division_name: NHS Dentistry
motion: <p class="indent" pid="b162.3/2" pwmotiontext="yes">That this House recognises that NHS dentistry is in crisis, with eight in 10 dentists in England not taking on new NHS patients and vast parts of the country considered so-called dental deserts, where no dentists are available; regrets that this has led to people resorting to DIY dentistry or attending A&amp;E to access urgent care; is concerned that tooth decay is the most common reason children aged six to 10 are admitted to hospital; and therefore calls on the Government to provide an extra 700,000 urgent appointments a year, introduce an incentive scheme to recruit new dentists to the areas most in need and a targeted supervised toothbrushing scheme for three to five year-olds to promote good oral health and reform the dental contract to rebuild the service in the long-run.</p>
  
  <p class="indent" pid="b162.3/5" pwmotiontext="yes">&#8220;NHS dentistry in England is at its most perilous point in its 75-year history.&#8221;</p>
  
  <p class="indent" pid="b162.4/2" pwmotiontext="yes">&#8220;Your teeth are in a very poor condition with most of your remaining teeth decayed and unsaveable. All your teeth except 2 &#8230;need extracting.&#8221;</p>
  
  <p class="indent" pid="b163.6/2" pwmotiontext="yes">&#8220;Hormonal changes during pregnancy can make gums more vulnerable to plaque&#8221;,</p>
  
  <p class="indent" pid="b163.6/4" pwmotiontext="yes">&#8220;Changes to dietary habits, and morning sickness&#8221;</p>
  
  <p class="indent" pid="b166.3/5" pwmotiontext="yes">&#8220;For the wider health system, the lessons are troubling: without political honesty and a clear strategy, the same long-term slide from aspiration to reality could happen in other areas of primary care too.&#8221;</p>
  
  <p class="indent" pid="b168.1/4" pwmotiontext="yes">&#8220;That really is the nanny-state in action.&#8221;</p>
  
  <p class="indent" pid="b168.1/9" pwmotiontext="yes">&#8220;I was shocked to learn at the end of last year that little to no progress has been made by the Health Board in our region who are responsible for commissioning this service to you.&#8221;</p>
  
  <p class="indent" pid="b168.1/11" pwmotiontext="yes">&#8220;I have today written to the Chief Executive following on from the meetings I had last year, and will be raising this issue in today&#8217;s dentistry debate in the House of Commons.&#8221;</p>
  
  <p class="indent" pid="b170.2/2" pwmotiontext="yes">&#8220;recognises the impact of a once-in-a-generation pandemic on NHS dental services, with 7 million fewer patients seen in England across 2020 and 2021; notes these challenges were reflected in both Scotland and Wales; acknowledges the steps already taken to recover services in England including the introduction of a minimum rate and increased payments for complex dental activity to better reward dentists for their work; welcomes the publication of the Long Term Workforce Plan which committed to expanding dental training places by 40 per cent; and supports the upcoming publication of the Government&#8217;s plan to further recover and reform NHS dentistry and promote good oral health throughout life.&#8221;</p>
  
  <p class="indent" pid="b177.3/3" pwmotiontext="yes">&#8220;an out of date view&#8221;</p>
  
  <p class="indent" pid="b177.3/8" pwmotiontext="yes">&#8220;Expansion is a significant and positive development, and we commend the government for recognising the importance of increasing dental hygiene and dental therapist positions. These roles play a vital role in enhancing capacity and improving care.&#8221;</p>
  
  <p class="indent" pid="b181.1/3" pwmotiontext="yes">&#8220;an instruction manual to save NHS dentistry.&#8221;</p>
  
  <p class="indent" pid="b181.1/7" pwmotiontext="yes">&#8220;We do want everyone who needs one to be able to access an NHS dentist&#8212;absolutely&#8221;</p>
  
  <p class="indent" pid="b183.0/5" pwmotiontext="yes">&#8220;I've been saying it for years: the NHS dental contract needs fundamental reform. Without immediate action, there will be no Universal NHS Dentistry.&#8221;</p>
  
  <p class="indent" pid="b186.0/5" pwmotiontext="yes">&#8220;The whole service has been underfunded for years. I receive a very low UDA rate compared to other practices in the area. In 2006, I was paid &#163;22 UDA and now it is &#163;27. Patients need to know that we are not just greedy dentists. There is a shortage of dental nurses so they are demanding more money. Where am I supposed to find that extra funding?&#8221;</p>
  
  <p class="indent" pid="b187.0/2" pwmotiontext="yes">&#8220;Our Recovery Plan will be published shortly&#8221;.</p>
  
  <p class="indent" pid="b190.0/6" pwmotiontext="yes">&#8220;We recognise the important contribution to dental care that the wider dental workforce makes, including dental nurses. While training of dental nurses is largely the responsibility of dental practices, we will work with dental practices and other stakeholders to support the wider dental workforce to meet NHS service delivery plans for dentistry.&#8221;</p>
  
  <p class="indent" pid="b190.0/8" pwmotiontext="yes">&#8220;the Plan aims to deliver 15% of dental activity through dental therapists and dental hygienists, as opposed to the current estimate of 5%.&#8221;</p>
  
