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Written Question
Dental Services: Finance
Wednesday 24th January 2024

Asked by: Jim Shannon (Democratic Unionist Party - Strangford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will take steps to provide additional funding to help prevent the closure of NHS dental services.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The National Health Service reformed dental contracts in 2022 which will help to improve access for patients across England while providing fairer remuneration for dentists. We are already investing £3 billion a year into dentistry and are working hard to improve access to care. We know that we must go further and will publish a Dentistry Recovery Plan shortly.

From 1 April 2023, the commissioning responsibility for commissioning primary care dentistry to meet the needs of the local population was delegated to integrated care boards (ICBs) across England. ICBs became responsible for having local processes in place to involve patient groups, and for undertaking oral health needs assessments, to identify areas of need and determine the priorities for investment.


Written Question
Dental Health: Children
Monday 22nd January 2024

Asked by: Stephen Morgan (Labour - Portsmouth South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to promote child dental health.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Tooth decay can be almost entirely prevented by reducing the amount and frequency of the consumption of sugar in food and drink and providing adequate exposure to fluoride. In England, local authorities have a statutory duty to assess needs, develop oral health strategies and commission the appropriate oral health improvement programmes. We have published evidence-based toolkits for local service commissioners, which are available at the following link:

https://www.gov.uk/government/publications/improving-oral-health-supervised-tooth-brushing-programme-toolkit

We intend to go further with prevention measures for babies and children and will publish a Dentistry Recovery Plan shortly.


Written Question
Dental Health: Children
Monday 22nd January 2024

Asked by: Stephen Morgan (Labour - Portsmouth South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to help prevent tooth decay in children.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Tooth decay can be almost entirely prevented by reducing the amount and frequency of the consumption of sugar in food and drink and providing adequate exposure to fluoride. In England, local authorities have a statutory duty to assess needs, develop oral health strategies and commission the appropriate oral health improvement programmes. We have published evidence-based toolkits for local service commissioners, which are available at the following link:

https://www.gov.uk/government/publications/improving-oral-health-supervised-tooth-brushing-programme-toolkit

We intend to go further with prevention measures for babies and children and will publish a Dentistry Recovery Plan shortly.


Written Question
Dental Services
Tuesday 16th January 2024

Asked by: Stephen Morgan (Labour - Portsmouth South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the adequacy of the number of dentists taking on new patients compared to patient demand.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

National Health Service dental activity as measured by Courses of Treatments delivered has increased by 23% between 2021/22 and 2022/23. NHS dentists are now required to update their NHS website profiles regularly, to ensure patients have access to up-to-date information on where they can access care. From 1 April 2023, the commissioning 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 became responsible for having local processes in place to involve patient groups, and for undertaking oral health needs assessments, to identify areas of need and determine the priorities for investment.


Written Question
Dental Services: Weaver Vale
Tuesday 19th December 2023

Asked by: Mike Amesbury (Labour - Weaver Vale)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she plans to take to increase the number of NHS dentists in Weaver Vale constituency.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

In July 2022 we announced a package of reforms to improve access to National Health Service dentistry, which outlined the steps we are taking to meet oral health needs and increase access to dental care, including in Weaver Vale. The changes that have been implemented include improvements to ensure dentists are remunerated more fairly for more complex work and the introduction of a minimum Units of Dental Activity value.

From 1 April 2023, 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. ICBs are responsible for having local processes in place to identify areas of need and determine the priorities for investment.

The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. These include a 40% increase to dentistry undergraduate training places by 2031/32.

But we know we need to do more, and that there are some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients, and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.


Written Question
Dental Services: Veterans
Monday 11th December 2023

Asked by: Peter Gibson (Conservative - Darlington)

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 adequacy of the level of access to NHS dentist appointments for veterans when they leave the armed forces.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

In July 2022, we announced a package of improvements to the National Health Service dental system, detailed in Our plan for patients. This outlined how we will meet oral health needs and increase access to NHS dental care through several improvements to the 2006 contract. These changes were designed to improve access for all that need it, including veterans.

