Dental crisis in Cornwall
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Healthwatch Cornwall undertook research on access to NHS dentistry in Cornwall as it continues to be an issue for local people. They used existing sources of data, ran two surveys, interviews and did on-site visits.
The findings reveal a severe shortage of NHS dental services, systemic challenges within the NHS dental system, and significant barriers to accessing dental care, especially for vulnerable populations.
Key findings
There is a significant lack of NHS dental services across Cornwall, with 100% of NHS practices in Cornwall not accepting new adult NHS patients at the time of research. This has led to a surge in dental emergencies, increased hospital admissions for extractions, and dangerous attempts at selftreatment.
Underfunding and systemic problems within the NHS dental care system are at the root of the crisis. These include:
- Financial pressures on NHS practices due to the Unit of Dental Activity (UDA) system
- Difficulties in meeting contractual targets, leading to clawbacks and further financial strain
- Ineffective centralised NHS waiting list management
Recruitment and retention of dental professionals is a significant issue, with many dentists reducing NHS commitments or transitioning to private practice. All the dental practices included in this report said they have faced challenges in recruitment of staff in the last 24 months. High living costs and Cornwall's remote location contribute to these challenges.
Certain areas, particularly North Cornwall, face severe shortages in dental services. Limited public transport options further restrict access for many residents.
The dental crisis is placing undue pressure on GPs, A&E departments, and other healthcare services ill-equipped to handle dental issues.
There is a significant lack of understanding among the public about dental services. Three in five people in Healthwatch Cornwall's survey didn't know how to access NHS dental care.
The crisis disproportionately affects vulnerable populations, including low-income individuals, those with disabilities, and residents in rural areas. Many are forced to incur debt for private care or forego necessary treatment altogether.