Source · Select Committees · Health and Social Care Committee
Ninth Report - NHS dentistry
Health and Social Care Committee
HC 964
Published 14 July 2023
Recommendations
2
Accepted
Para 14
Require Government to outline timeline and strategy for universal NHS dental access
Recommendation
We welcome the Government’s ambition for everyone who needs an NHS dentist to be able to access one. This ambition must ensure access within a reasonable timeframe and a reasonable distance. The Government must set out how they intend to …
Read more
Government Response Summary
The government accepts the recommendation and highlights existing measures, such as NHS England's Patient and Public Voice group to improve patient understanding and the contractual requirement for dental practices to quarterly update their NHS website profiles. It also notes additional measures by NHS England to monitor and improve compliance with website updates.
Department of Health and Social Care
View Details →
12
Accepted
Para 68
Commission a comprehensive dental workforce survey on NHS staffing and activity levels.
Recommendation
The Government and NHS England should commission a dental workforce survey to understand how many full-time and part-time-equivalent dentists, dental nurses, therapists and hygienists are working in the NHS, and how much NHS and private activity they are undertaking, alongside …
Read more
Government Response Summary
The government accepts the recommendation, stating that NHS England introduced a new biannual dental workforce survey in October 2023, which will collect comprehensive data on the dental team and NHS activity, with initial data expected by early 2024.
Department of Health and Social Care
View Details →
13
Accepted
Para 69
Improve routine data collection on NHS dental workforce numbers, activity, and demand.
Recommendation
The Government and NHS England must improve the routine data that is collected on the number of NHS dentists and the wider dental team, and the levels of NHS activity they undertake, as well as data on demand, to assist …
Read more
Government Response Summary
The government accepts the recommendation, stating that NHS England introduced a new biannual dental workforce survey in October 2023 to improve data collection on the dental team and NHS activity, with initial data expected by early 2024. They also highlight existing monthly publications of NHS dental activity data.
Department of Health and Social Care
View Details →
15
Accepted
Ensure reformed dental contract fully utilises skills of the entire dental team.
Recommendation
The Government, NHS England and ICBs must ensure that the reformed contract ensures that full use is made of the skills of the whole dental team. (Paragraph 73) NHS dentistry 35
Government Response Summary
The government accepts the recommendation, having already published guidance in July 2022 to facilitate dental therapists and hygienists opening treatment courses, and completed a consultation on changes to human medicines regulations to expand their scope of practice, with a response due shortly.
Department of Health and Social Care
View Details →
18
Accepted
Para 86
Work with GDC to clear Overseas Registration Exam backlog and speed up international registration.
Recommendation
The Government must work with the General Dental Council to ensure the backlog of applications for the Overseas Registration Exam is cleared in a timely manner, and to speed up changes to the process of international registration for new applicants …
Read more
Government Response Summary
The government accepts the recommendation, detailing GDC's increased ORE exam capacities from August 2023 and 2024, and listing specific measures already taken to streamline international registration processes for overseas-qualified dentists to work in the NHS.
Department of Health and Social Care
View Details →
23
Accepted
Para 115
Provide evidence on the effectiveness of initiatives for commissioning local dental services to ICBs.
Recommendation
We welcome the initiatives outlined by the Chief Dental Officer to help ICBs commission dental services in a way that best meets the needs of their local populations. NHS 36 NHS dentistry England should provide evidence of the effectiveness of …
Read more
Government Response Summary
The government accepts the recommendation, stating that NHS England published guidance in October 2023 with commissioning options for ICBs, and will release a further publication in 2024 providing practical examples of services and commissioning options to spread best practice.
Department of Health and Social Care
View Details →
24
Accepted
Para 116
Provide clarity to ICBs on commissioning flexibilities for NHS dental services and resource targeting.
Recommendation
In light of the current national contracting arrangements, NHS England must provide clarity to ICBs about what flexibilities they have with regard to commissioning NHS dental services and targeting resources according to the needs of their populations.
Read more
Government Response Summary
The government accepts the recommendation, stating that NHS England published guidance in October 2023 to provide ICBs with clarity on commissioning flexibilities within the national dental contractual framework, and will issue further guidance with practical examples in 2024.
Department of Health and Social Care
View Details →
Conclusions (6)
1
Conclusion
Accepted
Para 13
We believe there is a crisis of access in NHS dentistry. Many people are unable to access an NHS dentist or are travelling significant distances to get to one. Access varies across the country and is being experienced unequally by different groups. We believe everyone should be able to access …
Government Response Summary
The government accepts the recommendation and outlined several reforms announced in July 2022, including allowing high-performing practices to take more patients, fairer payment for complex care, and requiring NHS dentists to update their availability online. It also states a forthcoming Dentistry Recovery Plan will continue efforts to improve patient access.
3
Conclusion
Accepted
Para 18
A lack of public awareness about NHS dental services and how practices operate is contributing to access issues. The Government and NHS England should roll-out a patient information campaign with the aim of improving awareness of how NHS dentistry will work and ensure the public are better informed about what …
Government Response Summary
The government accepts the recommendation, clarifying that there is no formal patient registration system. It supports adherence to NICE recall guidelines and details existing measures from 2022 reforms for practices to provide urgent dental care and use risk-based recalls, with NHS England monitoring compliance and sharing data with ICBs.
9
Conclusion
Accepted
Para 54
We believe patient registration under a reformed capitation-based contract will better enable those patients who currently can’t access a dentist to be able to do so.
Government Response Summary
The government partially accepts, detailing existing and planned measures like a 5.13% uplift to NHS dental contracts and guidance for Integrated Care Boards on 'Flexible Commissioning' for local initiatives. They are also exploring tie-ins for new dentists and developing a career pathway including apprenticeships through the Advancing Dental Care review.
11
Conclusion
Accepted
Para 67
The Government states that the number of NHS dentists has increased over the past year. However, while the headcount has gone up over the past year, it has gone down over the past three years, and moreover headcount alone does not reflect how much NHS work these dentists are undertaking. …
Government Response Summary
The government accepts the importance of efficient processing for overseas dentists, confirming they are working with the GDC to clear the registration backlog. They highlight specific GDC actions to triple ORE Part 1 capacity and increase Part 2 sittings to address demand.
16
Conclusion
Accepted
Para 79
We support the implementation of the work of the Advancing Dental Care Review. Centres for Dental Development could have the potential to change how we approach training dentists in the UK to meet the needs of the populations who most require care. However, these are in their early stages and …
Government Response Summary
The government partially accepts, stating that Integrated Care Boards are responsible for undertaking oral health needs assessments to support commissioning priorities and are working towards having these assessments in place by July 2024.
17
Conclusion
Accepted
Para 85
The backlog of applications for the Overseas Registration Exam is unacceptable and resolving this represents an opportunity in the short term to increase the number of dentists working in the NHS, and therefore create more appointments to enable patients to access much-needed services.
Government Response Summary
The government accepts the recommendation, detailing that it is working with the GDC to clear the backlog by tripling ORE Part 1 exam capacity and increasing Part 2 sittings for 2024. Additionally, it has streamlined processes for overseas-qualified dentists, including unilateral recognition of EEA qualifications and new regulations to reduce performers list application times.