NHS Dentistry in Clwyd West

Part of 1. Questions to the First Minister – in the Senedd at 2:24 pm on 14 March 2023.

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Photo of Mark Drakeford Mark Drakeford Labour 2:24, 14 March 2023

One of the ways in which constituents in the Member's constituency will get that service is when dentists in a thoroughgoing way deliver NICE guidance. The NICE requirement since 2004 is that people should never be called back twice a year for a check-up when there's no clinical reason for doing so. NICE guidelines said all the way back then that a two-year call-back was sufficient for very many patients.

What the new contract does is it substitutes the calling back of people for routine check-ups when there's no clinical case for doing so with services for new patients. While I appreciate that it's still challenging in some parts of Wales for patients to be able to register, actually, Betsi Cadwaladr has the highest number of new patients seen in the last 10 months of any health board in Wales. Across the health board, in the first 10 months of the new contract, over 26,600 new patients have been seen in the Betsi Cadwaladr health board. That is partly assisted, of course, by the new dental academy at Bangor, which, by this autumn, when it is fully operating, will be offering appointments to up to 15,000 new patients in that part of Wales.

What we need to do is recognise the very hard work that our dental contractors do in all parts of Wales. We need to work alongside them to implement the new contract, to make sure that the metrics we're using draw on the experience of the first year to get those metrics right, but that the metrics are properly focused not on handle-turning work, which is the way the old units of dental activity contract drove people to carry out their practice, but properly clinically stratified work. People who need to be seen more regularly should be seen more regularly; those people who do not need to be seen every six months certainly should not be being called back on that basis. That will free up more time for new patients to be seen. We're seeing that happen already. There's more we can do in that way, and that will help residents of the Member's constituency.