Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 25th March 2025 Commons Chamber

[The Minister for Care (Stephen Kinnock)]

Rebuilding our broken dentistry system is a priority for this Government. We are already rolling out 700,000 extra urgent dental appointments a year, as promised in our manifesto; we have launched a supervised toothbrushing scheme for three to five-year-olds; and we are committed to reforming the dental contract and making NHS dentistry fit for the future in the long term.

[Rosie Wrighting]

In Kettering, we know the scale of the challenge facing NHS dentistry after 14 years of Tory failure. My constituents regularly tell me how impossible it is to get an appointment. Some are driving tens of miles to see a dentist, and it is simply a scandal how many children are admitted to hospital with tooth decay. While it cannot be rebuilt overnight, in Kettering we welcome the extra 17,000 urgent appointments, which are a vital first step. Can the Minister confirm that it is this Government who will make NHS dentistry fit for the future?

[Stephen Kinnock]

My hon. Friend is absolutely right. After 14 years of Tory neglect and incompetence, far too many people are still struggling to find an NHS appointment. This Government are tackling the challenges for patients trying to access NHS dental care by delivering 700,000 more urgent dental appointments a year and by recruiting new dentists to areas that need them. My hon. Friend’s local integrated care board has been asked to deliver nearly 17,000 of the additional urgent appointments. I am in no doubt that she will continue to campaign tirelessly on behalf of her constituents.

[Anneliese Midgley]

My constituent, Kevin Buckley, had his NHS dentist shut with no notice. NHS dentists in Knowsley are not taking on any new patients and he is stuck. This is not just a local issue, but a national crisis. What action will the Minister take to address the shortage of NHS dentists?

[Stephen Kinnock]

I am sorry to hear of the difficulties faced by Mr Buckley. Sadly, that is a challenge we face nationally after 14 years of abject failure from those now on the Opposition Benches. There are no quick fixes or easy answers, but we are committed to reforming the contract and helping those who need it most. My hon. Friend’s local ICB has been asked to deliver more than 46,000 additional urgent care appointments from April onwards, getting care to those constituents who need it most. The north-west has also been allocated 21 posts in the golden hello scheme to recruit dentists into underserved areas.

[David Williams]

More than one in three five-year-olds in Stoke-on-Trent has tooth decay. That is the worst rate in the west midlands and is 10% above the national average. Children in deprived areas, like much of my constituency of Stoke-on-Trent North and Kidsgrove, are twice as likely to suffer, and that is not acceptable. Can the Minister please outline what steps the Government will take to reduce regional inequalities in NHS dental access for children?

[Stephen Kinnock]

It is shameful that tooth decay is the biggest reason for hospital admissions of children aged between five and nine, and the inequalities surrounding that are stark. On 7 March, we confirmed a £11.4 million investment in supervised toothbrushing for three to-five-year-olds. The scheme is targeted at children in the most deprived areas—those in index of multiple deprivation groups 1 and 2—and will reach up to 600,000 children. Our innovative partnership with Colgate-Palmolive will result in the donation of more than 23 million toothbrushes and toothpastes, providing outstanding value for taxpayers’ money.

[Alex Baker]

Aldershot and Farnborough are dental deserts. My constituent Nick had an infected wisdom tooth and was in agony. He had been registered with a practice in Farnborough, but it kicked him off its patient list. He obtained an emergency appointment through 111, but two weeks later the infection was back. He was left with little choice but to go private, which cost him £700—10 times what the treatment would have cost on the NHS. Can the Minister explain how Labour’s plan for change will help to prevent such cases from being repeated as we end the 14 years of dentistry failure that we saw under the Conservatives?

[Stephen Kinnock]

My hon. Friend has demonstrated again that she is a tireless campaigner for the people of Aldershot, and I am sorry to hear of the challenges faced by her constituents. This Government will deliver 700,000 more urgent dental appointments a year, and will recruit new dentists to the areas that need them most. My hon. Friend’s local ICB has been asked to deliver nearly 7,000 of those additional urgent care appointments in the year from April. In the long term, we will reform the dental contract with the sector, with a shift to focusing on prevention and improving the retention of NHS dentists.

