Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of (1) standards of oral health for people aged 65 and over, and (2) whether standards of oral health have improved or deteriorated over the last five years.
Answered by Lord O'Shaughnessy
The 2009 Adult Dental Health Survey contains information about the oral health of adults aged 65 and over including the proportion retaining one or more natural teeth, prevalence of tooth decay and the proportions reporting current dental pain. There has not been a subsequent national survey of this age group since then to assess whether oral health has improved or deteriorated. A copy of the Executive Summary: Adult Dental Health Survey 2009 is attached.
There has been no national assessment of the prevalence of oral health problems amongst care home residents.
In 2016, Public Health England (PHE) reported on oral health in older people in England and Wales using data from existing surveys.
The report found that older adults living in care homes were more likely to have no natural teeth and less likely to have a functional dentition; older adults living in care homes were more likely to have higher levels of tooth decay; care home managers experienced greater difficulty in accessing dental care for residents than household resident older adults did and; residents resisting oral care routines was the second most common oral health issue raised by care home managers. A copy of the report What is Known About the Oral Health of Older People in England and Wales: A review of oral health surveys of older people is attached.
In 2017, PHE reported on a nationally coordinated survey of the oral health of adults using domiciliary services in England undertaken between 2009-10 and 2010-11. Results showed that adult users of domiciliary care had fewer teeth present than their peers as reported in the 2009 Adult Dental Health Survey. A copy of the report Dental health among adults in contact with domiciliary care dental care services in England is attached.
In 2015/16, as part of the PHE National Dental Epidemiology Programme, a pilot dental survey was undertaken nationally of older people who have a mild level of dependency. The results are due to be published in summer 2018.
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 20 December 2017 (HL3994), what was the total number of fines issued for incorrectly claiming an exemption on NHS dental fees in the first six months of the financial year 2017–18.
Answered by Lord O'Shaughnessy
The NHS Business Services Authority reports that a total of 217,539 fines were issued to patients on the grounds of incorrectly claiming an exemption from NHS Dental Patient Charges in the first six months of the financial year 2017–18.
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what was the total number of (1) primary care courses of treatment that contained tooth extractions, and (2) teeth extracted in primary care, in each year from 2010–11 to 2016–17, for adults aged 18 and over.
Answered by Lord O'Shaughnessy
The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for children aged 0–17.
Year | Course of Treatment | Teeth |
2016-17 | 513,646 | 909,745 |
2015-16 | 514,576 | 917,346 |
2014-15 | 524,163 | 946,142 |
2013-14 | 539,908 | 976,794 |
2012-13 | 533,694 | 963,514 |
2011-12 | 540,626 | 964,856 |
2010-11 | 540,689 | 964,841 |
Source: NHS Digital
The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for adults aged 18 and over.
Year | Course of Treatment | Teeth |
2016-17 | 2,147,135 | 3,120,812 |
2015-16 | 2,156,023 | 3,125,999 |
2014-15 | 2,185,518 | 3,150,456 |
2013-14 | 2,226,054 | 3,217,552 |
2012-13 | 2,214,974 | 3,194,509 |
2011-12 | 2,190,245 | 3,164,881 |
2010-11 | 2,125,120 | 3,061,914 |
Source: NHS Digital
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what was the total number of (1) primary care courses of treatment that contained tooth extractions, and (2) teeth extracted in primary care, in each year from 2010–11 to 2016–17, for children aged 0–17.
Answered by Lord O'Shaughnessy
The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for children aged 0–17.
Year | Course of Treatment | Teeth |
2016-17 | 513,646 | 909,745 |
2015-16 | 514,576 | 917,346 |
2014-15 | 524,163 | 946,142 |
2013-14 | 539,908 | 976,794 |
2012-13 | 533,694 | 963,514 |
2011-12 | 540,626 | 964,856 |
2010-11 | 540,689 | 964,841 |
Source: NHS Digital
The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for adults aged 18 and over.
Year | Course of Treatment | Teeth |
2016-17 | 2,147,135 | 3,120,812 |
2015-16 | 2,156,023 | 3,125,999 |
2014-15 | 2,185,518 | 3,150,456 |
2013-14 | 2,226,054 | 3,217,552 |
2012-13 | 2,214,974 | 3,194,509 |
2011-12 | 2,190,245 | 3,164,881 |
2010-11 | 2,125,120 | 3,061,914 |
Source: NHS Digital
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 20 December 2017 (HL3994), what was the total number of fines issued for incorrectly claiming an exemption on NHS dental fees in the first six months of 2017–18.
Answered by Lord O'Shaughnessy
The NHS Business Services Authority reports that a total of 217,539 fines were issued to patients on the grounds of incorrectly claiming an exemption from NHS Dental Patient Charges in the first six months of 2017–18.
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how much revenue was raised from patient charges for NHS dental services in each of the last ten years for which figures are available.
Answered by Lord O'Shaughnessy
The table below shows the revenue raised from patient charges for National Health Service dental services in each of the last ten years.
Year | Patient charge (£ million) |
2006/07 | £475 |
2007/08 | £531 |
2008/09 | £572 |
2009/10 | £598 |
2010/11 | £614 |
2011/12 | £635 |
2012/13 | £658 |
2013/14 | £685 |
2014/15 | £714 |
2015/16 | £739 |
2016/17 | £783 |
Source: NHS Dental Statistics for England
Notes:
- Data on patient charge revenue are based on the amount calculated as recoverable from the contract payment based on the activity scheduled and patient charges recorded on the FP 17. It may not correspond exactly to the charge income reported in financial accounts for a number of reasons, including the fact that an estimate of charge income collected may have to be incorporated in the final phase of the financial year because accounts have to be prepared before the activity data for the full year becomes available.
- No account is taken in this report of refunds for patients who pay for their treatment and prove at a later date that they should not have paid charges, or penalties imposed on those who should have paid but did not.
- The patient charge total actually recovered into NHS funds during the year may also differ from the calculated amount, because of time-lags inherent in retrospectively deducting charges from monthly payments to dental contractors.
- 2006/07 data excludes revenue from Courses of Treatment (CoTs) which began before 1 April 2006 but were completed in 2006/07 due to the transition to the new contract system.
- The amount raised is dependent on the volume of banded COTs delivered and the charge for each banded COT levied.
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what was the total number of fines issued for incorrectly claiming an exemption on NHS dental fees in each of the last ten years for which figures are available.
Answered by Lord O'Shaughnessy
The following table shows the total number of fines issued for incorrectly claiming an exemption from National Health Service dental charges in each of the last ten years.
Financial Year (April - March) | Total number of fines |
2007-08 | 1,975 |
2008-09 | 3,394 |
2009-10 | 4,119 |
2010-11 | 7,065 |
2011-12 | 8,392 |
2012-13 | 33,887 |
2013-14 | 57,031 |
2014-15 | 196,154 |
2015-16 | 192,087 |
2016-17 | 365,181 |
Source: NHS Business Services Authority
Note:
During the period covered in the table above, both the scope and volume of checking has increased significantly.
Asked by: Lord Colwyn (Conservative - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what engagement they have had with dental stakeholders regarding the cost of professional indemnity insurance in relation to clinical negligence.
Answered by Lord O'Shaughnessy
Departmental Ministers and officials regularly meet with dental stakeholders to discuss expenses and other matters. Most recently, the Parliamentary under Secretary of State (Steve Brine MP) met with the British Dental Association (BDA), as the main representative body for the dental profession, on 28 November 2017 to discuss a range of issues, including professional indemnity insurance. Departmental officials also met with the BDA on 22 November 2017 to discuss professional indemnity insurance.