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An overview of NHS dentistry in England, including a discussion of current challenges facing providers and the government response.
An overview of NHS dentistry in England, including a discussion of current challenges facing providers and the government response.
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the recent increase in Overseas Registration Examination (ORE) Part 2 fees on the ability of dentists to sit the exam.
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the recent increase in Overseas Registration Examination (ORE) Part 2 fees on the ability of dentists to sit the exam.
The Government recognises the challenges faced by overseas qualified dentists seeking to sit the Overseas Registration Examination (ORE), particularly in relation to waiting times.
The General Dental Council (GDC) is the independent regulator of dental professionals in the United Kingdom and therefore is responsible for determining the standards that professionals wishing to practise in the UK must meet in order to be registered.
The GDC has recently put in place a new delivery contract which will significantly increase capacity across both parts of the ORE. This represents an unprecedented expansion in exam throughput, with capacity for Part 1 and Part 2 sittings expected to increase to 2,400 and 1,500 places per year respectively. Overall, the expansion is projected to deliver a more than fivefold increase in the number of overseas-qualified dentists able to complete the ORE and join the register by 2028. This significant increase in capacity will enable greater throughput of the examination and is therefore expected to reduce waiting times for ORE candidates over the coming years. In addition, the GDC is developing a new candidate portal, including a revised booking system, as part of the new contract. This is due to be in place for exams scheduled in 2027.
As an independent regulator, it is for the GDC to determine the appropriate fee level to effectively run the ORE examination. The GDC has indicated that the fee increase is necessary to support greatly expanded capacity under the new contract, including specialist facilities, examiners, quality assurance, and VAT on delivery costs.
The Royal College of Surgeons of England provided an alternative route for overseas qualified dentists, the License in Dental Surgery. In March 2026, the Government announced grant funding to support an expansion of this examination route, which is expected to increase final exam places tenfold by 2028, from approximately 180 to a projected 1,800.
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of capacity for the General Dental Council’s Overseas Registration Examination; and what discussions he has had with the General Dental Council on reducing waiting times for Part 2 of that...
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of capacity for the General Dental Council’s Overseas Registration Examination; and what discussions he has had with the General Dental Council on reducing waiting times for Part 2 of that...
The Government recognises the challenges faced by overseas-qualified dentists seeking to sit the Overseas Registration Examination (ORE), particularly in relation to waiting times.
The General Dental Council (GDC) is the independent regulator of dental professionals in the United Kingdom and therefore is responsible for determining the standards that professionals wishing to practise in the UK must meet in order to be registered.
The GDC has recently put in place a new delivery contract which will significantly increase capacity across both parts of the ORE. This represents an unprecedented expansion in exam throughput, with capacity for Part 1 and Part 2 sittings expected to increase to 2,400 and 1,500 places per year respectively. Overall, the expansion is projected to deliver a more than fivefold increase in the number of overseas-qualified dentists able to complete the ORE and join the register by 2028. This significant increase in capacity will enable greater throughput of the examination and is therefore expected to reduce waiting times for ORE candidates over the coming years. In addition, the GDC is developing a new candidate portal, including a revised booking system, as part of the new contract. This is due to be in place for exams scheduled in 2027.
As an independent regulator, it is for the GDC to determine the appropriate fee level to effectively run the ORE examination. The GDC has indicated that the fee increase is necessary to support greatly expanded capacity under the new contract, including specialist facilities, examiners, quality assurance, and VAT on delivery costs.
The Royal College of Surgeons of England provides an alternative route for overseas-trained dentists, the License in Dental Surgery. In March 2026, the Government announced grant funding to support an expansion of this examination route, which is expected to increase final exam places tenfold by 2028, from approximately 180 to a projected 1,800.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the equity of the process for accessing the General Dental Council's Overseas Registration Examination; and whether he has assessed the potential merits of introducing a queuing system.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the equity of the process for accessing the General Dental Council's Overseas Registration Examination; and whether he has assessed the potential merits of introducing a queuing system.
The General Dental Council (GDC) is aware that the booking process for its Overseas Registration Exam (ORE) can be challenging for candidates due to the very high demand for exam places. The GDC’s recently concluded procurement exercise has resulted in new contracts for ORE provision that will substantially increase capacity of the exam, with places for Part Two increasing from 720 to 944 in the first year of the contract, and to 1,500 by year three.
The GDC currently offers priority booking to candidates approaching their five-year time limit to pass the ORE exam, as well as to candidates with refugee status, as they are particularly disadvantaged by their inability to return to their country of origin to practise as a dentist.
The Department has asked the GDC to develop an improved booking system as part of the new ORE contract arrangements and to consider what measures could be taken to support candidates on the waiting list who are resident in the United Kingdom.
Dentists, dental surgeons, dental therapists and other dental practitioners, including orthodontists, meet the raised skills threshold of Regulation Qualification Framework (RQF) level 6 or above and continue to remain eligible for the Skilled Worker visa.
Those individuals already in the Skilled Worker route in dental professional roles at RQF 3...
