Since July 2024, the Government has been rebuilding a broken National Health Service dentistry system. We have delivered 1.8 million more dental treatments and reduced the underspend from £392 million in 2023/24 to just £36 million in 2024/25, maximising the treatments provided for taxpayers’ money.

We have brought into force a package of reforms this year to address some of the most pressing issues that dentists and dental teams have been experiencing, including rewarding them more fairly for treating patients with urgent and complex needs.

Strengthening the workforce is key to our ambitions to rebuild NHS dentistry. We are increasing the supply of dentists through a sustained expansion of 50 new dental school places and an increase in exams to allow 2,000 more internationally qualified dentists to practise in the United Kingdom.

We are committed to reforming the dental contract by the end of this Parliament, with a focus on matching resources to need, improving access, promoting prevention, and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability.

The financial pressures and the cost of new commitments for the National Health Service are analysed as part of the Spending Review process. The 2025 Spending Review sets departmental budgets for day-to-day spending up to 2028/29 and for capital for five years to 2029/30. This level of funding growth is intended to support the NHS in delivering the Government’s priorities, including commitments set out in the Government’s Plan for Change. Further detail is provided at the following link:

https://www.gov.uk/government/publications/spending-review-2025-document/spending-review-2025-html

The Government has committed to hold a Spending Review every two years. The process for the next Spending Review, due to be held in 2027, will be set in due course.

Data on sepsis contracted as a result of dental issues is not held centrally, as data on sepsis is not broken down by underlying cause.

NHS England advised that it responded on 8 June 2026 to the Freedom of Information (FOI) request referred to by the Hon. Member. Under FOI, updated responses for a more current time period are not routinely issued. The requester would need to submit a new request for information for the new timeframe required directly to NHS England through the usual process.

No assessment has been made of the impact of investment in gum disease management on diabetes-related healthcare costs. However, research and evidence-based publications produced by the National Institute for Health and Care Excellence (NICE), NHS England, and the World Health Organisation do consistently indicate that periodontal treatment to manage gum disease will impact diabetes related healthcare.

NHS England’s commissioning standard on dental care for people with diabetes, building upon NICE research, states that periodontal, or gum disease, treatment is likely to be cost-effective for people with type 2 diabetes, where improvements in glycaemic control are maintained. Improved management of periodontal health and subsequently diabetes control leads to decreased use of healthcare services and cost savings to the National Health Service, achieved through an integrated care pathway. NHS England’s commissioning standard on dental care for people with diabetes is available at the following link:

https://www.england.nhs.uk/long-read/commissioning-standard-dental-care-for-people-with-diabetes/

The financial pressures and the cost of new commitments for the National Health Service are analysed as part of the Spending Review process. The 2025 Spending Review sets departmental budgets for day-to-day spending up to 2028/29 and for capital for five years to 2029/30. This level of funding growth is intended to support the NHS in delivering the Government’s priorities, including commitments set out in the Government’s Plan for Change. It aims to ensure that by the end of the current Parliament, 92% of patients will begin consultant led treatment for non-urgent conditions within 18 weeks of referral. Further detail is provided at the following link:

https://www.gov.uk/government/publications/spending-review-2025-document/spending-review-2025-html

The Government has committed to hold a Spending Review every two years. The process for the next Spending Review, due to be held in 2027, will be set in due course.

The Government wants to ensure that every penny we allocate for dentistry is spent on dentistry, and that the ringfenced dental budget is spent on the patients who need it most.

The financial pressures and the cost of new commitments for the National Health Service are analysed as part of the Spending Review process. The 2025 Spending Review sets departmental budgets for day-to-day spending up to 2028/29 and for capital for five years to 2029/30. This level of funding growth is intended to support the NHS in delivering the Government’s priorities, including commitments set out in the Government’s Plan for Change. It aims to ensure that by the end of the current Parliament, 92% of patients will begin consultant led treatment for non-urgent conditions within 18 weeks of referral. Further detail is provided at the following link:

https://www.gov.uk/government/publications/spending-review-2025-document/spending-review-2025-html

The Government has committed to hold a Spending Review every two years. The process for the next Spending Review, due to be held in 2027, will be set in due course.

The Government wants to ensure that every penny we allocate for dentistry is spent on dentistry, and that the ringfenced dental budget is spent on the patients who need it most.

The Care Act 2014 sets out how adult social care in England should be provided, including legal duties on local authorities to ensure the care workforce is competent, skilled, and safe.