A key principle of the Armed Forces Covenant is that the Armed Forces community experiences no disadvantage in accessing healthcare. The NHS takes its responsibilities under the Covenant very seriously.

We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.


Written Question
Dental Services: Easington
Monday 11th December 2023

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, pursuant to the Answer of 28 November 2023 to Question 2859 on Dental Services, what steps she is taking to increase access to NHS dental care provision for adults in Easington constituency.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

In July 2022, we announced a package of reforms to improve access to National Health Service dentistry, which outlined the steps we are taking to meet oral health needs and increase access to dental care. NHS dental activity as measured by Courses of Treatments delivered has increased by 23% between 2021/22 and 2022/23 and 1.7 million more adults saw an NHS dentist in 2022/23 compared to the previous year, an increase of 10%.

But we know we need to do more, including in some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will be published shortly.

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 Northeast and North Cumbria ICB dental commissioning team, which covers Easington constituency, continues to work closely with local dental networks as well as with providers to explore all opportunities to increase capacity and improve access to local dental services. Local practices that have the capacity to deliver additional clinical sessions outside of their normal opening hours have access to additional funding to provide treatment to patients with urgent dental care needs, looked after children, and patients with complex high care needs.


Written Question
Dental Services
Thursday 7th December 2023

Asked by: Elliot Colburn (Conservative - Carshalton and Wallington)

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 from the Parliamentary Under-Secretary of State for Health and Social Care during the Westminster Hall debate on Healthcare Services: Carshalton and Wallington on 23 May 2023, Official Report, Column 71WH, what progress her Department has made on producing a radical dentistry plan.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make National Health Service work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.

Our Dentistry Recovery Plan will build upon the first package of reforms agreed in July 2022, which included changes to banding and the introduction of a minimum Units of Dental Activity value. Our plan will include addressing how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver NHS care.


Written Question
Dental Services: East Sussex
Thursday 7th December 2023

Asked by: Lloyd Russell-Moyle (Labour (Co-op) - Brighton, Kemptown)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase access to NHS dental services in (a) Brighton, Kemptown constituency, (b) the City of Brighton and Hove and (c) Lewes District.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

In July 2022 we announced a package of reforms to improve access to National Health Service dentistry across England, which outlined the steps we are taking to meet oral health need and increase access to dental care in England. The changes that have been implemented include improvements to ensure dentists are remunerated more fairly for more complex work and the introduction of a minimum Units of Dental Activity value. NHS dental activity as measured by Courses of Treatments delivered has increased by 23% nationally between 2021/22 and 2022/23.

From 1 April 2023, 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. ICBs are responsible for having local processes in place to identify areas of need and determine the priorities for investment and have access to regular data which will support them in their plans to improve access to NHS dentistry in their area.

The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. These include a 40% increase to dentistry undergraduate training places by 2031/32.

But we know we need to do more, and that there are some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.


Written Question
Integrated Care Boards: Dentistry
Thursday 7th December 2023

Asked by: Peter Gibson (Conservative - Darlington)

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 adequacy of the level of representation of dentists on regional Integrated Care Boards.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Information is not held centrally on the members of integrated care boards (ICBs), including the level of representation by dentists.

From 1 April 2023, the responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all ICBs across England. This included the transfer of all funding, Units of Dental Activity and the management responsibility for National Health Service dentistry. ICBs are responsible for having local processes in place to involve patient groups, and for undertaking oral health needs assessments, to identify areas of need and determine the priorities for investment.

NHS England has published implementation guidance on effective clinical and care professional leadership within ICBs, which is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2021/06/B0664-ics-clinical-and-care-professional-leadership.pdf

As part of the development of local frameworks and wider governance arrangements, system leaders were asked to commit that they ensured that the full range of clinical and professional leaders from diverse backgrounds are integrated into system decision-making at all levels.