To ask the Scottish Executive, further to the answer to question S2W-12428 by Rhona Brankin on 24 December 2004 and given that the Scottish Borders accounts for 2% of the Scottish population, why 22% of all NHS dental patients deregistered in 2002-03 and 37% deregistered in 2003-04 were from the Scottish Borders; what inquiries it has made to determine the reasons for these percentages and what additional information it has gathered as a result; what measures it has taken to address this situation; what interim guidance it has issued to deregistered patients in respect of obtaining NHS dental treatment; whether travel costs will be available for patients who are required to seek treatment furth of the Scottish Borders, and what its statutory duties are in respect of the accessible provision of NHS dental services.
Responsibility for the overall provision of NHS dental services in the area rests with NHS Borders. NHS Borders has advised that the increase in the number of de-registrations in 2002-03 and 2003-04 was due to dental practices in Duns, Eyemouth, Peebles and Hawick reducing their commitment to NHS general dental services.
NHS Borders has established an advice line, staffed by a dental nurse who is able to offer advice on pain relief, advice on access issues and make arrangements for unregistered patients who require urgent treatment.
The Executive continues to support NHS Borders by approving salaried general dental practitioner posts where required. Approval was given to NHS Borders in August 2004 to appoint a further two whole-time equivalent salaried dentists for Hawick and in January 2005 for a senior salaried dentist with a special interest in oral surgery. I understand these posts are currently vacant but that one of the Hawick posts will be filled in March 2005.
NHS Borders has not issued any formal interim guidance to deregistered patients in respect of obtaining NHS dental treatment. However, general dental practitioners, GP out-of-hours, NHS24 and hospitals are aware of the Borders advice line and are able to direct patients to this.
NHS board can apply to Scottish ministers for approval of schemes to assist eligible patients with travel expenses to access primary care NHS dental treatment. The funding for such schemes comes from within the board’s unified budget.
It is a duty of Scottish ministers to secure the provision of general dental services in accordance with Part II of the NHS (Scotland) act 1978. It is a duty, under section 25 of Part II of the NHS (Scotland) Act 1978, of every health board, in accordance with regulations, to make as respect their area arrangements with dental practitioners under which any person for whom a dental practitioner undertakes in accordance with the arrangements to provide dental treatment and appliances shall receive such treatment and appliances.