6. Statement by the Minister for Health and Social Services: Dental Reform

Part of the debate – in the Senedd at 4:59 pm on 14 March 2023.

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Photo of Baroness Mair Eluned Morgan Baroness Mair Eluned Morgan Labour 4:59, 14 March 2023

Look, I accept that everything is not perfect. I accept that there is a huge way to go in this very difficult area. But, as I reiterate, we do not employ these people directly. They are independent practitioners, and we have to convince them to come with us on the journey.

Now, it is true to say that COVID has impacted the work that they were able to do before. They're not back to what they were doing pre pandemic, and that's because they have to take account of the extra issues in relation to the potential for COVID to carry. So, there are more restrictions than there were pre pandemic.

Our contract does shift people from the haves to the have-nots. That's precisely what we're trying to do. There are people who haven't been able to see dentists for years on end, and now 140,000 of them have had access for the first time. So, that's not something that's happening in England. We've changed this contract, and England are looking at our model now to see what they can learn from us. But, of course, we need to go further.

So, I think it's important for us to understand that it's not just about supply as well, it's also about affordability and transport issues and all of these other things. One of the things that I am a bit concerned about is we are seeing pockets where we're seeing concentrations where dentists have handed back the contracts. That is something that concerns me. Certainly, in the area that I represent, that is a concern, which is why, for example, in rural areas, we've put this £5,000 additional funding on the table. In Betsi, we've got these 26,000 extra appointments that have been given, and, crucially, as the First Minister mentioned this morning, we're developing this new dental school in north Wales.

Key to what we're trying to do here is to broaden the dental skill mix. You asked me about training—well, we've got now 67 new dental trainees, we've got 50 dental care trainees, we've got new hygienists and new therapists. All of these people will, we hope, contribute to that dental mix, and, obviously, we're speaking to the UK Government to make sure that they change the rules so that some of these people can not just open a dental appointment, but close it as well. That's been part of the problem—legally, that's not been possible within the rules currently.

I would reject that they are leaving in droves. They are not leaving in droves. There is no evidence to suggest they're leaving in droves. We've got 80 per cent of people who've signed up to the new contracts. I gave you the figures: over 420 or so who we had pre pandemic, and only 20 have handed back. Those are the figures, those are the facts. You might not like the facts, you might—[Interruption.] Well, they haven't handed it back yet, and, as I'm saying, let's keep the conversation going, which is why I'm very keen to make sure that I have a real understanding of the concerns of the dental workforce and why I'm meeting them very soon.