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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 21 April 2025
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Displaying 693 contributions

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COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

We are trying to look forward from the decisions that were made during the pandemic and the impact on dental services. Hindsight is 20:20, of course, so we can see what we would now do in a similar situation. Were the interventions and restrictions correct and appropriate, given where we are now, in relation to impacts and slow recovery? Looking back, were the decisions that were made the right ones?

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

Good morning, panel. I would like to dig a little bit into the issue of inequalities. As we heard in the last session, inequalities were already increasing, but the pandemic has exacerbated them quite dramatically.

I suggest that we really need to look both at how we reduce inequalities and at the whole prevention agenda. As someone eloquently put it earlier, dentistry has been, to a great degree, untapped in terms of the prevention agenda. With prevention and inequalities in mind, what role can health boards play in reducing inequalities in dental care and oral hygiene?

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

You might have a role in politics, in that case.

I am trying to find the solution here. We know that big issues have arisen, that inequalities are increasing and that there is a problem with, for example, the length of time between treatments, which increased so much during the pandemic. In the earlier evidence session, we heard again about an increase in the treatment required by patients. There is a perfect storm with regard to the squeeze on NHS dentists’ time, and we need to look at a long-term strategy for bringing the inequality level back down again—or, at least, preventing it from rising any further before we do so.

I want to widen the discussion out. I am happy to take comments from any member of the panel, but I will give Ms McElrath another chance to come back on to the path.

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

Do the other witnesses want to comment?

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

I will just give Ms McElrath the opportunity to respond. Do you have anything that you would like to add?

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

I want to follow up on some of Jackie Baillie’s questions about inequalities. There was always inequality; Professor Conway says in his submission that it was increasing before the pandemic, but the pandemic exacerbated it considerably. The figures back that up, showing that the gap grew from 7 per cent to 12 per cent between 2010 and 2020, and that between 2020 and 2022 it went up to 20 per cent. That is an obvious direct correlation with the impact of Covid.

On the pressures that have been put on dentistry, from reading through the evidence it is clear that longer times between seeing a dentist mean that more treatment is required, so the time that is required per patient has gone up significantly. It is almost a perfect storm. When we speak to people in private dentistry, we hear that they, too, are incredibly busy, so it is difficult to get an appointment with a private dentist. The system is obviously under extreme pressure. Given that we are the COVID-19 Recovery Committee, what is the pathway back from that?

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

Convener, do I have time for another small question?

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

I will go to NHS Tayside to see if I get a similar response, but I will also broaden the question out slightly.

One thing that came up in the previous evidence session was the lack of understanding of what NHS services are available, especially in the lower SIMD areas. It is almost a marketing issue. Perhaps I can expand my question into that area, Dr Gilmore, and ask you what NHS services and boards can do to alleviate that particular issue. It seems like something that we should be able to tackle.

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

Thank you.

COVID-19 Recovery Committee

Recovery of NHS Dental Services

Meeting date: 15 June 2023

Brian Whittle

Dr Eshelli, I imagine that that messaging is even more difficult for the communities with which you work.