hon. Gentleman, to discuss that process. I encourage the UEA to continue with its bid for a new dental school.

[Jerome Mayhew]

The Minister well knows that there is a lack of dentists in the east of England, because there is no undergraduate training facility. The nearest place is either Birmingham or London. He has kindly mentioned the University of East Anglia, which is ready to go with a new building under construction. It has wide cross-party support, as he also knows from the meeting that he held recently, so when will he make the announcement?

[Stephen Kinnock]

I thank the hon. Gentleman for that follow-up question, but he will recall that, when we met, I and my officials made it clear to him that the UEA has not yet submitted its bid for a dental school. In that meeting, we said: “Please go back to the UEA and encourage them to submit that bid. When they do, we will look at it very carefully.”

[Mohammad Yasin (Bedford) (Lab)]

Many of my constituents in Bedford are struggling to get an NHS dentist. I am also hearing from those who have tried to book an appointment only to discover that they have been removed from the NHS list without any warning. The Government have committed to improve the dental contract. In doing so, will they ensure that dentists can no longer drop people from their books—leaving them without any access to care—without prior notice?

[Stephen Kinnock]

My hon. Friend is right: we will reform the dental contract to rebuild dentistry in the long term and to increase access to NHS dental care, with a shift to focusing on prevention and the retention of NHS dentists. We continue to meet representatives from the British Dental Association and other representatives of the sector to discuss how we can best deliver our shared ambition to improve access for NHS dental patients.

[Wendy Chamberlain (North East Fife) (LD)]

5. What recent assessment he has made of the potential impact of proposed changes to employer national insurance contributions on staffing costs for health and care providers.

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[Antonia Bance (Tipton and Wednesbury) (Lab)]

6. What discussions he has had with Cabinet colleagues on staff salaries in the care sector.

[The Minister for Care (Stephen Kinnock)]

I was proud that the Chancellor raised the salaries of hundreds of thousands of care workers in the Budget. Last month, the Government introduced legislation to deliver the first ever fair pay agreement for adult social care. While we were giving care workers a pay rise, the Leader of the Opposition was belittling their work as merely wiping bottoms. I gently say to the Conservative party that it is better to be wiping bottoms than talking out of them. This is an important issue, and I am dealing with ministerial colleagues on it.

[Antonia Bance]

According to last month’s Skills for Care report, most care workers are paid only a couple of pennies above the national minimum wage, while the sector cannot recruit and retain the people it needs. Will the Minister set out the timetable for establishing the fair pay agreement and adult social care negotiating body, and will he give the House an assurance that the care trade unions will be closely involved in its design?

[Stephen Kinnock]

We took quick action on the Employment Rights Bill, which includes the fair pay agreement, within 100 days of taking office. The consultation process on the negotiating body can begin only once the Bill has become an Act. We are engaging widely with stakeholders, and I assure my hon. Friend that unions will play a central role in that process, but let us remember that, through the national living wage, we are giving the lowest-paid full-time care workers a pay increase of £1,400 per year.

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

One barrier to better staff salaries in the care sector is the additional employer national insurance contributions. Are the Minister and his colleagues considering an exemption for GP practices, charities and hospices from national insurance employer contributions?

[Stephen Kinnock]

As my right hon. Friend the Secretary of State for Health and Social Care pointed out, when we won the general election on 4 July, we inherited public finances in their worst state since the second world war. Through the Chancellor, we have taken responsible action to deal with those issues. My right hon. Friend the Secretary of State has also said that we are looking at the Budget in the round, and we will report on that in due course.

[Andrew Pakes (Peterborough) (Lab)]

7. What assessment his Department has made of the adequacy of access to NHS dentists.

[Dan Aldridge (Weston-super-Mare) (Lab)]

23. What assessment his Department has made of the adequacy of access to NHS dentists.

[The Minister for Care (Stephen Kinnock)]

After 14 years of Tory neglect and incompetence, NHS dentistry in England has been left in a parlous state. Tooth decay is the most common reason why children aged five to nine are admitted to hospital, and 28% of the country—13 million people—have an unmet need for dentistry. Rescuing NHS dentistry will not happen overnight. We will expand the provision of urgent dental appointments across the country, and we are working with the sector to reform the dental contract in order to increase access and incentivise more NHS care.

[Andrew Pakes]

Yesterday, I heard from a disabled constituent who has spent over a year trying to find an NHS dentist, but without success. The only solution was to come to London for emergency treatment—that became a shockingly common story under the previous Government. As a first step, our integrated care board is putting 12 extra dentists into Peterborough and the surrounding towns to increase access. Will the Minister update the House on progress and on how we will further improve access to NHS dentistry?

[Stephen Kinnock]

I am very pleased to hear about what my hon. Friend’s ICB is doing. Working with the dental sector, we will deliver measures to improve access, targeting areas that need it most. Those measures include 700,000 additional urgent appointments and reform of the dental contract. The golden hello scheme, which incentivises dentists to work in underserved areas, is under way across the country, and dentists are also being offered a new patient premium to treat new patients.

[Richard Baker]

Does the Minister agree that it is unacceptable that more than 40,000 people in Fife are not registered with an NHS dentist? Will he share any learning from this Government’s action to increase access to dentistry with his colleagues in the Scottish Government, and urge them to fulfil their responsibilities so that people in my constituency can get the dental treatment that they need?

[Stephen Kinnock]

Responsibility for dental services in Scotland is of course a matter for the Scottish Government, but Governments across the UK work together to spread best practice and deliver on our common goals. The Scottish National party Government have an extra £1.5 billion this year, and £3.4 billion next year, through the Barnett formula. I hope that they will prioritise health, including dentistry, and undo some of the damage that they themselves have done to dentistry in Scotland.

