NHS Dentistry
The Government were elected on a platform that included a dentistry rescue plan. They correctly assessed a crisis in NHS dentistry and promised to fix it. Nowhere is that crisis more felt than in the rural areas across the country. Nearly two years on from the general election, I consulted residents across my constituency in a survey about the health care issues that mattered to them. Almost everyone who replied mentioned the state of NHS dentistry and the lack of provision across Somerset. If the Government want to show genuine support for rural communities, as they claim, they can no longer ignore those voices calling for action—but ignore them, the Minister does. When I asked the Minister on the Floor of this House what steps he was taking to increase the number of dentists accessible to rural communities, he directed me to, “Watch my post box” to be furnished with the numbers of how many more appointments have been provided in my constituency. I did wait, and then I waited some more, and no response came. Eventually, having chased the special adviser outside the Chamber and threatened a point of order for the Minister’s reply, I did get a response. It then became clear why his Department had been so reticent: the numbers revealed that 4% fewer NHS dental treatments had been delivered in the first seven months of this financial year compared with the same period before the general election. The Government are too busy patting themselves on the back to notice the dire reality of NHS dental provision across Somerset and other rural counties. For meaningful change to be felt by my constituents and patients across the country, reform of the system needs to start being treated as a priority. Access to quality NHS dental care should be available to all, not just those in urban Labour constituencies. Families in Somerset should not need to travel miles for basic care, paying fees they cannot afford or, worse still, going without treatment altogether. Polling for Ipsos last year revealed that when people cannot secure dental treatment, a quarter will resort to at-home DIY solutions. That is simply not acceptable in a modern health service. Before those on the Government Benches leap to their feet with interventions beginning with “Fourteen years”, which we hear every sitting day, I have to acknowledge that this problem did not start in July 2024. Previous Governments, including previous Conservative Governments, did not do enough to fix the problem. The last Government did take steps, including an uprating of NHS dental unit pricing, but far more needs to be done to address the deeper structural issues in the system. Contract reform, fundamentally, is what we need to see. I am encouraged that Ministers seem to agree, but on this issue, this Government’s intervention follows a familiar pattern. Instead of taking action, they are launching a consultation. This Government and this Minister have been in office for two years, and I would have thought that by now they would have worked out what they wanted to do to improve the system. If the Minister is going to consult, I very much hope that it is on the basis of a well-thought-through plan and that it is not being used as another delaying tactic. I hope, in particular, that he will consider how we can strengthen the dental workforce in rural areas. Something I have raised previously with the Minister is how we can train more dentists locally. Clinicians who train in a community are more likely to stay and practise there. In Bridgwater, discussions took place with Bridgwater and Taunton college on the potential for partnerships, such as with the University of Bristol dental hospital, to deliver local training pathways. If student dentists could do some of their practice within rural communities, it might encourage them to work there afterwards. The Minister asked me to write to him about that, and I did, but I got a whole load of platitudes back and, regrettably, no action was taken.