Healthcare
NHS Dentists
“The hon. Member makes a valid point, which I urge the Minister to pick up. In Scotland, efforts have been made to reform the system and expand free dental care for certain groups, but workforce challenges persist, as do the difficulties of sustaining practices in rural and remote areas. In England, some of the most acute access problems are reported. Many practices say that the current contract does not reward preventive care, nor does it adequately reflect the complexity of modern dentistry. In Northern Ireland, we have our own contractual framework. The concerns we hear, however, are strikingly familiar: rising costs, mounting workforce pressures and an unsustainable gap between what the NHS pays and what it actually costs to provide care. Northern Ireland is at a crossroads in NHS dentistry. We see a steady erosion of NHS dental provision, more practices moving to private models, longer waiting times at those practices that remain in the NHS, greater pressure on community dental services and growing inequalities between those who can pay and those who simply cannot. But it does not have to be like this. The lessons we draw for Northern Ireland are equally applicable across the rest of the UK. Let us work with dentists, patients, commissioners and independent experts to design a modern contract and funding model that can reward prevention and continuity of care; recognise the complexity of treating people with additional needs and vulnerable groups; support high street NHS practices as the backbone of accessible care; and provide a clear, attractive pathway for young dentists to enter and remain in NHS-focused practice. This House can shape what is needed in Northern Ireland and apply those principles right across the UK. To conclude, let me underline some urgent UK-wide actions. First, we need a realistic, sustainable funding settlement. Let us address this with honesty: if we truly desire a meaningful NHS dental offer, this Parliament must fund it. Secondly, we must move beyond temporary uplifts and crisis top-ups and design a long-term settlement. The real question before us is, are we prepared to put NHS dentistry on a stable footing not just for this Parliament, but for future generations? Thirdly, we must reform the dental contract with a new model that prioritises prevention; encourages regular check-ups, fluoride use and early intervention; creates clear incentives to take on new NHS patients; and rewards quality with a focus on outcomes and patient experience, not just on volume and throughput. Children, particularly those growing up in poverty, could benefit from school and community-based prevention schemes. People with disabilities and complex needs could access specialist attention and the longer appointments that they require. Older citizens, including those in care homes, could receive routine, dignified dental healthcare. We also need a credible solution focused on workforce planning that is based on real need, not short-term firefighting, as well as training pathways that support and prioritise NHS services, and effective retention measures so that experienced staff are not driven out of the system. The decline of NHS dentistry is not inevitable. We must answer these questions honestly. Are we prepared to drift into a future in which NHS dentistry is an optional extra, while the majority are pushed towards private care, or do we commit clearly to inclusive and universal NHS dentistry in which cost is not a barrier and postcode lotteries do not determine success? Let the UK lead in addressing this problem. Let this House reaffirm for the whole country the enduring British principle that good dental care is not a luxury but a right and entitlement of every British citizen.”
