Friday 12 March 2010

Fair, free and effective: Green Party proposals for dental care


Walking around Lambeth and Vauxhall I spot signs everywhere for dentists advertising that they accept NHS patients but the fact is that getting hold of a dentist and one who will carry out the necessary work on the NHS is very difficult as the Labour government, in common with many other services, has created what is effectively a two tier dental service. This has led to a real deterioration in dental health and especially among poorer people. The Greens launched the policy below last week and it is a genuinely radical one. It is not commonly known but attending a dentist on a regular basis is important for detecting oral cancer and other conditions which if left untreated can be very serious indeed.




Fair, free and effective: Green Party proposals for the dental health service


Last week the Green Party launched a dental health policy which the Greens believe will enjoy widespread public support and boost the party'shopes of a general election breakthrough.

The Greens are committed to the founding principles of the NHS - including free dental healthcare, which they say could be provided for an extra £1.8 billion a year.

A party spokesperson said, "£1.8 billion a year is a trifling sum for a huge improvement in Britain's dental health service. Everyone who wants one should have access to an NHS dentist, and we must end the scandal of British children in the twenty-first century suffering the pain and misery that come with poor teeth."

The Greens dismiss water fluoridation as a "cheap, tacky, sticking plaster solution with side-effects." They say that "mass medication of doubtful efficacy and potential side-effects is no substitute for a proper dental healthcare strategy. We need to be teaching new parents how to look after their toddlers' teeth, and teaching young children from nursery onwards all about how to look after their own teeth properly.

"And in addition, we need everyone to have access to the right professional support, which means guaranteeing free access to an NHS dentist for everyone who wants it."

Full copies of the briefing are now available at www.greenparty.org.uk/reports



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Summary of Fair, free and effective: Green Party proposals for the dental health service



1. Currently, only half the UK population is provided with free dental healthcare. NHS dentistry charges are a regressive tax: they hit the poor hardest and prevent many from accessing dental care.

2. Access to dentists should not depend on where you live. But getting access to an NHS dentist is difficult and there is wide variation across the country:

Between 55% and 60% of NHS practices are not taking new NHS patients. Some Primary Care Trusts have no NHS dentists taking on new patients. Most areas have around 55 dentists per 100,000 people. But some have as few as 25, while others have over 100.

3. Less than half of the UK adult population and only around two thirds of children are visiting NHS dentists. The percentage of children who have visited NHS dentists within the previous 24 months has fallen in recent years - a worrying sign.

4. Some areas have opted for the addition of fluoridation chemicals to tap water in a bid improve dental health. The Green Party says:

· The use of fluoridated water to improve dental health is not a viable solution - it's more like "sticking plaster with side effects".

· Any (slight) benefit from fluoride in drinking water has to be weighed against the increased risk of osteosarcoma and dental fluorosis.

· Mass medication may breach the European Convention on Human Rights and Biomedicine - it's unethical to medicate people without their consent.

· The use of fluoridation demonstrates a failure to tackle the underlying problems of dental health provision.

5. The Green Party wants:

· Free basic dental care available to all.

· Everyone to have access to an NHS dentist if they want one.

· An end to fluoridation of our tap water.

· A comprehensive dental health strategy including proper education for children and their parents.

6. Assuming that some people will wish to remain private, to provide free dental care to 75% of the population would only cost the NHS an extra £1.8 billion a year.

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