[Melanie Onn]

The Secretary of State and Ministers’ commitment to 700,000 more emergency dental appointments is already taking effect in my NHS area, with an extra 27,000 slots, and the feedback is excellent. However, constituents have told me that some dentists seem to be removing non-emergency patients from their lists. Can the Minister please reassure them that their NHS dentists will be there when they need them?

[Stephen Kinnock]

As my hon. Friend says, we are delivering 700,000 additional urgent appointments. Patients are not limited to a registered practice in England, and practices are required to keep their status up to date on the NHS website. Anyone struggling to find a dentist should go to nhs.uk or call 111. It is also clear that while NHS England is not mandating an approach to the purchasing of these additional appointments, ICBs could consider either buying more appointments through new or recommissioned contracts or modifying existing contracts, and/or using flexible commissioning.

[Sir Roger Gale (Herne Bay and Sandwich) (Con)]

The Minister is aware of my concern about the inability of some 200 fully qualified Ukrainian dentists to practise because of the restrictions placed on them by the General Dental Council. I know that the Minister has written to the GDC about this, but has he received a reply?

[Stephen Kinnock]

I thank the right hon. Gentleman for the constructive meeting and discussion that we had on this matter. As he will know, we are exploring the use of provisional registration for overseas dentists, and we are urging the GDC to arrange more examinations for dentists. I have a meeting set up in short order with the head of the GDC, and I will keep the right hon. Gentleman posted on that conversation.

[Manuela Perteghella (Stratford-on-Avon) (LD)]

My constituents are being forced to travel out of county to Coventry or Evesham to obtain basic NHS dental care. Does the Minister agree that it is a disgrace that access to an NHS dentist has become a postcode lottery? What urgent steps are the Government taking to end this dental desert and restore NHS services to rural communities such as mine?

[Stephen Kinnock]

I absolutely agree. The state of NHS dentistry in our country is shameful. The golden hello scheme enables 240 dentists to receive a £20,000 joining bonus payment to work in dental deserts, and we are negotiating with the British Dental Association the long-term reform of the contract. The issue is not the number of dentists in the country, but the paucity of dentists who are doing NHS work.

[Aphra Brandreth (Chester South and Eddisbury) (Con)]

The north-west has some of the worst levels of children’s oral health in England, with Cheshire and Merseyside falling below the national average. In rural villages in my constituency like Bunbury, where bus services have been cut, and Kelsall, where a dentist is keen to open an NHS practice but faces barriers due to city centre prioritisation, residents are struggling to access NHS dental care. Given the challenges of rural access, what steps is the Minister taking to ensure that NHS dental provision is available in those rural communities?

[Stephen Kinnock]

I find it quite striking when Conservative Members stand up and describe the abysmal state of NHS dentistry. It makes me think, “Well, who created this mess in the first place?” But that is as an aside. The fact is that we have the golden hello scheme for dentists to come and work in so-called dental deserts. We recognise that the fundamental problem is around incentives for dentists to do NHS work. That is why we are doing a long-term contract negotiation to ensure we have an NHS dentistry contract that is fit for purpose and where every penny allocated to NHS dentistry is spent on NHS dentistry.

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

There is an urgent need for dental training in Norfolk, so can the Minister confirm that the Government will enable the Office for Students to allocate new dental training places in the east of England to start in 2026?

[Stephen Kinnock]

I thank the hon. Gentleman for that question. I have met hon. Members from the area and made it clear that in principle we support any creation of new teaching capacity for dentistry. What I have also set out is that, before we can give an instruction to the Office for Students to go ahead with that work, we have to have the settlement of the comprehensive spending review, so we know what our financial envelope is. We will not have that until June, but certainly we will be looking at that as and when we know whether the funding will be available.

[Mr Speaker]

I call Jim Shannon.