[Dan Aldridge]

Some 37% of five-year-olds in Weston-super-Mare have enamel or dental decay—a figure well above the national average. The Better Health North Somerset team does amazing work to promote good oral health, but regular dentist check-ups are the oral health silver bullet. Will the Minister explain and outline the work he is doing to ensure that children in Weston and Worle and across the country get the dentistry service that they so desperately need?

[Stephen Kinnock]

My hon. Friend is absolutely right to raise this vital issue. Prevention is of course always better than cure, so I am very proud of the fact that we are introducing supervised toothbrushing for three to five-year-olds in the most deprived communities and where there is the most unmet need. We are also working to sort out the NHS contracts so we can ensure that children get the care they need.

[James Wild (North West Norfolk) (Con)]

Having training locally at the University of East Anglia is important for my constituents, but in the short term, what steps is the Minister taking to speed up the process by which dentists get on the dental performers list, so that they can work in the NHS and not just privately? Is he also considering bringing in a provisional overseas registration scheme?

[Stephen Kinnock]

I thank the hon. Gentleman for that question. We are looking at provisional registration. As I also mentioned to his hon. Friend the Member for Broadland and Fakenham (Jerome Mayhew), we are very open to the idea of a dental training school at the University of East Anglia. We need to ensure that we push on the full spectrum of all these measures, because there is a crisis in NHS dentistry and we need to get on and fix it.

[Ben Obese-Jecty (Huntingdon) (Con)]

Toothless in Huntingdon in my constituency has written to me highlighting that 36% of patients under Cambridgeshire and Peterborough integrated care system no longer have an NHS dentist. It wants dental practices to provide access to those needing emergency treatment and a priority pathway for referrals from hospital departments such as cardiology and oncology. To that extent, what steps are being taken in Huntingdonshire to improve dental access across rural Cambridgeshire? How are the Government helping the Cambridgeshire and Peterborough integrated care system to address those issues?

[Stephen Kinnock]

Obviously the golden hello scheme for rural areas is very important. We are pushing forward on that, and I am pleased to say that hundreds have expressed interest in it and appointments are starting on that basis. The hon. Gentleman is right about training places. As I have already mentioned, we are very open to establishments and institutions coming forward with proposals for that. We are living in a country where the biggest cause of hospital admission for five to nine-year-olds is having their rotten teeth removed. That is a truly Dickensian state of affairs, and it needs to be fixed as a priority.

[Tom Gordon (Harrogate and Knaresborough) (LD)]

Earlier this year, I was at an orthodontist’s practice that carries out work on behalf of the NHS. It said the issue is that when people are referred to it by their general dentist, it cannot go on to do the orthodontic work because their teeth are in too bad a state, so they are referred back to the dentist, but they cannot get in because of waiting lists and issues. When we look at reforming dental contracts, will we look at orthodontic ones too?

[Stephen Kinnock]

Absolutely. As my right hon. Friend the Secretary of State has said, we have already met with the British Dental Association, and no issues are off the table. We absolutely need to look at orthodontists in the round as part of the contract negotiations, and we will certainly report back on that in due course.

[Tristan Osborne (Chatham and Aylesford) (Lab)]

9. What plans he has to reform NHS health and social care services.

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[Helen Morgan (North Shropshire) (LD)]

The Conservatives’ disastrous legacy on dentistry means that more than 4.4 million children have not seen a dentist in the past year. In Shropshire, dentists continue to hand back their contracts, including one in Wem in recent weeks. Will the Minister outline his plan to reverse that terrible decline and ensure that the issue is addressed in rural areas where there are dental deserts?

[The Minister for Care (Stephen Kinnock)]

There will be 700,000 extra urgent appointments, golden hellos, and a prevention and supervised toothbrushing scheme for three to five-year-olds.

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[Damien Egan (Bristol North East) (Lab)]

T6. On the doorstep in Bristol North East, people regularly talk to me about the difficulties they have getting a GP appointment. Will the Minister assure primary care services in my constituency, such as Kingswood health centre, that the Budget will help them and marks the first steps in transforming our NHS?

[Stephen Kinnock]

We have pledged to bring back the family doctor, and we have already invested an additional £82 million in the additional roles reimbursement scheme to recruit 1,000 more newly qualified GPs in 2024-25. We are also committed to fixing the front door of the NHS, for example through £100 million of capital funding that was announced in the Budget. We are fully aware of the pressures, and we will set out further details on funding allocations for next year in due course.

[Charlie Maynard (Witney) (LD)]

T5. Will the Secretary of State give a clear date by which QR codes will be incorporated into the NHS app at the point of care, thereby making the process faster and safer, as was highlighted to me by Dr Steve Bright at the Windrush health centre in Witney?

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[Mr Lee Dillon (Newbury) (LD)]

When the Secretary of State reviews GP funding, will he also consider the burden that sits on GP practices when they have to hold the lease for their surgeries and what role integrated care boards could have in holding that risk, which is stopping the recruitment of GPs to join practices as partners?

[Stephen Kinnock]

NHS England currently accepts ICBs holding leases only as a last resort or by exception due to the significant capital required. While we know that is not the most effective use of ICB resources, it is an important safeguard. We are committed to fixing the front door of the NHS by supporting GPs and ICBs through, for example, the £100 million of capital funding announced at the Budget for GP estate upgrades.

[Jacob Collier (Burton and Uttoxeter) (Lab)]

My constituent Ollie Horobin’s life has been completely transformed after contracting covid, leaving him wheelchair-bound with a feeding tube and battling debilitating symptoms every single day. His story is a stark reminder of the devastating impact that long covid can have. Will the Minister commit to meeting Ollie and me to hear about his experience at first hand, and prioritise further research into the causes, treatments and long-term impacts of extreme long covid?