  <p class="indent" pid="b190.0/10" pwmotiontext="yes">&#8220;national Return to Therapy programme&#8230;being developed to enable dental therapists working as hygienists to fulfil their full scope of practice&#8221;,</p>
  
  <p class="indent" pid="b190.0/12" pwmotiontext="yes">&#8220;NHS England is reforming contractual arrangements to encourage more dentists back into NHS practice and to make it easier for therapists and hygienists to provide NHS care&#8221;.</p>
  
  <p class="indent" pid="b192.0/3" pwmotiontext="yes">&#8220;working to address the challenges facing the service right now.&#8221;</p>
  
  <p class="indent" pid="b194.0/6" pwmotiontext="yes">&#8220;Tim, I felt compelled to email you to tell you&#8230; We have a high number of children who are regularly missing out on education due to being unable to register with a local NHS dentist. A large number of our children have Polish, Romanian, Latvian and Ukrainian parents and therefore will find it easier to travel back to their parents&#8217; original home country rather than wait for a local NHS dentist who is accepting patients.&#8221;</p>
  
  <p class="indent" pid="b196.0/3" pwmotiontext="yes">&#8220;with regards to the extremely limited dental care in North Devon. My partner, who suffers from mental health issues which limits him from performing daily tasks and travelling, was in need of dental treatment this weekend. However, after being on hold for almost an hour I was told that there were no appointments in the whole of North Devon and the nearest appointment was in Exeter. Travelling that distance is just not possible for someone who has mental health issues, and due to the nature of his illnesses, he cannot drive and I don&#8217;t either at present.&#8221;</p>
  
  <p class="indent" pid="b197.0/6" pwmotiontext="yes">&#8220;there was never yet philosopher that could endure the toothache patiently&#8221;.</p>
  
  <p class="indent" pid="b198.0/5" pwmotiontext="yes">&#8220;have had to start outsourcing to other dentists in and around Hull who are willing to work with those with SEN. Still waiting on an appointment for my son to be seen by the dentist we chose over 6 months and he&#8217;s supposed to be seen every 6 months&#8221;.</p>
  
  <p class="indent" pid="b198.0/7" pwmotiontext="yes">&#8220;I needed a dentist during 2021 due to having chemotherapy&#8230;so I go to my local NHS dentist which I had been with for years!...they had struck us off with no notice&#8230;so I ended up ringing over 40 dentists with no response other than a waiting list. 2 years later after treatment I went private, in debt of over 2,000 pounds and having lost 1 tooth. I&#8217;m lucky to being back to OK health.&#8221;</p>
  
  <p class="indent" pid="b198.0/9" pwmotiontext="yes">&#8220;Yeah our dentist closed at East Hull...and it&#8217;s taken me 2 years to try and get my kids a dentist. I actually called 37 dental surgeries and even had to try York, Leeds, Scarborough, Lincoln. My Polish dentist could not resit the English dental exam after we came out of the EU in time due to Covid delays so she went back to Poland. Such a shame, she was an amazing dentist... She was fully qualified but there was an exam you had to resit&#8230;it was all delayed at the time so I think we lost quite a lot because of that.&#8221;</p>
  
  <p class="indent" pid="b198.0/11" pwmotiontext="yes">&#8220;to superglue an Amazon &#163;9 tooth on my front tooth for over a year&#8221;.</p>
  
  <p class="indent" pid="b199.0/3" pwmotiontext="yes">&#8220;there are more than 500 more dentists working in the NHS this year than last year.&#8221;&#8212;[Official Report, <phrase class="date" code="">3 May 2023</phrase>; Vol. 732, c. 111.]</p>
  
  <p class="indent" pid="b201.2/4" pwmotiontext="yes">&#8220;Commissioning responsibility for dental public health falls under the remit of Public Health, which is hosted by the Local Authority. As such, the ICB is unable to comment on the school dental screening programme and this would need to be raised directly with Durham County Council.&#8221;</p>
  
  <p class="indent" pid="b205.0/4" pwmotiontext="yes">&#8220;I barely leave the house. I am too scared to change job because I worry no one wants to hire someone in desperate need of healthcare.&#8221;</p>
  
  <p class="indent" pid="b206.0/3" pwmotiontext="yes">&#8220;is at its most perilous point in its 75-year history.&#8221;</p>
  
  <p class="indent" pid="b206.0/8" pwmotiontext="yes">&#8220;At the end of next year I will have been a dentist for 50 years, always working on the NHS. I don&#8217;t think I have ever known it in such a bad state, nor for the Government to have so little care of its state.&#8221;</p>
  
  <p class="indent" pid="b208.0/3" pwmotiontext="yes">&#8220;unacceptable in the 21st century&#8221;.</p>
  
  <p class="indent" pid="b216.0/4" pwmotiontext="yes">&#8220;constitute tweaks rather than anything close to &#8216;reform&#8217;.&#8221;</p>
  
  <p class="indent" pid="b216.0/8" pwmotiontext="yes">&#8220;The system is on the verge of collapse&#8212;and the only stakeholder that will eventually lose out is the patient.&#8221;</p>