[Jim Shannon (Strangford) (DUP)]

There’s only one Jim Shannon, by the way, you know? [Laughter.] Mr Speaker, thank you very much for your birthday wishes. I am terribly embarrassed. I thank right hon. and hon. Members for their kind wishes. As I often say, I don’t count the years, I make the years count. That is the important thing.

Can I ask the Minister a very important question? What discussions has he had with the Education Secretary on providing more financial support to young students who want to study dentistry, to ease the burden of high costs associated with studying dentistry which many young people may find off-putting?

[Stephen Kinnock]

I thank the hon. Gentleman for that question and I congratulate him again on his 60th birthday. [Laughter.] He raises an important point on teaching and training in dentistry. There is not enough capacity in the system. We absolutely want to ensure that we are building that capacity. As I said, a lot of that will depend on the comprehensive spending review settlement in June. I would be more than happy to discuss the issue with him in greater detail once we have a better sense of where we are on the funding.

[Paulette Hamilton (Birmingham Erdington) (Lab)]

3. What assessment he has made of the adequacy of the provision of health services for women.

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[Sarah Hall (Warrington South) (Lab/Co-op)]

8. What recent progress his Department has made on implementing the hub and spoke model for community pharmacy.

[The Minister for Care (Stephen Kinnock)]

This Government recognise the vital role that community pharmacies play as an integral part of our health system and local community. We are working with Community Pharmacy England on the pharmacy contract, which will start to stabilise the sector and make it fit for the future, and we will announce the outcome very shortly. On hub and spoke dispensing, we intend to lay draft secondary legislation in the coming weeks to come into force later this year.

[Sarah Hall]

Community pharmacy funding is at a critical juncture, with many pharmacies in my constituency facing financial challenges. With running costs increasing and uncertainty around the date of the upcoming settlement, community pharmacies are concerned that there may be disruption to their business. What steps is the Department taking to ensure that input from community pharmacies is considered, and prior to any further legislative or regulatory changes relating to the hub and spoke model?

[Stephen Kinnock]

My hon. Friend is right that we inherited a community pharmacy system that had been neglected for far too long, such that over the past two years, on average six pharmacies have been closing every week. A wide range of community pharmacies and representative organisations fed into the public consultation on hub and spoke reform, and I am pleased to confirm that their responses were overwhelmingly positive in support of model 1 of hub and spoke, which we will be going with.

[Rishi Sunak (Richmond and Northallerton) (Con)]

I recently visited Well pharmacy in Northallerton, which, like so many others, plays an important role in providing community health services. One valued service is the provision of free blood pressure checks to those over the age of 40. Will the Minister to join me in urging anyone with health worries or a family history of high blood pressure to take advantage of this fantastic free, pharmacy-led, preventive community health service?

[Stephen Kinnock]

The right hon. Gentleman is right that a big part of the Government’s shift from hospital to community is the pivotal role that community pharmacies will play in that process. We are committed to the Pharmacy First model of enabling community pharmacies to do more clinical work, such as the type that he just described. That is at the heart of our 10-year plan.

[Mr Speaker]

I call the shadow Minister.

[Dr Luke Evans (Hinckley and Bosworth) (Con)]

Now that the Secretary of State is abolishing NHS England, will he listen to the calls from the National Pharmacy Association and the Independent Pharmacies Association, and publish immediately the independent report commissioned by NHS England on pharmacies’ finances?

[Stephen Kinnock]

We will publish the economic analysis imminently. He mentioned the National Pharmacy Association, which gives me the opportunity to say that I think that the collective action that it is taking is premature, unnecessary and detrimental to community pharmacy patients. I urge the NPA to reconsider its position and wait for the outcome of our negotiations with the CPE, which will come very shortly. We will announce that very soon.

[Dr Evans]

The National Pharmacy Association, which has been waiting for months to get the answer, is advising all its 6,000 pharmacy members to reduce services and hours, for the first time in 104 years. That has never happened before under a Labour Government, or under the Lib Dems or the Conservatives, but it is happening under this Government. Its chair said:

“The sense of anger among pharmacy owners has been intensified exponentially by the Budget”,

citing unfunded national insurance contributions and national living wage increases. The Minister acknowledges that there is potential action. What contingency plans does the Department have to ensure that we keep patients safe if pharmacies close their doors in industrial action next week?

