PARLIAMENTARY DEBATE
NHS Dental Contracting Framework - 23 July 2024 (Commons/Commons Chamber)

First, may I welcome my hon. Friend the Member for Norwich North (Alice Macdonald) to the House, and say what an absolute privilege it is to have been appointed Secretary of State for Health and Social Care? We have our work cut out for us, with not only the worst economic inheritance since 1945, for which the Conservatives should show more humility, but the worst crisis in the history of our national health service, which we see reflected particularly in NHS dentistry. Some 13 million people in England have unmet need for NHS dentistry, or 28% of the country, and it is disgraceful that rotting teeth are the most common reason for children aged between five and nine being admitted to hospital. During the general election campaign, I pledged to meet the British Dental Association immediately to start conversations on contract reform, and I did exactly that. I look forward to working with dentists and others from across the sector to reform the dental contract and rebuild NHS dentistry.

I welcome my right hon. Friend to his place. Norfolk is a dental desert and my constituents are suffering. As well as reforming the contract, we need to train more dentists. In the east of England we do not have a dental school, but the University of East Anglia has put forward proposals for one. Will he meet me, other hon. Members from Norfolk and representatives from the University of East Anglia to discuss this important proposal?

It is appalling that Norfolk and Waveney are so poorly served in terms of dentistry. There are only 36 dentists per 100,000 people, compared with the national average of 53, so when my hon. Friend says that her community is a dental desert, Members should know that it is the Sahara of dental deserts. We will work with partners to ensure that patients across the country can access a dentist when they need one. I am aware, not least thanks to her advocacy and the advocacy of other Labour MPs across Norfolk, of the University of East Anglia’s proposal, and I would be delighted to meet her and my colleagues.

My constituents in Sunderland Central tell me that NHS dentistry is broken. It is not just that they cannot access routine care, but that if they are struck with, for example, excruciating toothache, they cannot access urgent appointments either. I therefore ask my right hon. Friend what steps he is taking, alongside the welcome reform of the dental contract, to ensure that urgent dental services are available locally in places such as Sunderland.

I welcome my hon. Friend; he certainly has big shoes to fill in Sunderland Central and is a worthy successor to his predecessor. He is absolutely right that alongside contract reform we need urgent action. That is why we committed to providing 700,000 additional urgent appointments and recruiting dentists to where they are most needed, and I am delighted to report that dentists stand ready to assist. We are working with the BDA urgently to get those appointments up and running as soon as possible, and we will keep the House informed on progress as we do.

High Peak is also a dental desert. We spoke to one practice that said it got as many calls for registrations as it did for appointments. Often those calls are deeply distressing, with elderly people unable to eat because they need their dentures sorted. What first steps is the Secretary of State able to take to cure 14 years of Conservative failure in NHS dentistry?

I welcome my hon. Friend to the House. He is absolutely right to point out that these challenges have been 14 years in the making, and it will take time to fix the damage that the Conservatives have done to our national health service. We will start with 700,000 urgent appointments, as we promised, and we will continue with contract reform, which is essential. I reassure him that as we do, we will have the needs of all communities in our country at heart, especially rural communities such as his that have particular challenges. I look forward to involving him and keeping him up to date on progress as we make it.

The NHS dental recovery plan was launched earlier this year, and the Secretary of State has on his desk news about the impact that it is having. Could he share with the House how much the plan has increased appointments in the Worcestershire and Herefordshire integrated care board area?

The Conservative party lauded that plan during the general election, when I think the public delivered their verdict on the progress that it had made. NHS dentistry is non-existent in huge parts of the country. We will stick with some aspects of the previous Government’s dental recovery plan because they are the right solutions, but there are gimmicks that we will not proceed with. We will come forward with a serious plan to reform the dental contract, which the Conservatives committed to in 2010 but failed to do in every single year of their 14 years.

I have a constituent who has been trying to get a dentist appointment for a year. They have painful abscesses, cannot sleep and cannot eat using the right side of their mouth. We need to get on with this. I note that a review of the NHS has been launched, but the British Dental Association is concerned that that review will delay the changes to NHS dentistry that are so desperately needed. Will the Secretary of State give us a timeline for when we will see change?

I am grateful to the hon. Member for her question and congratulate her on her re-election to the House. She is right to point to the detrimental impact that the Conservatives’ failure is having on people’s lives. In fact, in 1948, when the national health service was founded, Nye Bevan received a letter from a woman who had worked her entire life in the Lancashire cotton mills about how the dentistry she was given by the national health service had given her dignity and the freedom to associate in any company. What a tragedy that 76 years later, the Conservative party has squandered and destroyed that legacy to the point where people are suffering not just pain and agony, but the indignity of being unable to find a job and unable to socialise in polite company because they are ashamed of the state of their rotting teeth.

The hon. Member is absolutely right: Lord Darzi is conducting a review on the state of the NHS, and it will report in September. That is not preventing us from making progress, talking to the BDA and working within the Department and across the sector to get those 700,000 appointments up and running as a matter of urgency. I look forward to reporting the progress to her and other right hon. and hon. Members.

As the right hon. Gentleman is aware, there is a particular shortage of NHS dentists in coastal and rural communities such as mine on the Isle of Wight. Will he therefore commit to the previous Government’s plan for 240 golden hellos for newly qualified dentists by the end of the year to address that issue?

I welcome the hon. Member to the House—it is a rare thing to welcome new Conservative Members, and he is welcome. He is absolutely right to touch on the workforce issues in NHS dentistry, and to say that we need to incentivise dentists, on two fronts: we need them to commit to and do more work in the NHS—we are looking at a range of things in that regard—and we need to ensure that we get more dentists to the areas in which they are most needed. We will certainly support incentives to that effect.

I call the shadow Minister.

I welcome the right hon. Member and his new team to their places in the Department. The shadow Secretary of State, my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins), prioritised access to care, including NHS dentistry, when she was Secretary of State. The dental recovery plan that she launched announced new dental vans to provide access to care to our most rural communities and coastal communities in England. We had agreed with NHS England that the first vans would be on the road by this autumn, and I know that that timescale was welcomed by colleagues across the House. Will he confirm that dental vans will be on the road by this autumn?

I could not have picked a better example of the previous Government’s desperately low ceiling of ambition than the fact that, after 14 years, they laud their triumph of dental vans roaming the country in the absence of actual dentists and dental surgeries. What an absolute disgrace. I accept that the shadow Secretary of State for Health and Social Care was just the last in a very long list of Health and Social Care Secretaries who had the chance to fix the problems. It was not all on her, and it is important that I say that—not least because of the Conservative leadership election that will be taking place soon.

I congratulate the shadow Minister, the hon. Member for Meriden and Solihull East (Saqib Bhatti), on his appointment, but he sat behind Secretaries of State as their Parliamentary Private Secretary year after year, week after week, looking at the utterly abysmal failure of their record. When it comes to criticising this Government on the actions that we will take, the Conservatives do not have a leg to stand on.