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Dental Services: East of England — [Sir Mark Hendrick in the Chair]
16 May 2023
Lead MP
Richard Bacon
South Norfolk
Con
Responding Minister
Neil O'Brien
Tags
NHSStandards & Ethics
Word Count: 11725
Other Contributors: 7
At a Glance
Richard Bacon raised concerns about dental services: east of england — [sir mark hendrick in the chair] in Westminster Hall. A government minister responded.
Key Requests to Government:
The MP asks the Minister to reconsider establishing a dental training college in East Anglia and to ensure that the upcoming plan for reforming NHS dentistry addresses these issues properly. He emphasises the need for the right contractual framework and resources to incentivise the right behaviour among dentists.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Lead Contributor
The MP is concerned about the decline in NHS dental services and the impact on patients. He cites a Commons Health Committee report noting that the Government's contract for dentists has transferred financial risk from the NHS to dentists, leading to fewer dentists willing to invest in their practices. The total number of patients seen by an NHS dentist has fallen by 900,000 since the new contract was introduced in 2006. He mentions that many dental practices are not taking on new adult NHS patients, and Bupa is closing numerous practices across the country.
Andrew Gwynne
Ind
Gorton and Denton
The NHS dental system is in crisis with people waiting over three years for care, patients self-extracting teeth, and individuals becoming addicted to painkillers due to lack of treatment. In the east of England, there are only 38 NHS dentists per 100,000 people, leading to issues like DIY tooth extraction and high rates of dental decay among under-fives. Over a third of dental practices' net spend has been cut over the last decade with 2,000 NHS dentists quitting in 2021 alone.
Andrew Selous
Con
South West Bedfordshire
Andrew Selous, a veteran of these debates, raised concerns about the accuracy of NHS England's information regarding dental practices in his constituency. He noted that before the pandemic, 58.5% of children saw a dentist annually, which declined to 46.2% by June 2022. For adults, visits dropped from 49.5% pre-pandemic to 36.9%. Selous emphasised the importance of educating the public on proper dental care and highlighted the need for better oral health in older people. The hon. Friend highlighted the disparity in dental services across the east of England, particularly noting that Norfolk ranked 147th out of 150 sub-regions for access to NHS dentistry. He questioned why spending on NHS dentistry in the region is significantly lower than elsewhere. Noted the world-leading research in Cranfield as part of the golden triangle of opportunities in the east of England.
Daniel Poulter
Con
Central Suffolk and North Ipswich
My hon. Friend is making some very good points, and I congratulate him on securing the debate. There is a tension between payment by activity and moving towards a more preventive model. He suggests locking dentists into NHS for five years post-graduation to recoup training costs.
Jeremy Burslem
Con
Waveney
The MP discussed the challenge of recruiting young professionals, including dentists, who struggle with housing costs. He proposed utilising public land to design and build affordable homes for NHS workers in exchange for their commitment.
Jerome Mayhew
Con
Broadland and Fakenham
The Member emphasised the critical shortage of dentists in Norfolk, where no new patients are being accepted under NHS contracts. He pointed out that Brundall Dental Practice will stop accepting adult NHS patients from September 2023, forcing constituents to switch to costly monthly subscriptions or face acute dental issues at the hospital. Inquired about the surprising low percentage of drinking water that is fluoridated, specifically 10%.
Matt Warman
Con
Buckinghamshire West
Noted that dental issues are a top concern for constituents, highlighting specific cases such as tooth decay among five-year-olds and children needing tooth extractions. He also pointed out the significant backlog in GDC exams with 1,700 individuals awaiting examination slots.
Peter Aldous
Con
Waveney
The east of England is facing significant challenges in NHS dentistry, with low funding and a shortage of dental professionals. Peter Aldous calls for fair funding, contract reform, improved recruitment, prevention measures such as fluoridisation, and better accountability through ICBs. Agreed with his colleague on the need for a public awareness campaign to dispel conspiracy theories and promote the benefits of fluoridation in drinking water.
Government Response
Neil O'Brien
Government Response
Thanked my hon. Friend for securing the debate on dental services in the East of England. Discussed ongoing challenges in accessing dentistry across the country and highlighted particular issues in South Norfolk's constituency. Mentioned commitments to tackling these issues both locally and nationally, noting reforms to NHS dentistry contracts since 2006, including an increase in UDA bands, introduction of a minimum UDA value, allowance for 110% delivery of UDAs, and requirement for dentists to update their availability on the NHS website. Highlighted plans for a centre for dental development in Ipswich, expansion of fluoridation, and changes to banding system reforms. Reiterated the importance of accountability and transparency within the dental sector.
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About Westminster Hall Debates
Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.