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Dental Services

Volume 477: debated on Friday 13 June 2008

To ask the Secretary of State for Health how many (a) molar root treatments, (b) crown fittings, (c) simple denture fittings, (d) full denture fittings, (e) cobalt chrome denture fittings and (f) extractions there were in each of the last five financial years. (209200)

This information could be provided in the form requested only at disproportionate cost. Such information as is available is set out as follows.

Information on the number of claims including a crown and an extraction, for general dental services (GDS) and personal dental services (PDS) for the years ending 31 March 2005 and 31 March 2006 are given in Annex D of the ‘NHS Dental Activity and Workforce Report England 31 March 2006’ report.

This report, published by the Information Centre for health and social care on 23 August 2006, is available in the Library and is available at:

www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-activity-and-workforce-report-england-31-march-2006

Information on the incidence of certain treatments (including root-fillings, crowns, partial dentures, full dentures and extractions) was collected from a sample of courses of treatment (CoTs), for 2003-04 and the first four months of 2007-08. This information is shown at Table 2 of the ‘Dental Treatment Band Analysis, England 2007: Preliminary results’ report.

This report, published by the NHS Information Centre for health and social care on 4 October 2007, has been placed in the Library and is available at:

www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/dental-treatment-band-analysis-england-2007:-preliminary-results.

The report ‘Dental Treatment Band Analysis, England and Wales, 2007-08’ provides equivalent information for the whole of 2007-08, and is due to be published by the Information Centre for health and social care in August 2008.

The reports relate to treatments provided within national health service dental services and not private services.

To ask the Secretary of State for Health what estimate he has made of the number of people registered with a NHS dentist in (a) 1997, (b) 1999, (c) 2002 and (d) 2006. (209848)

The number of people registered with a national health service dentist, for adults and children and in total, in England, as at 31 March, 1997 to 2006 are available in Annex A of the “NHS Dental Activity and Workforce Report, England: 31 March 2006”. Information is provided by strategic health authority (SHA) and by primary care trust (PCT).

This information is based on the old contractual arrangements, which were in place up to and including 31 March 2006. This report is available in the Library and also at:

www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-activity-and-workforce-report-england-31-march-2006

Under the new contractual arrangements, introduced on 1 April 2006, patients do not have to be registered with an NHS dentist to receive NHS care. The closest equivalent measure to ‘registration’ is the number of patients receiving NHS dental services (“patients seen”) over a 24-month period. However, this is not directly comparable to the registration data for earlier years.

The number of patients seen by an NHS dentist for the specified period, in England, is available in Table C1 of Annex 3 of the “NHS Dental Statistics for England: 2006-07” report. Information is available for the 24-month periods ending 31 March 2006 and 31 March 2007. The information is provided by SHA and by PCT.

This report is available in the Library and is also available at:

www.ic.nhs.uk/pubs/dental0607

To ask the Secretary of State for Health what estimate he has made of the number of hospital admissions related to (a) dentistry and (b) dental problems in each of the last 10 years. (209849)

The number of hospital admissions where a dental consultant was responsible for the patient is set out in the following table. It is not possible categorise the data by 'dental problems' as requested.

A person may be admitted to hospital more than once so the following data do not represent a count of patients.

Hospital admissions where a dental1 consultant was responsible for the patient—national health service hospitals England and activity performed in the independent sector in England commissioned by English NHS, total admissions 1997-98 to 2006-07

Number

2006-07

238,967

2005-06

234,186

2004-05

211,701

2003-04

210,104

2002-03

209,803

2001-02

203,521

2000-01

205,708

1999-2000

212,417

1998-99

215,316

1997-98

200,519

1 The main specialties used to define 'dental consultants' in the data above are oral surgery, restorative dentistry, paediatric dentistry, orthodontics and oral and maxillo facial surgery. Notes:1. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). 2. Assessing growth through time HES figures are available from 1989-90 onwards. During the years that these records have been collected in the NHS there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time. 3. Data QualityHospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts, and primary care trusts (PCTs) in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain. 4. Finished admission episodes(FAEs)A FAE is the first period of in-patient care under not represent the number of in-patients, as a person may have more than one admission within the year. 5. Consultant main specialtyThis defines the specialty under which the consultant responsible is contracted. Care is needed when analysing HES data by specialty, or by groups of specialties (such as acute). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other recorded information. Source: Hospital Episode Statistics (HES), The Information Centre for health and social care.

