Part of 1. Questions to the First Minister – in the Senedd at 2:24 pm on 6 December 2022.
In many ways, the core of the problem was set out in the question, which is that dentists are private businesses; they are contractors. They cannot be made to work for the NHS. And we have seen, to a very small extent, in fact, some dentists in Wales move out of the NHS and into private practice. What is the Welsh Government doing about it? Well, I've set this out on the floor a number of times, Llywydd. At the core of what we will do is to change the contract of dentists in the Welsh NHS, and we've done that since 1 April. The huge majority of dentists in Wales have opted for the new contract, and the new contract by itself will create some 126,000 additional NHS appointments here in Wales in the first year of that contract. In the Hywel Dda area, which is part of the area represented by the Member, that has already produced over 8,000 additional NHS appointments, and around half of those are for children. So, there are immediate steps that the Welsh Government has taken, in addition to the further investment that the Minister has made available to health boards for dental purposes this year.
In the longer run, the answer lies in reforming the nature of the profession, to liberalise the profession. We have dentists carrying out activity that you simply do not need somebody with the training and the seniority of a fully qualified dentist to carry out, but the profession has been slower than other parts of primary care to diversify so that there are other people trained and capable of carrying out some of the activities that are needed in dentistry, freeing up the time of the dentist—the most precious resource that we have—to do the things that only a dentist can do. And through the training body that we have, we are increasing the number of people being trained to be able to work alongside dentists to offer those sorts of treatments. The faster we can make that happen, the more treatments there will be and the more children will be able to receive NHS dentistry in the way that we would wish to have in Wales.