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To ask the Secretary of State for Health and Social Care, how many NHS dentists have ceased providing NHS services in each of the last five years.
To ask the Secretary of State for Health and Social Care, how many NHS dentists have ceased providing NHS services in each of the last five years.
National Health Service dental statistics identify dentists who performed NHS dental activity in a given financial year.
The annual NHS dental statistics published by the NHS Business Services Authority show the number of dentists who performed any amount of NHS dental activity in England in the last five financial years. This shows that 24,655 dentists performed NHS work in 2024/25.
Within these statistics a ‘leaver’ is defined as a performer who carried out NHS dental activity in the previous financial year but none in the following year. A joiner is defined as a performer who carried out NHS dental activity in the specified year but none in the previous year.
These data do not show whether a dentist has permanently left NHS practice, as a dentist may return in a later year.
The following table shows the number of dentist leavers and joiners for each year from 2020/21 to 2024/25:
Financial year | Leavers | Joiners |
2020/21 | 2,342 | 1,399 |
2021/22 | 1,412 | 1,944 |
2022/23 | 2,002 | 1,888 |
2023/24 | 1,929 | 2,085 |
2024/25 | 1,865 | 2,213 |
To ask the Secretary of State for Health and Social Care, how many NHS dentists have left NHS practice in each of the last five years.
To ask the Secretary of State for Health and Social Care, how many NHS dentists have left NHS practice in each of the last five years.
National Health Service dental statistics identify dentists who performed NHS dental activity in a given financial year. Within these statistics a ‘leaver’ is defined as a performer who carried out NHS dental activity in the previous financial year but none in the following year. This data does not show whether a dentist has permanently left NHS practice, as a dentist may return in later years.
The following table shows the total number of dentists who have done some NHS work and the leavers each year from 2020/21 to 2024/25:
Financial year | Number of dentists performing NHS work | Leavers |
2020/21 | 23,733 | 2,342 |
2021/22 | 24,265 | 1,412 |
2022/23 | 24,151 | 2,002 |
2023/24 | 24,307 | 1,929 |
2024/25 | 24,655 | 1,865 |
Source: Dental statistics – England, 2024/25, NHS Business Services Authority
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve (a) recruitment and (b) retention of NHS dentists.
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve (a) recruitment and (b) retention of NHS dentists.
Strengthening the workforce is key to our ambitions to rebuild National Health Service dentistry. The recruitment of dentists remains a priority, with integrated care boards continuing to be able to make use of the Golden Hello scheme to encourage dentists to work in those areas that need them most.
The 10-Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills to care for patients, when they need it. We will now make it a requirement for newly qualified dentists to practice in the NHS for a minimum period, intended to be at least three years.
We are also taking steps to increase the supply of dentists. We announced the first sustained expansion of dental school places since 2007. Backed by £11 million, a total of 50 dental school places a year have been allocated equally to the Universities of Portsmouth and East Anglia.
We are increasing the availability of ORE and LDS examinations for overseas-qualified dentists to enable an additional 2,000 dentists to join the register annually from 2028/29.
Our ambition is to deliver fundamental contract reform before the end of this Parliament, focused 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.
We are in negotiation with the British Dental Association about the long-term contract reform that is so clearly needed, but I also draw the hon. Member’s attention to the announcement I made in December about a range of interim reforms, particularly on urgent work, where we are significantly increasing the fee rate for urgent dental activity. That will kick in from April and will make a real difference in access to urgent care.
We are in negotiation with the British Dental Association about the long-term contract reform that is so clearly needed, but I also draw the hon. Member’s attention to the announcement I made in December about a range of interim reforms, particularly on urgent work, where we are significantly increasing the fee rate for urgent dental activity. That will kick in from April and will make a real difference in access to urgent care.
T4
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Mr James Frith (Bury North) (Lab):
Following my recent meeting with Bury’s child and adolescent mental health services, can I ask the Secretary of State whether he has considered the merits of separating neurodiversity services from core CAMHS mental health provision? Will he meet me and Bury’s health leaders to discuss this approach, given the rising number of referrals in the system, the long waiting times, the workforce pressures and the growing risk of overmedicalisation?
