Mary Kelly Foy

I am grateful to the Backbench Business Committee for granting this debate, and I declare an interest as co-chair of the all-party parliamentary group for dentistry and oral health. I pay tribute to the British Dental Association, our secretariat, for the work it continues to undertake to keep NHS dentistry in the spotlight. Due to my APPG role, I hear regularly from patients and dental professionals across the country, and the message I hear nationally is echoed by my constituents in Durham: NHS dentistry is becoming harder to access and the current system is not delivering the practical care that patients need. We need to measure access properly. Ministers should publish local data showing which practices are accepting new NHS patients, how many NHS clinical hours are being delivered, whether urgent care is being completed, how many children are being seen, and whether disease is being stabilised rather than left to worsen. One issue raised with me is the NHS Business Services Authority reporting and payments. Recent system changes have led to incorrect payments, and have made it harder for practices to calculate associate dentists’ pay. For practices already operating under serious financial pressure, that creates yet more uncertainty. Another issue is unit of dental activity caps. One local dentist described a practice with the chair, the associate dentist and the patient ready to go, but no additional UDAs were available. The associate dentist was left, in their words, twiddling their thumbs, while patients were turned away or offered private care. I also heard from award-winning Claypath dental surgery, one of the last remaining NHS dentists in Durham city. The practice manager said the practice had “witnessed firsthand the steady destruction of NHS Dental Services over the last 20 years by successive Governments, that have used the demolition of NHS Dentistry as a way of saving money in the NHS”. As part of the cost cutting, the practice’s contract was reduced by 2,000 exams in April. During an attempted appeal, the practice was told to accept the change or lose the whole contract. I ask the Minister: how does cutting contracts like that improve access for patients? I welcome the Government’s recent steps, including the urgent care changes and the beginning of wider reform discussions, but tweaks to the existing system cannot become a substitute for fundamental reform. We need a clear timetable for formal negotiations on a new dental contract, a deadline for replacing UDAs in this Parliament, and proper funding, so that practices do not lose money for providing NHS treatment. The challenge before us is to build a system that allows dentists who want to provide NHS care to do so, and a system that ensures that patients can access that care. The measure of a healthcare system is not how well it serves those who can afford an alternative, but how it protects those who cannot. We must stop treating the collapse of NHS dentistry as inevitable. A generation is growing up with pain, fear and preventable disease. We know the problems. We know the solutions. What we need now is action.