Dentists, dental surgeons, dental therapists and other dental practitioners, including orthodontists, meet the raised skills threshold of Regulation Qualification Framework (RQF) level 6 or above and continue to remain eligible for the Skilled Worker visa.
Those individuals already in the Skilled Worker route in dental professional roles at RQF 3...
Registration with the General Dental Council in the United Kingdom is a separate process from obtaining a Skilled Worker or Health and Care Worker visa, although both are required to enable overseas dental professionals to work in the UK.
On 1 July 2025, changes to immigration rules were laid before Parliament...
Registration with the General Dental Council in the United Kingdom is a separate process from obtaining a Skilled Worker or Health and Care Worker visa, although both are required to enable overseas dental professionals to work in the UK.
On 1 July 2025, changes to immigration rules were laid before Parliament...
Dentists, dental surgeons, dental therapists and other dental practitioners, including orthodontists, meet the raised skills threshold of Regulation Qualification Framework (RQF) level 6 or above and continue to remain eligible for the Skilled Worker visa.
Those individuals already in the Skilled Worker route in dental professional roles at RQF 3...
Dentists, dental surgeons, dental therapists and other dental practitioners, including orthodontists, meet the raised skills threshold of Regulation Qualification Framework (RQF) level 6 or above and continue to remain eligible for the Skilled Worker visa.
Those individuals already in the Skilled Worker route in dental professional roles at RQF 3...
Registration with the General Dental Council in the United Kingdom is a separate process from obtaining a Skilled Worker or Health and Care Worker visa, although both are required to enable overseas dental professionals to work in the UK.
On 1 July 2025, changes to immigration rules were laid before Parliament...
Registration with the General Dental Council in the United Kingdom is a separate process from obtaining a Skilled Worker or Health and Care Worker visa, although both are required to enable overseas dental professionals to work in the UK.
On 1 July 2025, changes to immigration rules were laid before Parliament...
My Honourable Friend the Minister of State for Care (Stephen Kinnock MP) has made the following statement:
Restoring NHS dentistry is one of the government’s top priorities. The government is taking urgent action to improve NHS dentistry in the short term and laying the foundations to make it fit for the...
My Honourable Friend the Minister of State for Care (Stephen Kinnock MP) has made the following statement:
Restoring NHS dentistry is one of the government’s top priorities. The government is taking urgent action to improve NHS dentistry in the short term and laying the foundations to make it fit for the...
Restoring NHS dentistry is one of the government’s top priorities. The government is taking urgent action to improve NHS dentistry in the short term and laying the foundations to make it fit for the future.
Expanding the dental workforce is crucial to our ambitions. The Minister of State for Skills and...
Restoring NHS dentistry is one of the government’s top priorities. The government is taking urgent action to improve NHS dentistry in the short term and laying the foundations to make it fit for the future.
Expanding the dental workforce is crucial to our ambitions. The Minister of State for Skills and...
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce burdens on NHS dentistry services, especially by ensuring dentists who are qualified to practice in other countries can be fast-tracked for qualification to practice in the UK.
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce burdens on NHS dentistry services, especially by ensuring dentists who are qualified to practice in other countries can be fast-tracked for qualification to practice in the UK.
The General Dental Council (GDC) regulates United Kingdom dentistry and sets the standards for all applicants to its registers. Routes to registration for overseas qualified dentists are set out in legislation.
The Government is working with the GDC to increase the number of overseas-qualified dentists gaining registration to help address National Health Service workforce shortages.
The GDC already offers priority booking to refugee dentists on its Overseas Registration Exam (ORE). Last year I asked the GDC to develop a plan to urgently cut the high ORE waiting list and in November received an update on their work. I have been assured that significant improvements to international registration are expected this year.
I have also asked the GDC for an improved ORE booking system for the new ORE delivery contract, coming into effect from April 2026, and to explore prioritisation of UK resident candidates. I will meet the GDC again for an update on this work once the new contract is finalised.
It is estimated that there are some 200 highly qualified Ukrainian dentists resident as refugees in the United Kingdom. They could be working for the health service, but, because of the moribund attitude of the General Dental Council, they are not allowed to do so. Can we try to drag the GDC into at least the 20th century so that those talents can be utilised?
It is estimated that there are some 200 highly qualified Ukrainian dentists resident as refugees in the United Kingdom. They could be working for the health service, but, because of the moribund attitude of the General Dental Council, they are not allowed to do so. Can we try to drag the GDC into at least the 20th century so that those talents can be utilised?
I thank the right hon. Gentleman for that question. I met the GDC recently. It has completed the procurement of the new management agent to run the overseas registration examination, and I am confident that we will see a significant boost in the numbers—that is coming onstream very quickly. However, I agree with the right hon. Gentleman: it has been too slow, and it needs to speed up.
I thank the right hon. Gentleman for that question. I met the GDC recently. It has completed the procurement of the new management agent to run the overseas registration examination, and I am confident that we will see a significant boost in the numbers—that is coming onstream very quickly. However, I agree with the right hon. Gentleman: it has been too slow, and it needs to speed up.
