Access to NHS Dentistry

Julian Lewis Excerpts

Thursday 22nd May 2025 Commons Chamber

[Sir Julian Lewis (New Forest East) (Con)]

Thank you, Madam Deputy Speaker, for that no-pressure introduction. I congratulate the hon. Member for Great Grimsby and Cleethorpes (Melanie Onn) on her speech and I agree with every part of it. I was hoping to quote from individual cases raised by constituents and from the local Women’s Institute, but all that will have to go by the board.

I have a wonderful briefing from the British Dental Association and, in the remaining two and a half minutes, I would like to make one pertinent observation, from which everything else flows. Dentistry is a highly skilled profession in which practitioners can charge colossal sums of money in private practice, which gives them a financial incentive to steer clear of working for the NHS. That is the root of the problem.

On 13 March, I put a question to the Secretary of State for Health and Social Care about a point made by the Darzi report, last September, which says:

“There are enough dentists in England, just not enough dentists willing to do enough NHS work, which impacts provision for the poorest in society.”

I was pleasantly surprised when his reply was:

“NHS dentistry is in a terrible state and, in fact, in many parts of the country it barely exists. There are lots of reasons for that, and it is a source of constant astonishment to me that the dentistry budget was underspent year after year despite that situation.”—[Official Report, 13 March 2025; Vol. 763, c. 1298.]

In reality, as the BDA points out, the reason why that budget is underspent is not because of the lack of demand, but because NHS practices cannot fill vacancies and are unable to meet contractual commitments. Therefore, those who do work with and for the NHS are having to deliver dental care at a loss. There is a fundamental requirement for a rewritten constitution and contract by which it becomes worthwhile for people to practice dentistry in the NHS, because otherwise we will see a two-tier society, in which only the rich can get the dental care that people so desperately need.