NHS dentistry at a tipping point

NHS dentistry at a tipping point, as BBC reveal true extent of access crisis: Nine out of ten NHS dental practices unable to offer appointments to new adult patients, in the most extensive survey of patient access ever undertaken.

The British Dental Association has pressed government to step up and deliver urgent reform, as new research from the BBC underlines the scale of the access crisis facing NHS patients across the country.

Between May and July, BBC researchers reached out to every UK dental practice with an NHS contract to ask if they were taking on new patients. Working with the British Dental Association, the BBC identified 8,533 dental practices across the UK that were believed to hold NHS contracts and attempted to call them all. The survey found:

Across England, 91% of NHS practices were not accepting new adult patients, 4,933 of 5,416, rising to 97% in the East Midlands, and 98% in the South West, North West and Yorkshire and the Humber
Of those practices not taking on adults in England, 23% (1,124) said they had an open waiting list, and 16% (791) said the wait time was a year or longer, or were unable to say how long it would be.
Out of 152 local authorities in England, BBC researchers did not successfully reach any practices accepting new adult NHS patients in 56 (37%) local authorities.
In England, 79% of NHS practices were not accepting new child patients, 4,293 of 5,416.

The crisis facing the service across England is being fuelled by a discredited NHS contract, which funds care for barely half the population and puts government targets ahead of patient care. NHS England recently announced modest, marginal changes to this system. However, dentist leaders say that the changes, which come without any new investment, will not address the problems patients face accessing services or keep dentists in the NHS.

Thousands of NHS dentists have left the service since lockdown. Last week the House of Commons Health and Social Care Committee dubbed the contract ‘not fit for purpose’, called for urgent reform and pledged a dedicated inquiry into the crisis in the service.

The BDA has pressed government to stop ‘rearranging the deckchairs’ and to finally commit to a fair funding settlement and fundamental reform of the service as a matter of urgency. After a decade of savage cuts the BDA estimate it would take an additional £880 million a year simply to restore funding to 2010 levels.

Shawn Charlwood, Chair of the British Dental Association’s General Dental Practice Committee said:

“NHS dentistry is at a tipping point, with millions unable to get the care they need and more dentists leaving with every day that passes.

“We’re seeing the results of years of chronic neglect, set into overdrive by the pressures of the pandemic. The question now is will Ministers step up before it’s too late?

“Nothing we’ve heard from government to date gives us any confidence this service has a future. Without real reform and fair funding NHS dentistry will die, and our patients will pay the price.”

Notes to editors:

UK-wide 90% of NHS practices were not accepting new adult patients, 6,193 of 6,880. Of those practices not taking on adults in the UK, 25% (1,572) said they had an open waiting list, and 17% (1,039) said the wait time was a year or longer, or were unable to say how long it would be. Out of 217 local authorities in the UK, BBC researchers did not successfully reach any practices accepting new adult NHS patients in 77 (35%) local authorities.

80% of NHS practices were not accepting new child patients, 5,506 of 6,880.Of those practices not taking on children in the UK, 1,480 (27%) said they had an open waiting list, and 16% (902) said wait time was a year or longer, or were unable to say how long it would be. Out of 217 local authorities in the UK, BBC researchers did not successfully reach any practices accepting new child NHS patients in 25 (12%) local authorities.

Breakdowns by nation:

	Nation Proportion not accepting adult patients	Proportion not accepting child patients
England	91%	79%
Northern Ireland	90%	88%
Scotland	82%	79%
Wales	93%	88%

Breakdown by English region:

	English Region Proportion not accepting adult patients	Proportion not accepting child patients
East Midlands	97%	84%
East of England	93%	81%
London	76%	65%
North East	93%	76%
North West	98%	83%
South East	95%	83%
South West	98%	95%
West Midlands	84%	69%
Yorkshire and The Humber	98%	89%