T2
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Ian Roome (North Devon) (LD):
Over Christmas, I was contacted by constituents in North Devon who have been without NHS dental care for nearly 20 years—one with a tooth held together with superglue. When will the Government reform the dental contract and properly tackle recruitment and retention, especially in rural areas, so that we stop the haemorrhaging of dentists from the NHS in the longer term?
T2
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Ian Roome (North Devon) (LD):
Over Christmas, I was contacted by constituents in North Devon who have been without NHS dental care for nearly 20 years—one with a tooth held together with superglue. When will the Government reform the dental contract and properly tackle recruitment and retention, especially in rural areas, so that we stop the haemorrhaging of dentists from the NHS in the longer term?
To ask the Secretary of State for Health and Social Care, what steps he is taking to support domestic recruitment and retention of dental nurses since the removal of the occupation from the Skilled Worker visa list in June 2024.
To ask the Secretary of State for Health and Social Care, what steps he is taking to support domestic recruitment and retention of dental nurses since the removal of the occupation from the Skilled Worker visa list in June 2024.
From 22 July 2025, changes to the United Kingdom’s immigration system increased the minimum skill threshold for the Skilled Worker visa to Regulated Qualifications Framework (RQF) Level 6, which is degree level.
The role of a dental nurse does not meet the new skills threshold of RQF level 6. However, dental nurses already in the Skilled Worker route, who have a certificate of sponsorship issued before 22 July 2025, can continue to work and extend their visas as long as they meet occupation salary thresholds.
The 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 outline strategies for improving retention, productivity, training, and reducing attrition, thereby enhancing conditions for all staff while gradually reducing reliance on international recruitment, without diminishing the value of their contributions.
To ask the Secretary of State for Health and Social Care, whether his Department plans to (a) increase dental student training places (i) at Peninsula Dental School and (ii) in the South West and (b) ensure that dental workforce planning includes recruitment and retention in (A) rural and (B) coastal...
To ask the Secretary of State for Health and Social Care, whether his Department plans to (a) increase dental student training places (i) at Peninsula Dental School and (ii) in the South West and (b) ensure that dental workforce planning includes recruitment and retention in (A) rural and (B) coastal...
Peninsula Dental School would be considered for any possible future allocated dental training places, as would other dental schools in the same position, including in the South West.
For the allocation of additional training places to begin, a guidance letter confirming the maximum fundable limit for training places must be sent to the Office for Students. A guidance letter has not yet been sent for 2026/27.
Later this year, we will publish a 10 Year Workforce Plan to create a workforce ready to deliver a transformed service. Our 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 are aware of the challenges faced in accessing a dentist, particularly in more rural and coastal areas. Integrated care boards are recruiting posts through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.
To ask the Secretary of State for Health and Social Care, whether he plans to give dental (a) hygienists and (b) therapists NHS performer numbers in workforce (i) retention and (ii) access strategies.
To ask the Secretary of State for Health and Social Care, whether he plans to give dental (a) hygienists and (b) therapists NHS performer numbers in workforce (i) retention and (ii) access strategies.
To work under a National Health Service primary care dental services contract, a dentist must join the NHS Dental Performers List. This is not a requirement for other members of the dental team, and the Government has no plans to change this.
Amendments to the Human Medicines Regulations 2012 took effect on 26 June 2024, to allow dental hygienists and dental therapists to supply or administer specific medicines under exemptions, supporting them to work to their full scope of practice.
NHS England has issued guidance which includes information about training for those wishing to work under the exemptions. All education should be supported by a certificate as well as reflection for personal development. The guidance is available at the following link:
This guidance also clarified that whilst dental therapists and dental hygienists do not have performer numbers, they can open and close NHS courses of treatment and provide further direct access to NHS care, where that care is within the General Dental Council’s Scope of Practice, if they are qualified, competent, and indemnified to do so.
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve the retention and recruitment of dentists in rural areas.
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve the retention and recruitment of dentists in rural areas.
We are aware of the challenges faced in accessing a dentist, particularly in rural and coastal areas. The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
The additional 700,000 urgent dental appointments are being made available across the country, with specific expectations for each region. These targets are more heavily weighted towards those areas where they are needed the most.