Whilst we have not made a direct assessment of the potential impact transferring adult social care responsibilities from the Torbay and South Devon NHS Foundation Trust to Torbay Council will have on the workforce, the Care Quality Commission (CQC) has a duty under the Health and Care Act 2022 to assess local authorities’ delivery of their adult social care duties. Torbay was assessed in December 2025, and their report is available at the following link:

https://www.cqc.org.uk/care-services/local-authority-assessment-reports/torbay-1225

In April 2026, the CQC published an updated approach to how they assess local authorities, moving more towards a flexible, risk-based approach which will support them to respond proportionately to the circumstances in each local area. If the CQC identifies that a local authority has failed or is failing to discharge its duties under the Care Act to an acceptable standard, it has a duty to inform my Rt Hon. Friend, the Secretary of State for Health and Social Care, who has powers to intervene.

A fairly paid adult social care workforce with the right training, qualifications, and values will be able to provide high quality tailored care and support to those who need it and will support the priorities that we set out in the 10-Year Health Plan, namely shifting care from hospital to community, from analogue to digital, and from treating sickness to promoting prevention.

The 10-Year Health Plan sets out how the Government’s aims to shift towards a Neighbourhood Health Service, with more care delivered locally to create healthier communities, spot problems earlier, and wrap around people’s lives to help people stay independent for longer. This speaks to the heart of what adult social care, done well, already is. More integrated working between the National Health Service, adult social care, local government, and civil society will be crucial to the delivery of neighbourhood health.

The Government recognises the scale of the reforms needed to make the adult social care sector attractive, to support sustainable workforce growth, and improve the recruitment and retention of the workforce. That is why we plan to introduce the first ever Fair Pay Agreement in 2028 to improve pay and conditions for the adult social care workforce, backed by £500 million of new investment.

The Neighbourhood Health Framework is designed to empower local leaders to develop and scale neighbourhood health. Risks to delivery include workforce capacity and capability, the need for effective collaboration across local partners, and the ability to align neighbourhood health models with existing estate and infrastructure.

These risks are mitigated through a locally led and deliberately non-prescriptive approach. The framework sets national minimum aims and objectives but enables systems to build on what already works locally and prioritise activity according to population need and local context.

We are committed to addressing the risks posed by poor quality infrastructure and ensuring facilities, like Torbay Hospital, remain safe, comfortable, and capable of delivering the 10-Year Health Plan’s radical vision for National Health Service care.

As a first step towards this, Torbay Hospital received over £9.7 million from the Estates Safety Fund in 2025/26 for vital works. The Estates Safety Fund will continue over the next nine years with a total of £6.75 billion of investment to carry on addressing the poor quality of the estate. The regional teams are currently prioritising the funding between hospital sites across the South West, including allocations for this financial year, and will be considering the needs of Torbay Hospital as part of this process.

We are aware of the challenges faced in accessing a dentist, particularly in more rural and coastal areas. From April 2026, we will be implementing reforms to the current National Health Service dental contract to improve access for patients with urgent and complex needs. A full impact assessment on the reforms has been published and is available at the following link:

https://www.legislation.gov.uk/ukia/2026/42

The Department will monitor the impact of the reforms post-implementation, including through the monitoring of annually published statistics.

We are committed to delivering further, fundamental reform of the dental contract before the end of this Parliament.

Over the past year, integrated care boards have been commissioning additional urgent dental appointments and there is now an urgent care safety net available in all areas of the country. 1.8 million additional courses of National Health Service dental treatment have been delivered in the seven months between April to October 2025 compared to the corresponding months prior to the general election.

We are committed to delivering fundamental reform of the dental contract before the end of this Parliament. And from April 2026, we will be implementing reforms to the current NHS dental contract which are expected to improve access for patients with urgent and complex needs. A full impact assessment on the reforms has been published and is available at the following link:

https://www.legislation.gov.uk/ukia/2026/42

The Government is committed to ensuring people can access urgent dental care when they need it. Over the past year, integrated care boards have been commissioning additional urgent dental appointments and there is now an urgent care safety net available in all areas of the country. 1.8 million additional courses of National Health Service dental treatment have been delivered in the seven months between April to October 2025 compared to the corresponding months prior to the general election.

