Select committee: Public Accounts Committee
Conclusion 2
21st Report - Fixing NHS Dentistry
Published 4 Apr 2025
Addressed to HM Treasury
Public Accounts Committee Fixing NHS Dentistry All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Conclusion (the committee's words)
The dental recovery plan was never going to deliver its headline ambition that everyone who needs to see an NHS dentist would be able to, and has failed even to deliver the hoped for 1.5 million additional courses of treatment in 2024–25. The plan’s initial promise to expand access in 2024–25 so that everyone who needed to see a dentist would be able to was never aligned to its actual target of an additional 1.5 million courses of treatment. Even this target would have left overall delivery still around 2.6 million courses of treatment short of pre–pandemic levels. The dental recovery plan has failed to deliver the promised additional courses of treatment, the number of new patients seen is actually falling, and slow or no progress has been made on other initiatives. At least £88 million has already been spent on the new patient premium, but 3% fewer new patients have been seen since it was launched in March 2024. Given the public money spent on initiatives that have yielded little or negative results, it is important that NHSE and DHSC produce a transparent evaluation of what government spent on the plan and why it has not had the desired impact on access to NHS dentistry. recommendation DHSC and NHSE must publish their evaluation of the dental recovery plan and what was spent on it. They should write to the Committee as soon as is practical to confirm their final analysis of the plan’s performance in 2024–25, including details of: • how many additional treatments the plan as a whole delivered; • for each of the four main initiatives a breakdown of what they individually achieved; • the final amount spent on each initiative; and • how far the performance in the 2024–25 plan can be continued into 2025–26
From: Public Accounts Committee, 21st Report - Fixing NHS Dentistry (HC 648), 4 April 2025
Government response
Latest Treasury Minutes progress report to the Committee of Public Accounts on the Twenty-first Report of Session 2024-26
The government responded to the whole report on 4 June 2026.
Treasury minutes: Government response to the Committee of Public Accounts on the Twenty-first report from Session 2024-26
Published 18 September 2025.
Treasury minutes: Government response to the Committee of Public Accounts on the Twenty-first report from Session 2024-25
Published 10 July 2025.
Summary written by Accountability Index from the government's response. It is not the government's own words.The government states that it "agrees with the Committee's recommendation" on each recommendation set out in the response, giving target dates for several actions and noting that dental contract reform "will take time".
- On contract reform, a realistic timetable for a new contract "will be determined by the scale of changes under consideration and following consultation". Amendments to the current contract would be expected in 2026-27, "subject to consultation and any necessary regulatory changes".
- On the dental recovery plan, NHSE is to write to the Committee in Autumn 2025 with its analysis of the main initiatives. Dental vans are excluded because the government "decided not to implement a national programme of mobile dental vans".
- On funding for 2025-26, NHSE "would also note that there has been no reduction in dental funding", and says the ringfence rises from £3,974 million to £4,104 million and is extended into 2026-27.
- On the workforce, the department will "carefully consider the outcome of the consultation" on a graduate "tie-in" and then publish its response, with a target date of Winter 2025.