Integrated care boards have also started to advertise posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years. As of 10 April 2025, in England, there are 53 dentists in post with a further 44 dentists who have been recruited but are yet to start in post under this scheme. Another 256 posts are currently advertised.
To ask His Majesty's Government what the retention rate was for NHS (1) social workers, and (2) dentists, in the financial years (a) 2022–23, (b) 2023–24, and (c) 2024–25 to date.
To ask His Majesty's Government what the retention rate was for NHS (1) social workers, and (2) dentists, in the financial years (a) 2022–23, (b) 2023–24, and (c) 2024–25 to date.
The Department does not hold the information requested.
For professions such as dentists, who do NHS commissioned work but who are not directly employed by NHS bodies, the Department does not hold detailed staffing information.
To ask the Secretary of State for Health and Social Care, what steps he is taking to (a) recruit and (b) retain dentists in coastal areas.
To ask the Secretary of State for Health and Social Care, what steps he is taking to (a) recruit and (b) retain dentists in coastal areas.
We are determined to rebuild National Health Service dentistry, but it will take time and there are no quick fixes. Strengthening the workforce is key to our ambitions.
Integrated care boards have started to advertise posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years, including in coastal areas.
To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of levels of recruitment and retention in NHS dentistry; and what steps he plans to take to tackle this.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of levels of recruitment and retention in NHS dentistry; and what steps he plans to take to tackle this.
The Dental Statistics - England 2023/24, published by the NHS Business Services Authority (NHSBSA) on 22 August 2024, is available at the following link:
https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324
The NHSBSA’s annual dental statistics publication provides details of dental activity and dental workforce data for National Health Service dental treatment in England, including the number of dentists delivering NHS treatment, by contract type and commissioning region.
The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term and increase access to NHS dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.
Earlier this year, the Department ran a consultation on introducing a further piece of legislation to give the General Dental Council powers to provisionally register overseas qualified dentists, which would help to address some of the workforce challenges.
Saturday was World Meningitis Day, but in the last year we have seen an almost doubling of meningitis cases in the UK. Does the Secretary of State think that the meningitis vaccination take-up rate is where it should be?
Saturday was World Meningitis Day, but in the last year we have seen an almost doubling of meningitis cases in the UK. Does the Secretary of State think that the meningitis vaccination take-up rate is where it should be?
On Saturday, I had a surgery appointment with a young lady who has struggled to access support for her eating disorder and mental health issues. She has gone through some of the most difficult experiences anybody can go through. She asked me a simple question: “Why have I been unable...
On Saturday, I had a surgery appointment with a young lady who has struggled to access support for her eating disorder and mental health issues. She has gone through some of the most difficult experiences anybody can go through. She asked me a simple question: “Why have I been unable...
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I am grateful that you have given way, and thank you for that. I have been sitting listening to you—[Hon. Members: “Shadow Secretary of State.”] I am sorry, I am getting the hang of this. To be honest,
I am struggling to recognise what the right hon. Lady is talking...
I am grateful that you have given way, and thank you for that. I have been sitting listening to you—[Hon. Members: “Shadow Secretary of State.”] I am sorry, I am getting the hang of this. To be honest,
I am struggling to recognise what the right hon. Lady is talking...
I will finish this point. That transition must begin with the language that the Secretary of State is choosing to use about the NHS. Interestingly, we have heard a little bit of nuance for the first time tonight, perhaps because health leaders are raising concerns that his “broken” narrative is...
I will finish this point. That transition must begin with the language that the Secretary of State is choosing to use about the NHS. Interestingly, we have heard a little bit of nuance for the first time tonight, perhaps because health leaders are raising concerns that his “broken” narrative is...
Will my right hon. Friend give way?
Will my right hon. Friend give way?
In one moment.
Of course, it is important that we focus relentlessly on those patients who do not receive good care, but that will not be achieved by writing off the 1.5 million people who work in the NHS. In fact, the NHS has more doctors, nurses and investment than at...
In one moment.
Of course, it is important that we focus relentlessly on those patients who do not receive good care, but that will not be achieved by writing off the 1.5 million people who work in the NHS. In fact, the NHS has more doctors, nurses and investment than at...