[Stephen Kinnock]

On the NPA, it has taken us a while to clean up the utter mess that we inherited in community pharmacy. That involved agreeing financial envelopes and getting into negotiations with CPE. Those negotiations have been constructive, and I am delighted to confirm again that we will soon announce the outcome of those negotiations. What we see here is the shadow Minister apparently taking the side of people taking collective action in a premature way that is detrimental to patients. They would be better off waiting for the outcome. The Government are taking industrial relations into the 21st century, as opposed to the performative nonsense that we saw for 14 years.

[Caroline Voaden (South Devon) (LD)]

11. What steps he is taking to support families of patients who have been sectioned under the Mental Health Act 1983.

[The Minister for Care (Stephen Kinnock)]

When someone is detained, family involvement is extremely valuable, and families should be supported to maintain contact with their loved ones. Our Mental Health Bill will strengthen requirements to involve families in people’s care. We will require clinicians to involve patients and their families where possible when developing new statutory care and treatment plans.

[Caroline Voaden]

I have two ongoing constituency cases with adult men who have serious and long-term mental health issues. One of my constituents believes that her life is in danger because of her son’s threatening behaviour towards her—her own mental health has been seriously affected by the fear and stress. The other case involves a young man causing serious distress to his neighbours with his behaviour, which recently led to an incident where he reportedly threatened a police officer with a knife. Both men are living alone in unsupported accommodation, both are at risk of coercion and abuse because of their mental health problems, and both are causing serious distress to their families and neighbours. Will the Minister tell the House whether he is working with other Departments to ensure the availability of more provision to support people such as my constituents to live safely in the community and not cause harm or distress to those around them?

[Stephen Kinnock]

I know that the hon. Member has met my right hon. Friend the Secretary of State about at least one of those constituency cases. NHS England has asked mental health trusts to review the care of high-risk patients and has published national guidance on the standards of care that are expected. Ultimately, the Mental Health Act is there to protect people and provide the necessary powers to enable clinicians to manage and support such patients—and to do so, where possible, in the community.

[Chris Vince (Harlow) (Lab/Co-op)]

Yesterday I met Essex partnership university NHS foundation trust and spoke to it about the need to support the families of those suffering with mental health issues in Harlow, and particularly those with caring responsibilities. Will the Minister consider how mental health services can better identify and support young carers?

[Stephen Kinnock]

My hon. Friend will be aware that we are bringing forward the Mental Health Bill, and an important part of that legislation will enable family members—when they are chosen as a nominated person—to have powers to request assessment under the Act, challenge decisions and request considerations of discharge in line with the nearest relative powers.

[Sarah Smith (Hyndburn) (Lab)]

13. What steps he is taking to ensure special educational and disability needs are met by the NHS.

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[Patricia Ferguson (Glasgow West) (Lab)]

T5. Since being elected, I have been contacted by a number of constituents registered with a GP in Scotland who find themselves unable to get medication for which they have a prescription while visiting England. Will my hon. Friend take steps to encourage NHS England and NHS Scotland to work together to find a solution that works for patients?

[The Minister for Care (Stephen Kinnock)]

I am very sorry to hear about my hon. Friend’s constituents’ experience. Accessing vital medicines while travelling between nations should be seamless, and I will ask NHS England to work with NHS Scotland to better understand what needs to change to make things easier for patients across the UK.

[Ian Sollom (St Neots and Mid Cambridgeshire) (LD)]

T7.   In the light of the recently announced 50% staffing reductions across integrated care boards, has the Secretary of State made any assessment of how those cuts to the Cambridgeshire and Peterborough ICB will delay the delivery of essential new primary care services for my rapidly growing constituency, particularly in Northstowe, Cambourne and St Neots, where thousands of constituents are already facing unacceptable difficulties in accessing care?

