Commons Sense

House of Commons · General Debate

Access to NHS Dentistry 2025-05-22

22 May 2025 · 25 other contributors

Opened by Melanie Onn Lab Great Grimsby and Cleethorpes

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Melanie Onn raised concerns about access to nhs dentistry 2025-05-22 in the House of Commons. A government minister responded. Other MPs also contributed.

Key points

  • Labour has promised to tackle the lack of NHS dental services, including extra urgent appointments.
  • The Government focuses on prevention through school-based tooth-brushing schemes and community water fluoridation.
  • Dentists in England spend most time on non-NHS work, contrasting with Scottish dentists.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Melanie Onn Lab Great Grimsby and Cleethorpes

Labour has promised to tackle the lack of NHS dental services, with progress including extra urgent appointments. The Government is focusing on prevention through supervised tooth-brushing schemes in schools but faces a crisis where dentists deliver care at a loss, with only 39% in England spending most time on NHS work compared to nearly 60% in Scotland. Constituents like Catherine are suffering due to long waiting lists and financial constraints, leading to severe oral health deterioration.

Other contributors (25)
  • Julian Lewis Con New Forest East

    Agrees with the Labour initiative but points out that dentists can charge high fees in private practice, making it financially unattractive for them to work in NHS. Emphasises the need for a rewritten constitution and contract to make NHS work worthwhile.

  • Irene Campbell Lab North Ayrshire and Arran

    Highlights that when the NHS was introduced, 83% of dentists signed up, compared to currently 66%. Points out decreasing numbers of participating dentists in Scotland, affecting patient access. Discusses health inequalities with children from deprived areas less likely to have seen a dentist recently.

  • Andrew Murrison Con South West Wiltshire

    Acknowledges that NHS dentists are saints but emphasises the need for incentives due to financial implications. Discusses the 2006 dental contract and its impact on dentist participation in the NHS.

  • John Milne LD Horsham

    The MP shares stories from his constituents who have struggled with high prices for urgent dental treatment. He emphasises that the NHS contract based on units of dental activity is no longer fit for purpose and calls for quick action to prevent a significant reduction in NHS dentistry services.

  • Ben Goldsborough Lab South Norfolk

    The MP discusses the urgent and worsening state of NHS dentistry in Norfolk, highlighting that only 328 dentists are available with any NHS activity, a decrease from 423 in 2019. He calls for investment in a new dental school to train dentists where they are needed and urges reform of the broken NHS dental contract.

  • Alison Griffiths Con Bognor Regis and Littlehampton

    The MP raises concerns about the low rates of adults seen by an NHS dentist in her constituency, citing testimonies from constituents struggling to access basic dental care. She welcomes recent steps taken by the Government but calls for real contract reform.

  • Jo Platt Lab/Co-op Leigh and Atherton

    The MP discusses heartbreaking stories of people in her constituency struggling with accessing NHS dentistry, particularly a constituent who cannot find an NHS dentist to provide the dentures he needs. She supports the Government's announcement of 700,000 extra urgent dental appointments and calls for better support for practices to attract and retain staff.

  • Edward Morello LD West Dorset

    The crisis in dental care is deeply affecting rural communities like West Dorset, where there are just 15 dental practices for a population of over 94,000. Only 36% of adults and 50% of children have seen a dentist in the past two years. The Government's rescue plan to provide 700,000 more urgent appointments is welcome but needs further detail on how rural areas will benefit.

  • Rachel Gilmour LD Tiverton and Minehead

    Minehead has the fewest dentists in the UK. The integrated care boards should be lobbied to ensure contracts are given out properly, as only two of 22 dentists have been recruited under the current funding model.

  • Steve Darling LD Torbay

    The Conservative golden hello scheme has failed in Devon. Only two out of 22 dentists have actually been recruited despite a £377,000 budget for recruitment.

  • Linsey Farnsworth Lab Amber Valley

    Amber Valley has less than a quarter of the national average number of NHS dentists. Dentists receive low payment per treatment and struggle to retain staff, leading to long waiting lists. The integrated care board secured an additional £240,000 but more is needed for urgent dental care.