To ask the Secretary of State for Health what estimate he has made of the average distance a person has to travel to see an NHS dentist in (a) Cornwall, (b) each constituency in Cornwall, (c) the South West and (d) England; and what estimate he has made of that distance in each year since 1979. (210117)

The requested information is not available. It is for primary care trusts (PCTs) to commission local dental services to meet local needs. PCTs are expected to develop robust commission plans. These will include consideration of access to local dental services at the time and place that people want.

To ask the Secretary of State for Health how many NHS dentists there were who accepted new patients in (a) Cornwall, (b) each parliamentary constituency in Cornwall, (c) the South West and (d) England in each year since 1979. (210118)

To ask the Secretary of State for Health (1) how many dentists are employed full-time by the NHS, broken down by strategic health authority; (208974)

(2) how many dentists are employed full-time by the NHS in (a) Eastbourne constituency, (b) East Sussex and (c) England;

(3) how many dentists were employed full-time by the NHS in each of the last 10 years;

(4) how many dentists are listed on the primary care NHS list for (a) Eastbourne, (b) East Sussex and (c) England.

The number of dentists on open national health service contracts in England as at 30 June 2006, 30 September 2006, 31 December 2006, and 31 March 2007 are available in Table E1 of Annex 3 of the “NHS Dental Statistics for England: 2006-07” report. This information is provided by strategic health authority (SHA) and by primary care trust (PCT). This information is based on the new contractual arrangements which were introduced on 1 April 2006. The information is shown by type of contract held. Dentists are employed on three types of contract: general dental services (GDS), personal dental services (PDS) and trust led dental services (TDS). Dentists can hold more than one contract and more than one type of contract at the same time. Those on TDS contracts are employed directly by the NHS.

This Report, published by the Information Centre for health and social care, on 23 August 2007, is available in the Library and is available at:

www.ic.nhs.uk/pubs/dental0607

The number of NHS dentists, in England, as at 31 March, 1997 to 2006 is available in Annex E of the “NHS Dental Activity and Workforce Report England: 31 March 2006” report. The information is provided by SHA and by PCT. This information is based on the old contractual arrangements that were in place up to and including 31 March 2006. This information covered GDS and PDS dentists only.

This Report, published by the Information Centre for health and social care, on 23 August 2006, is available in the Library and is also available at:

www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/nhs-dental-activity-and-workforce-report-england-31-march-2006

The numbers quoted are headcounts and do not differentiate between full-time and part-time dentists, nor do they account for the fact that some dentists may do more NHS work than others.

The methodology for counting and reporting the NHS dental work force is currently under review. The review, led by analysts at the Information Centre for health and social care and the Statistical Directorate of the Welsh Assembly Government, working in liaison with the Dental Services Division of the NHS Business Services Authority, aims to ensure that following the first year of the new dental contractual arrangements, the figures provide an appropriate measure of the work force.

The work force data provided in the 2006-07 report will therefore remain the latest available until this review is complete. The review is currently at consultation stage which is due to end on 11 July 2008.

The intention is to publish work force data in the “NHS Dental Statistics for England, 2007-08” report, due to be published in August 2008.

The Information Centre is also due to publish the report “Dental Working Hours 2006-07 and 2007-08” in August 2008. This Report should contain some analysis of the full-time equivalent work force and NHS commitment at SHA level.

To ask the Secretary of State for Health (1) how many individuals are on a waiting list for an NHS dentist in (a) Eastbourne constituency, (b) East Sussex and (c) England; (208976)

(2) how many individuals are on a waiting list for an NHS dentist, broken down by strategic health authority.

The information requested is not collected centrally. It is for primary care trusts (PCTs) to determine how best to manage patients seeking national health service dental services.

However, increasing the number of patients seen within NHS dental services is now a formal priority in the “Operating Framework. For The NHS in England 2008-09” and we have supported this with a very substantial 11 per cent. uplift in overall allocations to PCTs from 1 April 2008. Copies of the publication are available in the Library.