Claire Young

I thank my hon. Friend the Member for Yeovil (Adam Dance) for leading today’s debate. Across my Thornbury and Yate constituency, the lack of dental practices providing NHS services has been particularly acute. As I put it to the Minister last week, less than a third of the adults, and just under half of the children, in my patch have been seen by an NHS dentist in the past two years—both figures are well below the national average. Constituents write to me regularly to express their frustration at the lack of local NHS provision. I have been assured that the NHS does everything to ensure that patients who lose access through privatisation receive adequate treatment elsewhere, but that has not been the experience of many of my constituents. David waited nearly two years for an appointment, only for his practice to go private. His situation deteriorated to the point that he required emergency treatment, which the NHS did provide, but the underlying problem was never fully resolved and he has been advised by his practice to go for private treatment. That is a failure, and not only in the immediate sense. Short-term emergency care does not address the underlying cause. The longer-term cost, whether to the NHS through repeat emergency appointments or to my constituent through lost earnings and private fees, is significantly greater than the cost of timely treatment. This Government have now been in power for two years, but David has seen no improvement in his dental care. I think that speaks for itself. David’s story is one of dozens that I have heard. Another constituent, Doris, was left with an infection for months, only to be told that there is no NHS provision for molar treatment in south Gloucestershire. She, too, had to go private. Members across the House have highlighted the steps that the Government need to take, particularly on the contract, and I want to make two points. First, in response to a written question, the Minister told me that no data is held centrally by the NHS on NHS dental appointments that have been cancelled due to practices converting to private provision. How can we measure progress if we count only those coming in through the front door, not those leaving at the rear? Secondly, rural dental provision has higher operating costs and lower patient density. How can that challenge be reflected in the contract review? Thornbury and Yate is exceptionally poorly served by NHS dentistry. I have written separately to the Minister to request a meeting to review our local situation, and I hope he will take me up on that.