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To ask the Secretary of State for Health, what measures are in place to ensure that unnecessary dental work is not carried out on patients by dentists for profit.

Asked by

Jimmy Wray (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

17 July 2003

For answer on

17 September 2003

Answered on

17 September 2003

Mr. Wray: To ask the Secretary of State for Health what measures are in place to ensure that unnecessary dental work is not carried out on patients by dentists for profit. [127984] Ms Rosie Winterton: Dentists providing general dental services under the national health service are remunerated through fees set out in the Statement of Dental Remuneration. The fees are uprated annually in the light of recommendations from the Doctors and Dentists Remuneration Body. For treatments not listed on the Statement of Dental Remuneration and for courses of treatment where total gross lees are above a specified limit set out in regulations dentists are required to obtain prior approval from the Dental Practice Board. The board continuously monitors treatments provided under the General Dental Service (GDS) to identify outlying prescribing patterns. The dental reference service of the Dental Practice Board undertakes random patient examinations of proposed treatment plans and completed treatments provided under the GDS to ensure that these meet patients clinical needs and are provided to appropriate standards. When providing general dental services a dentist's terms of service require that he or she "shall not provide care and treatment in excess of that which is necessary to secure and maintain oral health". A breach of these terms of service can result in a financial withholding. Under the provisions of the Health and Social Care Bill currently before Parliament, Primary Care Trusts will commission dental services from April 2005 and will be given the resources to do so. Dentists who contract with a PCT will have a secure income in return for making a longer-term commitment to the NHS. In response to the Office of Fair Trading report on private dentistry the Government has published an action plan. This is available at www.dti.gov.uk/topics2/ dentists.htm. The plan commits the Government to support the development of evidence based clinical care pathways in the NHS to aid dental professionals in improving clinical and cost effective treatment planning of appropriate patient care. The Department of Health will explore with the General Dental Council how clinical pathways can inform its `Maintaining Standards' guidance and thus be extended to private dentistry.

Date

17 September 2003

Reference

127984; 410 c843-4W;410 c841W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many dentists worked within the NHS in each year since 1997; and what steps he has taken to ensure people have access to an NHS dentist. - Inc tables and list.

Asked by

Jimmy Wray (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

9 April 2003

For answer on

29 April 2003

Answered on

29 April 2003

Mr. Wray: To ask the Secretary of State for Health how many dentists worked within the NHS in each year since 1997; and what steps he has taken to ensure people have access to an NHS dentist. [109206] Mr. Lammy: The number of dentists seeing national health service patients at 30 September in each of the years 1997 to 2001 is shown in the table. England _________________________________________________________________________________________________. 1997 1998 1999 2000 2001 Number of dentists 20,506 21,066 21,587 21,931 22,506 _________________________________________________________________________________________________. The corresponding figure for September 2002 is not yet available. Among other initiatives, the following steps have been taken in recent years to improve access to NHS dentistry in England: £10 million was made available between 1997 and 1999 under the Investing in Dentistry scheme to allow dentists to increase their NHS commitment or start new practices in areas of poor access. A Dental Care Development Fund of £4 million was made available in 2000-01, along with £6 million Dental Action Plan money in 2001-02, to allow practices to grow and treat more patients. 49 dental access centres have been established since 1998, treating unregistered patients in areas of poor access. The Health and Social Care (Community Health and Standards) Bill, currently before Parliament, proposes that each primary care trust be given a duty to provide or secure primary dental services to the extent it considers reasonable to do so. This would mean that access issues could be addressed at the local level. People wishing to find a dentist should call NHS Direct. They will be put in touch with their nearest dentist accepting new NHS patients.

Date

29 April 2003

Reference

109206; 404 c343-4W

House

House of Commons

Untitled Written question

How many dentists were registered with the National Health Service in Scotland on (a) 1st October 1988, (b) 1st October 1989, (c) 1st October 1990 and (d) 1st April 1991. - Table given.

Asked by

Jimmy Wray (Labour)

Answering body

Scottish Office

Type

Written questions

Status

Answered

Date

29 April 1991

Reference

190 c83W

House

House of Commons

Untitled Written question

When he last met representatives of the Dental Association of Scotland; and if he discussed the increasing numbers of dentists refusing to operate National Health Service schemes.

Asked by

Jimmy Wray (Labour)

Answering body

Scottish Office

Type

Written questions

Status

Answered

Date

26 October 1990

Reference

178 c328W;178 c326W

House

House of Commons

Untitled Written question

How many dentists operating National Health Service schemes for their patients have now changed to private practice only; and how many people who cannot afford private dental services have been affected by this change: (a) in Greater Glasgow, (b) in Strathclyde and (c) in Scotland. - Information not available centrally.

Asked by

Jimmy Wray (Labour)

Answering body

Scottish Office

Type

Written questions

Status

Answered

Date

26 October 1990

Reference

178 c328W;178 c326W

House

House of Commons

Untitled Written question

Table giving for each year since 1979 the average pay increase for NHS ambulance staff, nurses, doctors & health board managers

Asked by

Jimmy Wray (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

18 October 1989

Reference

158 c144W

House

House of Commons

Untitled Written question

How many people aged up to 16 years, over the age of 21 years & between the age of 16 & 21 years have used dental faciliites paid in full or in part by the NHS for each year since 1975. - Includes tables for general & community dental services.

Asked by

Jimmy Wray (Labour)

Answering body

Department of Health and Social Security

Type

Written questions

Status

Answered

Date

17 June 1988

Reference

135 c367W;135 c363W

House

House of Commons

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