Dental Provision in Mid and West Wales

Part of 1. Questions to the First Minister – in the Senedd at 2:04 pm on 28 March 2023.

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Photo of Mark Drakeford Mark Drakeford Labour 2:04, 28 March 2023

Well, Llywydd, 20 per cent of dental practices in Wales are private practices; that is simply a fact of life, and it has been a fact of life since the NHS was established. There is nothing new in that at all. I see regularly from dental interests this theme that contracts are being handed back across Wales. I spoke to the Chief Dental Officer for Wales myself last night about this. He tells me that 20 contracts out of 400 have actually been handed back. Many of them are small contracts, and health boards, and health boards in rural parts of Wales, are succeeding when they put those contracts out for retendering. So, in the Member's own area, a major contract in Ammanford—a £1 million contract—has been successfully retendered. In Powys, to which he referred, a contract that was handed back in Newtown has been successfully retendered. It will provide NHS treatment for between 2,000 and 2,500 patients in that part of Wales.

Last year, Llywydd, just under 1 million people in Wales received NHS dental treatment. There were well over 1 million treatments on the NHS, and that included 155,000 additional NHS patients because of contract reform, 20,000 of those shared between Hywel Dda and Powys health board. So, while there are undoubtedly challenges in the field of dentistry, and a lot more ground that we need to gain, actually, it's fewer and fewer, not more and more, Welsh citizens who are needing to find treatment elsewhere. And as we move forward with the contract, in consultation and negotiation with the dental profession, we will be able to do even more, and that will include, Llywydd, the £5,000 salary uplift that we are offering to future dental trainees who are willing to complete their foundation year in dental practices in rural Wales rather than taking up opportunities in the more popular urban areas. That combination of contract reform, further financial investment, liberalisation of the profession—there is a way to go, but there is a formula in Wales that we have started to put in practice and is beginning to succeed.