Jerome Mayhew

The hon. Member is absolutely right. The school is not the only answer, but it is part of the answer. Part of how it will encourage graduands and then graduates to be sticky—to stay locally—is through its training process. From year one, students will be placed in local dental practices, so they will be providing benefits to real people right at the start of their practice, but also developing professional relationships with those practices so that they can walk into good-quality, local jobs. That should help with the stickiness, but the hon. Member is right that it is not the full solution. We need reform of the 2006 NHS dental contract, but that is not specific to East Anglia and it does not explain why we are in a particular pickle in the east of England. That subject would happily take up another debate, so although I recognise its importance, I will not get too distracted. The other problem, which is slightly more recent in origin, is the imposition of national insurance contributions on dental practice. The British Dental Association has outlined that the recent Budget could have a devastating impact on struggling NHS practices. A local practice in Norfolk says that “the recent changes to employers’ NI and raising of the living wage will lead to bankruptcy and breakdowns. We have been trying to keep our 100% NHS dental practice open under very difficult circumstances, being unable to fill our vacancy for a full-time dentist. This post has been empty since April 2023 and we can no longer go on with only one dentist and pay the bills.” I recognise that it is above the Minister’s pay grade, but I do hope that in his advocacy to His Majesty’s Treasury he will ensure that it is fully aware of the negative impact of the NI increases on dentistry, as well as on GP practices, and that that will be taken into account in future decisions.