  • Claire Young LD Thornbury and Yate

    NHS dental activity delivery rate in the south-west is 61.6%, compared to 94.7% in London, leading to high numbers of A&E visits for dental issues. Patients face difficulties finding NHS dentists and are forced into private treatment or suffer without care.

  • Charlie Maynard LD Witney

    There is a consensus that the NHS dental contract needs fixing, but a timeline for legislative action should be provided. Immediate solutions for patients like Claire Young's constituents are also needed.

  • Chris Webb Lab Blackpool South

    Single mothers and children suffer immensely due to lack of NHS dental care. My constituent Louise had to watch her four-year-old son suffer toothache without any proper treatment for up to two years, managing pain with Calpol and ibuprofen.

  • Steff Aquarone LD North Norfolk

    Highlighted the case of Philip, a veteran who lost teeth and faced no local NHS dentists. Welcomed positive developments like an expanded dental practice in Cromer but criticised delays caused by lack of funding for a dental school at University of East Anglia.

  • Lizzi Collinge Lab Morecambe and Lunesdale

    Described severe issues in Morecambe and Lunesdale, such as retired couples travelling long distances to see dentists. Criticised the NHS dental contract's perverse incentives that discourage treating patients who need it most. Emphasised the importance of prevention measures like supervised brushing and fluoride applications.

  • Caroline Voaden LD South Devon

    Noted South Devon faces a severe lack of NHS dentists with over 60% adults and half of children not seeing a dentist in two years. Cited the underfunded NHS dental system, leading to staff shortages and low morale among professionals. Advocated for an emergency scheme to ensure free NHS check-ups for vulnerable groups.

  • Paulette Hamilton Lab Birmingham Erdington

    Emphasised the importance of preventive care measures such as supervised brushing and fluoride applications in early years settings to protect children from tooth decay. Supported her colleague's call for prevention rather than curative approaches.

  • Alex McIntyre Lab Gloucester

    Acknowledged the efforts of dentists, hygienists, dental nurses and practice staff in his constituency but did not provide a detailed position beyond this statement.

  • Susan Murray LD Mid Dunbartonshire

    Families in Scotland struggle to access NHS dental treatment. Only about 66% of children have seen an NHS dentist in the past two years, with numbers dropping to 50% in deprived areas. Before the pandemic, Scotland admitted around 8,000 children annually for tooth extractions under general anaesthetic. The financial strain on dentists due to private sector incentives is leading to fewer NHS dental appointments and more providers moving into private practice.

  • Peter Prinsley Lab Bury St Edmunds and Stowmarket

    The state of NHS dentistry reflects a decade of neglect, with urgent care increasing by 35% in Peter's constituency. There are only 24 dentists per 100,000 people in the east of England and addressing this issue requires revising the dental contract and expanding training opportunities.

  • Danny Chambers LD Winchester

    Preventive care is better than cure, but NHS dentistry fails at basic public health levels. Dentists cross-subsidize NHS work with private income due to outdated contracts and increased staff costs from the national insurance rise. Oral health impacts overall physical conditions like cancer and heart problems.

  • Caroline Johnson Con Sleaford and North Hykeham

    Access to NHS dentistry has long been problematic, but there is not a shortage of dentists per capita compared to 2010. The issue lies in the paucity of dentists doing NHS work due to financial incentives for private practice.

  • Richard Johnson Lab Sleaford and North Hykeham

    The main problem with the current system is the 2006 contract for dental procedures. The amounts vary between practices based on historical data, there is a disincentive to treat new or high-need patients, and UDAs do not cover all costs. There needs to be reform of this contract and more dental places in underserved areas like Norwich and Lincoln.

  • Alex McIntyre Lab Coventry South

    Asked the Minister for Secondary Care about the issue of national insurance costs for dental practices, suggesting that NHS dentists should be exempt from the recent increase in national insurance contributions.

Government Response

The Government have made progress on their plan to address immediate needs of patients through additional urgent dental appointments. Investments include £11 million for a supervised toothbrushing programme, expanded community water fluoridation in the north-east, and efforts to reform the dental contract with input from the British Dental Association.

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