Teeth have become Britain’s “biggest class divide”, said The Independent. With patients regularly “denied NHS appointments even in emergencies”, dental care has become “about hierarchy, not health”.
The government is hoping to end that. It says newly announced reforms to NHS England dentistry “will prioritise patients with most urgent dental needs and those requiring complex treatments”, through changes including altering the way that NHS dentists are paid. Under the current payment scheme, complex dental care is “typically under-remunerated or even delivered at a loss”, according to the British Dental Association.
What did commentators say? The changes mean patients with complex dental problems will be able to “book a package of treatment”, rather than having to arrange multiple appointments, which could save them up to £225, said Lizzy Buchan in The Mirror. This is a “victory” after a “decade of Tory austerity” that left “people desperately struggling to get care”.
If the changes mean “fewer people” are “left to suffer with complex problems”, that would be a “big gain”, said The Guardian’s editorial board. But “it should not be mistaken“ for a “solution” to all the issues with dental care in England. Before 2006, people had “the right to register with a dentist”, who would receive “a payment for each patient on their list”.
But after the NHS dental contract then changed, dentists were instead paid per “unit of dental activity”. Problems with this system quickly emerged, “in particular the lack of access to dentists for poor people in poor places”. Labour’s reforms are “a big tweak”, but they are “still a tweak and not the overhaul” of the fee structure “that most experts agree is needed”.
What next? The reforms will be introduced in April, and a new dental contract is promised by the end of this parliament. Neil Carmichael, chair of the Association of Dental Groups, said it was essential that “necessary steps” are taken to “shore up the NHS England dental workforce”, which is “currently short by over 2,500 dentists”.
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