We are committed to delivering fundamental reform of the dental contract before the end of this Parliament.  As a first step, on 16 December we published the Government’s response to the public consultation on quality and payment reforms to the NHS dental contract. The changes will be introduced from April 2026. These reforms will put patients with greatest need first, incentivising urgent care and complex treatments. Further information is available at following link:

https://www.gov.uk/government/consultations/nhs-dentistry-contract-quality-and-payment-reforms/outcome/government-response-to-consultation-on-nhs-dentistry-contract-quality-and-payment-reforms

In Summer 2025, we held a public consultation on a package of proposals of changes to the current National Health Service contract, to address some of the pressing issues that dentists and dental teams are experiencing. The Government response has been published and received a total of 2,289 completed responses. Of these responses, 60% were from individuals sharing their personal views and experiences, 33% were from individuals sharing their professional views, and 7% were from individuals providing a response on behalf of an organisation. The reforms will be implemented from April 2026 onwards.

The Government is committed to more fundamental contract reform by the end of this Parliament. This will include a public consultation on the future proposals. As well as working towards a full public consultation, we are continuing to engage with the sector regularly, including the British Dental Association and other representatives, on these reforms to scope potential changes. While we do not publish information on official level meetings, details of ministerial meetings with external stakeholders are published quarterly in arrears on the GOV.UK website.

Integrated care boards (ICBs) are responsible for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population. For the Newton Abott constituency, this is the One Devon ICB.

The Government is committed to ensuring people can access urgent dental care when they need it. Over the past year, ICBs have been commissioning additional urgent dental appointments and there is now an urgent care safety net available in all areas of the country. 1.8 million additional courses of NHS dental treatment have been delivered in the seven months between April to October 2025 compared to the corresponding months prior to the general election.

We are committed to delivering fundamental reform of the dental contract before the end of this Parliament. As a first step, on 16 December we published the Government’s response to the public consultation on quality and payment reforms to the NHS dental contract. The changes will be introduced from April 2026. These reforms will put patients with the greatest need first, incentivising urgent care and complex treatments. Further information is available at the following link:

https://www.gov.uk/government/consultations/nhs-dentistry-contract-quality-and-payment-reforms/outcome/government-response-to-consultation-on-nhs-dentistry-contract-quality-and-payment-reforms

If the hon. Member were to formally request a meeting in writing, I would be happy to consider his request.

The first ever Modern Service framework for Frailty and Dementia will be informed by phase one of the independent commission into adult social care. The commission is underway and phase one will report this year.

We intend to engage with a range of partners over the coming months to enable us to build a framework which is both ambitious and practical, to ensure we can improve system performance for people with dementia both now and in the future. We are working to develop the content as soon as possible and we will keep partners updated on progress and timings as this work unfolds.

The review of the Carr-Hill formula has been commissioned through the National Institute for Health and Care Research (NIHR) and commenced in October 2025. The first phase of the review is expected to conclude in March 2026. Subject to ministerial decision, further work would subsequently be undertaken to technically develop and model any proposed changes to the formula.

The review will be published in due course by the NIHR. Members of Parliament will also be updated once the review findings are available.

We recognise that the general practice (GP) partnership model has many strengths, including its role in supporting continuity of care. GP partnerships often have deep local knowledge and long-standing relationships with their registered patient populations, which can strengthen relational continuity. The GP Partnership Review from 2019 found that the stability of the partnership model supports and enables continuity of care.

The Government values continuity of care in GPs, which is associated with better health outcomes and fewer accident and emergency attendances. That is why we have committed to bringing back the family doctor.

We are investing an additional £1.1 billion in GPs, bringing total spend on the GP Contract to £13.4 billion in 2025/26, the biggest cash increase in over a decade. This investment will help build capacity in GPs, improving both continuity of care and access for patients.

We remain committed to the general practice (GP) partnership model and recognise its many strengths, including efficiency, innovation, and continuity of care. GP partnerships deliver high-quality care to patients all over the country. As set out in the 10-Year Health Plan, where the GP partnership model is working well, it should continue.

We also recognise that increasingly fewer GPs are going into partnership, and that the partnership model is not the only model currently delivering GPs. GPs can and do choose to organise themselves in different ways, many of which cite evidence of good outcomes in terms of staff engagement and patient experience.

Alongside the partnership model, the 10-Year Health Plan commits to introducing two new contracts enabling GPs to work over larger geographies, with the aim of supporting the neighbourhood health model, providing resilience and allowing economies of scale, thereby securing the sustainability of GPs into the future.

We are investing an extra £1.1 billion in general practice, the biggest cash increase in a decade. That funding has allowed us to recruit an extra 2,500 general practitioners and improve access for patients.

General practices are valued independent contractors who provide over £13 billion worth of NHS services. Every year we consult with the sector both about what services they provide, and the money providers are entitled to in return under their contract, taking into account the cost of delivering services.

This Government is committed to publishing a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.

We hugely value the critical role that health care providers play, we are determined to address the issues they face.