Asked by: Grahame Morris (Labour - Easington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will require integrated care boards to collect data on the availability of NHS dental care services in their locality.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
From 1 April 2023, responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to integrated care boards (ICBs) across England. ICBs are responsible for undertaking oral health needs assessments, including any data collection, to identify areas of oral health need, inform local commissioning intentions, and determine the local priorities for investment. It is a contractual responsibility for all National Health Service dental practices to update their NHS.UK profiles at least once every 90 days. The Find a Dentist website gives details of the dental practices in an area, and whether they are accepting new patients, with further information available at the following link:
https://www.nhs.uk/service-search/find-a-dentist
ICB-level data on the number of Units of Dental Activity and courses of treatment delivered, as well as the numbers of adults and children seen, is available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/nhs-dental-statistics
Asked by: Caroline Lucas (Green Party - Brighton, Pavilion)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the oral contribution of the Prime Minister of 8 May 2024 in response to a question from the hon. Member for Weston Super Mare, which the 500 dental practices referred to are; and how many of those practices were registering NHS patients on 8 May 2024.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Our Dentistry Recovery Plan, backed by £200 million, will make dental services faster, simpler, and fairer for National Health Service dental patients. It will fund approximately 2.5 million additional appointments, or more than 1.5 million additional courses of dental treatment. A New Patient Premium is supporting dentists to take on new patients and as of 8 April 2024, nearly 500 more practices have said they are open to new patients, compared to the end of January 2024. The Find a Dentist website allows people to see which practices have said they are accepting new patients, with further information available at the following link:
https://www.nhs.uk/service-search/find-a-dentist
No estimates are currently available on the number of new patients seen by dental practices since the New Patient Premium scheme was introduced, but we are committed to evaluating the impacts of the measures included in our plan, and we will publish monthly data on progress once this is available.
Asked by: Damien Egan (Labour - Kingswood)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential implications for her Department’s polices of recent trends in levels of (a) children, (b) women and (c) people unable to access NHS dental services in Kingswood constituency.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Our Dentistry Recovery Plan, backed by £200 million, will make dental services faster, simpler, and fairer for National Health Service dental patients. It will fund approximately 2.5 million additional appointments, or more than 1.5 million additional courses of dental treatment. A New Patient Premium is supporting dentists to take on new patients and since the end of January, nearly 500 more practices have said they are open to new patients.
The Dentistry Recovery plan also sets out a new emphasis on prevention and good oral health in children. This includes supporting nurseries and early years settings to incorporate good oral hygiene into daily routines, and providing advice to expectant parents on how to protect their baby’s teeth. The plan will deploy mobile dental teams into schools to provide advice and deliver preventative treatments to more than 165,000 children.
A new patient premium is supporting dentists to take on new patients, and a new marketing campaign will help everyone who needs an NHS dentist in finding one. We have further supported dentists by raising the minimum Units of Dental Activity rate to £28 this year, making NHS work more attractive and sustainable. We are committed to evaluating the impacts of the measures included in our plan, and we will publish monthly data on progress, once available. Annual dental statistics, including the number of adults and children who have seen an NHS dentist since 2015, are available at the following link:
Asked by: Caroline Lucas (Green Party - Brighton, Pavilion)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate she has made of the number of children unable to access NHS dentistry in England; and whether she has set a target date by which all children in England will be able to access an NHS dentist.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Dentistry Recovery Plan will make dental services faster, simpler, and fairer for patients, and will fund approximately 2.5 million additional appointments, or more than 1.5 million additional courses of dental treatment. The Dentistry Recovery plan also sets out a new emphasis on prevention and good oral health in children. As part of this plan, our 'Smile for Life' initiative includes supporting nurseries and early years settings to incorporate good oral hygiene into daily routines, and providing advice to expectant parents on how to protect their baby’s teeth. The plan will deploy mobile dental teams into schools to provide advice and deliver preventative treatments to more than 165,000 children. Data on the number of children who have been seen by a National Health Service dentist in the last 12 months is available at the following link:
Data is also available on the number of adults who have tried to get an NHS dentist appointment in the last 24 months, and whether they were or were not successful. This data is available at the following link:
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of the 4% increase in NHS dental charges on access to dental care for low-income (a) people and (b) families.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
National Health Service dental charges provide an important contribution to pressurised NHS budgets. It is particularly important to maintain this contribution at sustainable levels, whilst we work to improve NHS dentistry. In setting the charges, we strive to strike a balance between the contribution the charges represent to the overall NHS budget, and the cost to charge-paying patients, recognising the primary policy objectives of improving oral health and guarding against creating financial barriers in accessing NHS dentistry.