I thank the right hon. Gentleman for that question. I met the GDC recently. It has completed the procurement of the new management agent to run the overseas registration examination, and I am confident that we will see a significant boost in the numbers—that is coming onstream very quickly. However, I agree with the right hon. Gentleman: it has been too slow, and it needs to speed up.
It is estimated that there are some 200 highly qualified Ukrainian dentists resident as refugees in the United Kingdom. They could be working for the health service, but, because of the moribund attitude of the General Dental Council, they are not allowed to do so. Can we try to drag the GDC into at least the 20th century so that those talents can be utilised?
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, what estimate he has made of the number of overseas dental nurses who have been required to leave following 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 estimate he has made of the number of overseas dental nurses who have been required to leave following 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, what steps his Department is taking to clear the backlog for the Overseas Registration Exam.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to clear the backlog for the Overseas Registration Exam.
The General Dental Council (GDC), as the independent regulator of dentists and dental care professionals in the United Kingdom, is responsible for overseeing provision of the Overseas Registration Exam (ORE).
The GDC shortly expects to be able to announce the outcome of its procurement for a new provider to deliver the ORE from April 2026.
Once the new exam provider has been announced, the GDC will meet with me to present its action plan to reduce the waiting list for the ORE. This meeting will take place in the coming weeks. I will continue to meet regularly with the GDC to monitor and review progress as its plan is implemented.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help increase the number of part 2 overseas registration exam places to help increase the number of dentists delivering NHS care.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help increase the number of part 2 overseas registration exam places to help increase the number of dentists delivering NHS care.
The General Dental Council (GDC), as the independent regulator of dentists and dental care professionals in the UK, is responsible for overseeing provision of the Overseas Registration Exam (ORE).
The GDC shortly expects to be able to announce the outcome of its procurement for a new provider to deliver the ORE from April 2026.
Once the new exam provider has been announced, the GDC will meet with me to present its action plan to reduce the waiting list for the ORE, including for those waiting to sit part 2 of the exam. This meeting will take place in the coming weeks. I will continue to meet regularly with the GDC to monitor and review progress as its plan is implemented.
To ask the Secretary of State for the Home Department, how many (a) dental nurses and (b) dentists have been refused Skilled Worker visas since 22 July 2025.
To ask the Secretary of State for the Home Department, how many (a) dental nurses and (b) dentists have been refused Skilled Worker visas since 22 July 2025.
We do not routinely publish data on visas refused by occupation.
The Home Office publishes data on entry clearance visas by quarter and visa type in the ‘Immigration System Statistics Quarterly Release’. Data on grants of visas by occupation are published in table ‘Occ_D02’ of the sponsored work visas by occupation and industry dataset, and data on the outcomes of visas, including visas refused, are published in table ‘Vis_D02’ of the detailed entry clearance dataset. Please note the data does not show the number of visas refused by occupation.
Information on how to use the dataset can be found in the ‘Notes’ page of the workbook. Data is from January 2005 up to the end of June 2025.
Data on entry clearance visas for 2025 Q3 (July to September) will be published on 27 November 2025. Information on future Home Office statistical release dates can be found in the ‘Research and statistics calendar’.
To ask the Secretary of State for the Home Department, with reference to her Department's policy paper entitled Statement of changes to the Immigration Rules: HC 997, published on 1 July 2025m what assessment she has made with Cabinet colleagues of the potential impact of removing (a) dental hygienists and...
To ask the Secretary of State for the Home Department, with reference to her Department's policy paper entitled Statement of changes to the Immigration Rules: HC 997, published on 1 July 2025m what assessment she has made with Cabinet colleagues of the potential impact of removing (a) dental hygienists and...
On 12 May, the Government published its Immigration White Paper, outlining our future approach to legal migration routes. A technical annex (www.gov.uk/government/publications/restoring-control-over-the-immigration-system-white-paper/restoring-control-over-the-immigration-system-technical-annex) was published alongside the Immigration White Paper setting out the impact of some of the key policy changes.
The Statement of Changes to Immigration Rules laid on 1 July represent the first step in delivering on the Governments White Paper and included raising the skills threshold for Skilled Worker, excepting an interim Temporary Shortage List of lower skilled occupations deemed critical to the UK’s Industrial Strategy, which was based on advice from the Department of Business and Trade and His Majesty’s Treasury.
Home Office and DHSC continue to work very closely to understand the impact of all Immigration Routes on sector workforce. It is our intention to publish an Impact Assessment (IA) at the earliest opportunity. NHS Employers has published www.nhsemployers.org/articles/immigration-rule-changes-july-2025 which explains the impact of the changes on health and social care occupations.
To ask the Secretary of State for Health and Social Care, what progress the General Dental Council has made on procuring a new examination board for the Overseas Registration Exam.
To ask the Secretary of State for Health and Social Care, what progress the General Dental Council has made on procuring a new examination board for the Overseas Registration Exam.
I have asked the General Dental Council (GDC) to present its action plan to reduce the Overseas Registration Exam (ORE) waiting list in the autumn, when the GDC also expects to be able to announce the new contract provider for the ORE.