Reforms to NHS Dentistry

Nick Fletcher Excerpts

Thursday 27th April 2023 Commons Chamber

[Nick Fletcher (Don Valley) (Con)]

I will try to keep my contribution short, as many points have been covered already by hon. Members on both sides. The simple problem is that the dentists do not feel that they can function on their current contract, so asking them to do 110% of their contract when they do not want to do the initial 100% of their contract is not a way forward.

We need to look at the UDA contract to make it more financially viable, because at the moment dentists are taking on private work to subsidise their NHS work. The UDA contract is a problem across the board. If there were one or two dentists across doing it, we could say, “Well, maybe that’s their business plan.”, but it is not. It is happening across the board, and we need to look at the contract.

We also have a problem with dentists coming through. We need more dental places. As colleagues have mentioned, we ought, maybe, to look at a bursary for dentists who commit to stay in the NHS for at least five or 10 years, so that we have the dentists within the system to cope with the demand that is out there.

I am not 100% certain about taking dentists in from abroad. I always think when we pull the lever of immigration it goes against the grain of a Conservative Brexit MP such as myself, but there is also the fact that we are taking skilled people from other countries. If that is what we need to do to cover the backlog, then fair enough; I can understand a certain amount, but I always believe in training our own people and training them well, and I think that is what we should do.

Finally, I thank the dentists in my constituency. John Gatus is a fantastic chap and he has explained a lot about what we are dealing with now. I know the Minister is a good Minister. I know he has listened to everything that has been said in this debate and I know he wants to get this sorted out, but I ask him and everyone in this House to remember what it is like to have toothache.

We all need to remember that. Let us all cast our minds back to those 24 hours when we could get no sleep and we were in pain. It is dreadful, and an awful lot of my constituents are in that position now—or, what is worse, seeing their children go through it. We need to jump on this problem and we need to jump on it now. I am hopeful that the Minister will deal with this today.

[Several hon. Members rose—]