Helen Maguire

The phrases “dental desert” and “DIY dentistry” are becoming so normalised that it is easy to forget the human cost behind those terms. In 2025, over 5 million children did not see a dentist at all. Some 60% of adults have also not seen a dentist in at least the two years prior to June 2025. Barriers to accessing NHS dental care remain higher than ever, with workforce shortages, limited NHS capacity and geographical isolation creating an unjust postcode lottery. Those challenges are often most acute in rural, coastal and deprived communities, as we have heard. The Darzi report found that these communities particularly lack access to NHS dentistry. Across much of rural England, including nearly the whole south-west and much of the east of England, there are fewer than 46 dentists per 100,000 people. Research conducted by the British Dental Association and the Daily Mirror found that 96% of dentists in England are refusing to take on new NHS patients—we heard that today. This dental desert is leaving millions without access to dental care, with dire consequences. There is a significant correlation between lower availability of NHS dental care and higher demand on already stretched accident and emergency departments. Tooth decay is now the most common reason for hospital admission in children aged between six and 10 years. Between 2018 and 2024, over 100,000 children were admitted to hospital due to rotting teeth. This is utterly unacceptable. Our children deserve better. A 2023 poll found that one in five people who failed to get an NHS dentist appointment turned to DIY dentistry. One dentist in Epsom and Ewell shared his distressing experiences with patients. He described how, in desperation, his patient had resorted to using a pair of pliers to extract teeth, filing down the sharp edges of a broken tooth, and even purchasing temporary dental cement to try to fill an open cavity. This is a not too uncommon story that we hear among our constituents. In a recent survey looking into why people resort to DIY dentistry, 36% of participants said that their pain was so severe they acted out of immediacy, 33% cited the high costs of private care, and 30% said it was the inability to get an NHS appointment. This is a national disgrace. We must fix it now. The Labour Government have failed to take meaningful action. Their announcement in March to expand dental training schools amounts to only an extra 50 training places in real terms. It is a step in the right direction, but it is still a mere drop in the ocean. Even the previous Conservative Government, with their disastrous record on the NHS, overseeing waiting lists of up to 7.6 million, had more ambition. They committed to increasing the number of NHS dental training places by 24% by 2028-29 and 40% by 2031-32. Funding on their watch did fall by 16%, but they did have ambition. To make matters worse, Labour has also quietly dropped its manifesto pledge to deliver 700,000 more dental appointments, having delivered only around 100,000 urgent dental appointments so far. Labour also claims that the integrated care boards have commissioned over 1 million appointments, but commissioning appointments is different from actually delivering them. The Liberal Democrats are clear: we must take urgent and decisive action. We would implement a £750 million dental rescue plan that would guarantee access to an NHS dentist for all who need urgent and emergency care, which would end the dental desert and DIY dentistry. We would also introduce an emergency scheme to guarantee access to free NHS dental check-ups for children, new mothers, those who are pregnant and those on low incomes. In addition, we would provide guaranteed appointments for all those needing a dental check prior to undergoing surgery, chemotherapy or a transplant. Will the Labour Government implement those calls? The issues with NHS dentistry cannot be solved with those measures alone. We must also urgently reform the current dental contract, which is fundamentally unfit for purpose, to stop the exodus of NHS dentists and increase access to NHS dentistry. The current system effectively sets quotas on the number of patients a dentist can see on the NHS, as dentists are commissioned to deliver a set number of units of dental activity, or UDAs. The system pays dentists vastly different prices per UDAs delivered, with some practices receiving £30 for each UDA, while others receive over £50 for the identical work. One dentist constituent of mine told me about his practice’s commitment to providing NHS dentistry, but because of the UDA formula, he is compensated the same regardless of whether he fits one or five crowns in a patient. That means that his practice is having to subsidise the high overhead costs, including laboratory fees, to provide those vital NHS services. As a result, his practice is reliant on private dental services as a source of income, without which the business would not be able to survive. That model of NHS dentistry is simply not fit for purpose, and the impact of this system across the UK is undeniable. While the number of dentists registered to provide care in the UK is at an all-time high of nearly 48,000, having increased by 17% in the last decade, the number of dentists working in the NHS is falling. In England the total number of dentists doing some NHS work is only around 25,000, while the number of full-time equivalent NHS dentists is just 10,727. English dentists have the lowest commitment to NHS dentistry across the UK. Only 38% of them spend at least three quarters of their time on NHS work, compared with 59% in Scotland, 45% in Wales and 39% in Northern Ireland. In April, Labour announced a consultation on reform of the dental contract, which is due before this summer. But with a new Defence Secretary, a by-election, a potential leadership contest and possibly a new Prime Minister, this Government are clearly distracted. Those distractions cannot be allowed to delay reform of the contract. Any delay risks the prospect of rolling out a new contract in this Parliament, which is what the country needs and what the Government have promised. Will the Labour Government commit to ensuring that the consultation on the dental contract will take place before this summer as previously stated? The Liberal Democrats would fix the broken NHS dental contract, using flexible commissioning to better meet patient needs. That would also bring dentists back from the private sector to the NHS. We would also increase the number of dentist training places in the UK and continue to recognise the qualifications of EU trained dentists. NHS dentistry is in crisis and we must act now. Through the implementation of Liberal Democrat policies, people would be able to access the NHS dental treatments they need, ending dental deserts and DIY dentistry once and for all.