UK Parliament / Open data

National Health Service (Primary Dental Services) (Amendment) Regulations 2022

My Lords, I am very grateful to noble Lords who have taken part in this short debate. As the Minister mentioned fluoridation,

I should just remind the House that I am president of the British Fluoridation Society and patron of the National Water Fluoridation Alliance. I agreed with the noble Baroness, Lady Bennett, when she talked about the WHO and preventative measures. The single most important measure would be to introduce fluoridation where it is not present at the moment. I was delighted when the Government took powers back to themselves to do this. I know that progress is being made: I just urge the Government to speed it up.

I also say to the noble Baroness, Lady Bennett, that she is right to identify the levelling-up Bill. It is a long Bill, but there is room for more amendments in relation to health. There are some already, but I would encourage her to think about that. She and the noble Lord, Lord Allan, raised the issue of the south-west. I had a meeting today with Stonewater, a very large social housing provider, which is very concerned about the lack of housing in the south-west. I would definitely make the link between housing and health, which is a very important issue if we are serious about levelling up.

The noble Lord was right to identify that these problems started before the pandemic, and that we are now facing particular issues, but the underlying structural issues are still not being dealt with. I also agree with him about post-implementation evaluation. I hope that the Minister, when he responds in writing, might be able to say something about that.

My noble friend Lady Merron was absolutely right to hone in on retention and recruitment. Although there are various initiatives, at the moment I do not think enough is being done to retain the profession within NHS dentistry. We need to do very much more about that. Her point about practice information going on the NHS website is really important, and I hope that the Government will respond to it.

Ultimately, it comes back to prioritisation and money, and I was grateful for what the Minister said. I am delighted that his wife is present to hear our debate, and indeed that he is celebrating his father’s 80th birthday. It reminded me that I took my wife with me—for a romantic 50th birthday celebration—to address the Pharmaceutical Services Negotiating Committee dinner. She has never forgotten that or forgiven me for that great sin, nor has she forgiven Alan Milburn for making me do it.

Anyway, the point is that we come back to the workforce strategy, because without a properly funded workforce strategy, with numbers, we will not get anywhere. In the meantime, there is still a lot that can be done to streamline GDC processes, recruit dentists from overseas and, crucially, give dentists currently in the profession but not doing NHS work some confidence that it will be worth their while to do NHS dentistry.

I was very interested in the point the Minister made about the cost for dentists coming into NHS dentistry and starting a new practice. He will, of course, have been interested in what Wes Streeting had to say about the future of primary care. He came in for some criticism for suggesting that maybe the current model of GP partnerships might not always be the right one. He is absolutely right that we have to think rather radically about how we will develop primary care in the future.

The argument for a proper strategy for dental access for NHS patients is very persuasive indeed. Having said that, I thank noble Lords and beg leave to withdraw my Motion.

About this proceeding contribution

Reference

827 cc181-3 

Session

2022-23

Chamber / Committee

House of Lords chamber
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