[Jenny Riddell-Carpenter (Suffolk Coastal) (Lab)]

In Saxmundham in my constituency, Dr Havard has led a campaign for 20 years to transform the healthcare centre into a one-stop community healthcare hub. His practice has already expanded services, transforming health locally. Does the Minister agree that the Saxmundham healthcare hub is an excellent example and model for what this Government are trying to do to transform community healthcare?

[Stephen Kinnock]

My hon. Friend is absolutely right that shifting care from hospitals to the community is at the heart of our 10-year plan. I would be happy to meet the doctors leading this pilot to find out more about the excellent work that she describes.

[Christine Jardine (Edinburgh West) (LD)]

For eight years, I have seen how a young constituent has been able to completely control his previously life-threatening seizures with medicinal cannabis, but at huge cost to his family—a cost that is prohibitive for other people. Will the Secretary of State meet me to discuss how we can make access to such treatments more affordable, accessible and safe, so that we can help more people?

[Mohammad Yasin (Bedford) (Lab)]

In the ongoing discussion on assisted dying, one point on which we all agree in this House is the urgent need to improve palliative care. I therefore welcome the Government’s recent £100 million commitment to supporting hospices, including those that help my constituents. Can the Minister confirm whether long-term funding for hospices will be a priority in the upcoming 10-year health service plan?

[Stephen Kinnock]

My hon. Friend is right that the hospice sector has been provided with the largest capital spend in a generation—£100 million. We are also providing £26 million of revenue funding to children and young people’s hospices. I can confirm that hospices will play a key role in our shift from hospitals to the community, as he set out in his question.

[Victoria Collins (Harpenden and Berkhamsted) (LD)]

Tragically, Ed was just 24 years old when he decided to take his own life, and that is why the family have joined us today in the Gallery. What urgent action are the Government taking to improve mental healthcare and suicide prevention for young people like Ed?

[Stephen Kinnock]

The hon. Member raises an important issue. We are investing in 8,500 more mental health specialists, as well as specialists in every school, and in Young Futures hubs across the country, to ensure that we do whatever we can to prevent these tragedies.

[Markus Campbell-Savours (Penrith and Solway) (Lab)]

An early day motion from 2007 noted that women were typically waiting eight years to be diagnosed with endometriosis. Shockingly, nearly 20 years later, that wait has increased to nine years. The Government are right to tackle the appalling waiting lists for surgery, but the one in 10 women who suffer with endometriosis often struggle with years of pain before surgery is even suggested. What plans does the Department have to deal with these delays, and how we can ensure that those working in primary care recognise this debilitating condition earlier?

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[Chris Hinchliff (North East Hertfordshire) (Lab)]

Do Ministers agree that a logical conclusion of the Darzi report is that the national care service that we are committed to creating must be free at the point of use? As Lord Darzi found, as long as the social care system remains means-tested and the NHS is a universally free service, unmet care needs will continue to put unsustainable pressure on our health services.

[Stephen Kinnock]

That is a vital issue. The Casey commission will look at how best to create a fair and affordable adult social care system, and at which structural reforms will be needed where health and social care meet, because reform must always be married with investment.

[Cameron Thomas (Tewkesbury) (LD)]

General practitioners in my constituency have consistently restructured over 10 years of constant systemic and economic pressures. How will the Minister convince the Treasury to exempt GPs from the increase to national insurance contributions, and show my GPs that he has their back?

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[Mr Richard Holden (Basildon and Billericay) (Con)]

Smile Dental Centre is in one of the least affluent parts of my community in Basildon. It is looking to expand and provide more NHS dental services, but it has come up against a few issues. Will the Minister, or one of his officials, meet me and Smile Dental Centre to see what we can unblock to deliver more dental health services for local people?

[Stephen Kinnock]

We are always looking for opportunities to unblock more capacity, and I would be happy to meet the right hon. Gentleman.

[Tom Hayes (Bournemouth East) (Lab)]

Coastal constituencies such as mine in Bournemouth East suffer significant health inequalities. What are the Government doing to address them, and will the Minister meet me and coastal Labour MPs to address the issue?