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New research corroborates what dental professionals have been saying for a long time: the government has effectively been privatising UK dentistry for years by underfunding NHS provision, thereby leaving patients with no choice but to go private to meet their needs

While you won’t find this policy in any recent party manifesto, or in the leadership campaign pledges of teams Truss and Sunak, such a decline is the clear result of a fatal lack of resources in a sector which relies on public funding to stay afloat.

This research from the BBC, described by the British Dental Association (BDA) as “the most comprehensive and granular assessment of patient access in the history of the service”, used data from just shy of 7,000 NHS dental practices – accounting for almost every practice offering general treatment to the public. The results are as conclusive as they are disturbing.

According to the data, almost nine in 10 NHS dental practices are now unable to accept new adult patients for treatment under the health service. In regions like the South West, Yorkshire and the Humber and the North West, this rate climbs to about 98 per cent of all dental practices – effectively making public dental services a nonentity in many local communities

Those few who do manage to land an NHS appointment often face waiting lists that are a year or longer, or are not told exactly how long they will have to wait to be seen. One practice in Cornwall even warned that it could take up to five years to be taken on as a patient.

The crux of the problem, according to practising dentist and BDA board member Paul Woodhouse, is that the government is only providing about 50 per cent of the funding needed for dental practices to care for every patient, meaning that half of the population was being left without an NHS dentist. “If you said that about GPs or cancer screening, there would be riots on the street,” he said.

The obvious result is that depending on publicly funded dental care has become increasingly untenable for millions of families, which inevitably is causing the most amount of suffering for patients who lack access to private care alternatives.

For poorer patients, common and treatable problems like cavities, tooth decay, and periodontal (gum) disease are often simply too expensive to fix. And whilst these issues may be nothing more than a small nuisance when they start, if left untreated they can slowly spiral into a chronic and debilitating source of suffering.

Put simply, dental disorders are not equal opportunity problems. The more deprived the background, the worse oral health issues tend to get.

The human cost of the decline in NHS dental services can be harrowing. Some patients have been forced to drive hundreds of miles in search of treatment.

Others have had to resort to pulling out their own teeth without anaesthesia, making their own improvised dentures, or restricting their long-term diets to little more than soup

These kinds of desperate – and often harmful – decisions should not have to be made in a country which claims to value healthcare as a basic human right!


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