HC Deb 04 May 2004 vol 420 cc1199-200
7. Mrs. Louise Ellman (Liverpool, Riverside)

How many dentists in Liverpool have ceased providing NHS dental treatment over the past two years. [169829]

The Minister of State, Department of Health (Ms Rosie Winterton)

There has been a net reduction of 34 dentists providing NHS dental services in the Liverpool area over the past two years. However, that figure should be treated with caution because it is not a whole-time equivalent. It also includes people who have retired. The three PCTs in Liverpool have been allocated £356,700 specifically to improve access to NHS dentistry locally over the next year.

Mrs. Ellman

I thank the Minister for that answer and welcome the information on the extra funding for NHS dentistry in Liverpool, but can she give us any further information on how the proposed new contract will help to retain and recruit dentists to work in the NHS?

Ms Winterton

As I am sure my hon. Friend is aware, if a dentist leaves the NHS the money spent on NHS dentistry in the local area returns to the centre. The new contract and the proposals in the Health and Social Care Act 2001 will ensure that the money to support dentistry goes to the local level so that there can be proper provision made locally—the money stays locally. The contract removes the treadmill and bureaucracy introduced by the previous Government, which have been so unpopular with dentists and caused them to walk away in the first place.

Mr. John Baron (Billericay) (Con)

What is happening in Liverpool is typical of what is happening around the rest of the country. Indeed, recent Government figures have shown that, after seven years in power, over half a million fewer patients are registered for NHS dental treatment than in 1998, while the British Dental Association stated recently that millions of people are unable to register with an NHS dentist. Five years ago, the Prime Minister pledged that everyone would be able to see an NHS dentist within two years. It is now blatantly obvious that this Government have yet again failed to deliver on a promise. Will the Minister be honest, admit that the Government have got NHS dentistry badly wrong and set about putting it right immediately?

Ms Winterton

That is a bit rich coming from the Opposition. It has been said before, but it is worth repeating, that they introduced the incredibly unpopular new contract in 1990, cut dentists' fees and closed two dental schools. We have brought about the biggest reform of NHS dentistry in 50 years. We know that—

Mr. Baron

Half a million fewer patients.

Ms Winterton

About 1.7 million more courses of dental treatment have been provided within the last year. There are undoubtedly particular problems in certain areas, which is why we have put aside about £90 million in the last year to address access problems at local level. That is for the short term. In the longer term, we are changing the system so that the money held centrally is given to local PCTs, enabling them to plan with local dentists the provision at local level. That has been welcomed by the BDA, in contrast to what it has been saying recently about the contract introduced by the Tories and the way in which they closed dental schools and cut fees.