We consider that the latest 4% uplift is proportionate, as it remains below the Consumer Prices Index, and represents a £1 increase to a Band 1 course of treatment. To ensure everyone has access to dentistry when needed, there are a range of exemptions to NHS dental patient charges for those who need the most financial support.
The Department has produced an Impact Assessment with respect to the 4% uplift of NHS dental charges for patients in England from April 2024, which is available from the following link:
https://www.legislation.gov.uk/ukia/2024/48/pdfs/ukia_20240048_en.pdf
In line with our Public Sector Equality duty, the Department has also considered the impact of the change on equality, and on those from disadvantaged groups.
Asked by: Thérèse Coffey (Conservative - Suffolk Coastal)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how her Department determines the performance target for units of dental activity for each dental practice.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
From 1 April 2023, the responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England.
The current General Dental Service (GDS) contract and Personal Dental Service (PDS) agreement were introduced in 2006. The majority of contracts which deliver routine, or mandatory, dental services are legacy arrangements from pre-2006, and the contracted Units of Dental Activity (UDAs) under these contracts generally reflect the treatment volumes that were required from each practice prior to the new arrangements coming into force.
Activity levels for any new GDS contracts or PDS agreements would be determined as part of the procurement process, taking into account oral health needs assessments undertaken by ICBs, to identify areas of need and to determine the priorities for investment.
Contractors are expected to deliver 96 to 102% of their agreed activity each year. Where contracts deliver less than 96%, the value of the undelivered activity is recouped from the contractor. Undelivered activity between 96 to 100% may be carried forward into the next financial year. Activity greater than 100% may be funded to 110%, if there is a local arrangement with the ICB, or may be deducted from the activity requirements of the next financial year.
Asked by: Helen Morgan (Liberal Democrat - North Shropshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the average distance people travel to access an NHS dentist in (a) North Shropshire constituency and (b) the UK.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
We want to make sure that everyone needing a National Health Service dentist can access one. Our plan to recover and reform NHS dentistry will make dental services faster, simpler, and fairer for patients, and will fund approximately 2.5 million additional appointments, or more than 1.5 million additional courses of dental treatment. This is especially important for those who live in rural or coastal communities, where we know access can be particularly challenging.
Our plan includes a new Golden Hello scheme for dentists who want to move to those areas which persistently struggle to attract dentists into NHS work. A Golden Hello of £20,000 will be offered per dentist, for a total of up to 240 dentists.
There are other measures in our Dentistry Recovery Plan which will help to improve access across all areas of the country. The new patient premium is designed to support dentists to see patients who may not have seen an NHS dentist for some time, and is offered in recognition of the additional time that may be needed for practices to assess, stabilise, and manage patients’ oral health needs. We will also raise the minimum Units of Dental Activity rate from £23 to £28, supporting practices across the country to deliver more NHS care. We do not hold data on the average distance people travel to access an NHS dentist.
Asked by: James Wild (Conservative - North West Norfolk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to her Oral Statement of 7 February 2024 on NHS Dentistry: Recovery and Reform, Official Report, columns 251-253, what her planned timetable is for the deployment of dental vans in (a) Norfolk and (b) North West Norfolk constituency.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
We will deploy dental vans offering appointments to patients in targeted rural and coastal communities who have the most limited access to dentistry, including Norfolk. We are currently working with NHS England and the integrated care boards to agree where the vans will be deployed. Dental vans will begin to be implemented later this year.
Asked by: James Wild (Conservative - North West Norfolk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to her Oral Statement of 7 February 2024 on NHS Dentistry: Recovery and Reform, Official Report, columns 251-253, what her planned timetable is for the deployment of mobile dental teams in schools; and what criteria she plans to use to determine their locations.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Our plan to recover and reform the National Health Service will ensure that children can access preventative care. We will be deploying dental teams to bring preventative dental services such as fluoride varnish directly to children. Dental teams will visit state primary schools in the most need, with higher levels of child tooth decay, and provide fluoride varnish treatments and advice. Starting later this year, we will deploy mobile dental teams into schools in under-served areas, to provide advice and deliver preventative fluoride varnish treatments to more than 165,000 children, strengthening their teeth and preventing tooth decay.
Asked by: James Wild (Conservative - North West Norfolk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to her Oral Statement of 7 February 2024 on NHS Dentistry: Recovery and Reform, Official Report, columns 251-253, which areas will be included in the first cohort to offer golden hello payments to dentists.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
To support practices in areas where recruitment is particularly challenging, we will launch a new Golden Hello scheme. We will implement schemes working with integrated care boards that are struggling to recover their activity levels, and would significantly benefit. A Golden Hello of £20,000 will be offered per dentist for up to 240 dentists. Payments will be phased over three years, requiring a commitment from the dentist to stay in that area delivering National Health Service work for at least three years. We will decide on locations in the coming months.