Access to NHS Dentistry

Claire Young Excerpts

Thursday 22nd May 2025 Commons Chamber

[Claire Young (Thornbury and Yate) (LD)]

I thank the hon. Member for Great Grimsby and Cleethorpes (Melanie Onn) for introducing this debate.

Thornbury and Yate is a dental desert. According to a recent newspaper report, not a single dentist in Thornbury and Yate is taking on new NHS patients for the third year in a row, leaving people having to travel long distances for care, or forced to pay for private treatment. I am sure, as a fellow south-west MP, the Minister will be as concerned as I am to hear that in September 2024 the NHS dental activity delivery rate was lowest in the south-west, at 61.6%, compared to the highest in London, at 94.7%. Not surprisingly, in the south-west, around one in every 460 people had to be taken to A&E with a dental problem in 2023-24. That was substantially higher than in London, where the figure was only one in every 860 people. The area covered by the NHS Bristol, North Somerset and South Gloucestershire integrated care board is the worst of all worlds, with fewer dentists, adjusted for population size, and lower dental activity delivery rates alongside higher numbers of A&E visits with dental problems.

I want to highlight two cases that show the impact that is having on vulnerable people. One constituent wrote:

“Despite contacting more than a dozen dental practices in and around South Gloucestershire and Bristol, I have been told by every single surgery that no NHS appointments are available. However, I have been offered private appointments if I am willing to pay…The situation is even more distressing as my wife is currently pregnant and requires urgent dental care, which is crucial for her health and that of our unborn child. Pregnant women are entitled to free NHS dental care, yet this right is rendered meaningless when no NHS appointments are available.”

Another constituent wrote to me: a cancer patient who needed major dental treatment ahead of intense radiotherapy. Bristol dental hospital advised them they would need lifelong follow-up care, but during covid that treatment was stopped and they were discharged back to their NHS dentist. Soon after—surprise, surprise—the practice ceased to provide NHS dentistry and they could not find another, so they were forced to pay for their essential treatment.

[Charlie Maynard (Witney) (LD)]

There seems to be a consensus across the House that the NHS dental contract is broken. That is the consensus across the country as well, including in my constituency. If there is one thing we can get out of the debate today, it is a timeline to which the Government will commit to fixing the situation and to bringing legislation before the House. Does my hon. Friend agree that would be of benefit?

[Claire Young]

I do. We also need solutions for people like my constituent in the meantime; they have already had to pay £1,400 for treatment and they face another £2,000-worth of work to be able to eat normally. That is a stiff fee when you are reliant on personal independence payment and your spouse’s pension. My constituent feels that they have nowhere to turn.

To sum up, patients like my constituents deserve access to an NHS dentist. We need an emergency scheme to guarantee access to free NHS dental check-ups for those already eligible: children; new mothers; those who, like my constituent’s wife, are pregnant; and those on low incomes. We need a dental rescue package that brings dentists back into the NHS from the private sector by fixing the dental contract and using flexible commissioning to meet patients’ needs in the meantime.