Date: 2023-04-27
Rachael Maskell: The ever-growing despair has left York and North Yorkshire a dental desert. Thousands of my constituents cannot even get on a waiting list. If they are lucky as they phone around, they may be put on a list, but they then have to wait a minimum of five years to see a dentist. Children are having their teeth pulled out, and adults are getting the pliers out. Although this Government have to own the last 13 years, I want to look forward, not back, because we have a crisis to solve. Dentistry being left like this is a reminder of what things were like before the NHS was created, and before Labour stepped in and demanded equality of health for  all. The model does not work; the system of payment does not work. We need radical reform--not tweaking of the system of units of dental activity. In my constituency, three dental practices have withdrawn from NHS contracts and, over the past four years, 126,130 UDAs have gone. We know that that crisis is deepening. In fact, by the coming June, Bupa NHS--an oxymoron in itself--will have seen a loss of 6,000 more NHS dental spaces. My community cannot get dental healthcare, and they are suffering and struggling because of that. I, too, sit on the Health and Social Care Committee, and I listened carefully to the Minister, as well as to the chief dental officer, who I thank for her candour and for restoring my hope. She set out a programme of how it can be possible to deliver a future NHS dental service creatively through the integrated care boards, as did the chair of my local dental committee and the associate postgraduate dental dean for primary care dental foundation training in my constituency. They set out a vision which is practical, with purpose and can deliver. If I mesh that with my dental charter, which I have given to my ICB, starting with the ambition to have a children's dental service within a year, we can start building back. The second year could aim to help older people and those in care homes, as well as those who live in the greatest deprivation. In years 3, 4 and 5, we could build back for the rest of the adult population so that people can get their timely oral health appointments. However, we need co-operation from the Government, who have now become the servants, with the ICBs as masters. In particular, we need Government support to train more professionals. I too welcome the meeting with the Minister about the proposed York dental school, and I have met the University of York to prepare the way for that. It is important that we train more dentists, but it is also an opportunity to embed a centre of dental development in our city. The ambition is there and the vision has been created. In addition, we need to ensure that we have good foundation training. I recognise what the hon. Member for Hartlepool (Jill Mortimer) said about having a training bond, because if we are spending PS100,000 on dental training, we need to see a return on that investment. A foundation training programme that consolidates practice will upskill dentists in a more coherent way, with supervision and mentoring to ensure that they are the very best professionals. I have to challenge the GDC about its oversight of the dental profession particularly in primary care, and say "Up your game." On top of that, we need to ensure that our whole communities can have confidence in what is being created. Through prioritising our young people and ensuring that we take a preventive and proactive approach to dental healthcare, we will start to see other people taking on those competencies and drive that through a public health agenda. Listening to the opportunities set out by our chief dental officer, the professional on the pitch, it is clear that the Government are not up to the job, and in some places they have been an active block. She has the ideas and the formula, and, my goodness, she has the drive and the energy. Just meeting her and hearing her set out that vision gave me hope that I can go back to my  constituents in York and say that there are some people who can really deliver the national dental health service that we need for the future.