A health watchdog has highlighted how residents’ health and wellbeing is being “severely affected” by the lack of access to NHS dentistry across North Yorkshire.

Healthwatch North Yorkshire said a study had revealed only two dental practices in the county with a 605,000 population offer NHS treatment to new adult patients, and those surgeries had “significant restrictions on who is allowed to register”.

The concerns have been raised just two months after the government announced the first reforms to the NHS dental contract in 16 years, so that NHS dentists will be paid more for treating more complex cases, such as people who need three fillings or more.

Under the changes dental therapists will also be able to accept patients for NHS treatments, providing fillings, sealants, preventative care for adults and children, which will free up dentists’ time for urgent and complex cases.

However, Healthwatch North Yorkshire said it remains very concerned over the lack of access to and availability of NHS dentists, which it says “has severely affected the health and wellbeing of people across North Yorkshire, from Scarborough to Selby, to Craven and Harrogate”.

In a report presented to North Yorkshire County Council’s Thirsk and Malton constituency committee on Friday, the watchdog said access to information regarding where you can register with an NHS dentist continues to be poor.

There are also concerns that “urgent problems are often not considered urgent enough, meaning people are living in pain”.

The report found the cost of private treatment is prohibitively expensive for those unable to access NHS dentistry, resulting in a large proportion of people not seeking treatment.

Meanwhile, waiting lists for NHS dentistry in the county can be as long as three years and have more than 1,000 people on them.

Read more:

• Investigation: ‘Shocking’ waits for NHS dentists in Harrogate district
• Watchdog report: Just one NHS dentist per 10,000 people in Harrogate district

The watchdog has found being unable to access an NHS dentist is having a detrimental impact on many people’s mental and physical health.

Healthwatch North Yorkshire has called for greater involvement of the public in NHS dentistry to ensure it meets the needs of the population.

Ashley Green, chief executive of the watchdog, said: 

“We feel it is now time to act – and to use the upcoming changes to NHS and social care reforms, specifically the emergence of integrated care systems to fuel this change.

“We hear on a weekly basis the struggles of people and families unable to be seen by an NHS dentist, but also the desire by NHS dentists to see and treat their patients more effectively.”

Zafran Majid, who runs Red Lea Dental Practice in Easingwold, said the NHS dentistry funding system needed to be overhauled.

Mr Majid said: 

“The majority of NHS dentists are doing an excellent job and trying to see as many patients as they possibly can. However, the najority of NHS dentists are overworked, and suffering a lot of stress and anxiety, tiredness and fatigue from their work.”

Cllr Michael Harrison, the county council’s executive member for health, said as long as the NHS dentistry system made it more worthwhile for dentists to work privately then they were likely to take that option.

He said: 

“Healthwatch North Yorkshire is shining a light on an area which is of great concern to both the council and residents as access to dentistry promotes good health and access to NHS dentistry ensures those unable to afford private care get the support they need.

“Not being able to access an NHS dentist can be a real hardship for people. We are reliant on NHS England and NHS Improvement to support the provision of dentistry across the region, and while it’s a national issue it shows itself to be a bigger issue in certain parts of North Yorkshire.”

Patients in the Harrogate district are feeling the “catastrophic impact” of the dental crisis on their overall health, according to a new report.

Healthwatch North Yorkshire, the NHS body representing patients, is demanding a task force be set up to address the crisis in the county’s oral health due to a lack of NHS dentists.

The report outlines the impact of not being able to access an NHS dentist on the lives of more than 80 residents in the county, including Harrogate.

‘Urgent reform’

The watchdog said the issue needed “urgent reform”.

Read more:

• Investigation: ‘Shocking’ waits for NHS dentists in Harrogate district
• Watchdog report: Just one NHS dentist per 10,000 people in Harrogate district

A Harrogate case study detailed how one patient suffering gum pain called 10 dentists, both private and NHS, and offered to pay privately, but was told none were taking either NHS or private patients.

They said:

“I called 111 and was told to go and see my dentist, I explained I didn’t have a dentist and was told it was difficult at the moment.

“The pain was worsening so I ended up taking paracetamol, codeine and ibuprofen, spaced out at regular intervals. I again called 111, and only when I said I was now taking three types of painkiller did they take notice.

“They said a dentist would call me at around 7.30am next morning, so be up and ready to go. No phone call until 1.30pm telling me to go to a practice in Harrogate the next morning. I went and was seen for a couple of minutes, confirming that I had a gum infection. The dentist prescribed antibiotics, which did clear up the infection.

“My complaint is that dentists are not bound to give a person in pain help. I have heard this complaint from quite a few friends now, surely they should be duty bound to see emergency cases.”

The recommendations outlined in the report include:

• • Establishing a dental task force for North Yorkshire that tackles the underlying issues identified in this and previous reports.
• • Adopting a collaborative approach to addressing the dental crisis across the Humber and North Yorkshire region to ensure the commissioning of services meets the needs of the wider population.

Nationally, Healthwatch England has led calls for a radical rethink of NHS dentistry and it will be announcing its next steps over the coming weeks.

The government said it was increasing investment in services to improve access.

Acute problem of NHS dentists

Last year, the Stray Ferret revealed that just two Harrogate district NHS dentists were accepting patients but both had a waiting list of at least two-and-a-half years.

The investigation revealed how acute the problem of dental care is for people on low incomes in the district, with one councillor describing the situation as “shocking”.

Meanwhile, a review of NHS dentistry published in August 2021 found that found there was just one NHS dentist practice per 10,000 people in the district.

Healthwatch North Yorkshire is calling for people to share their views and experiences of health and social care, by visiting our website, calling 01423 788128 or emailing admin@hwny.co.uk.

A private hospital in Harrogate has launched a new service offering GP appointments to the public.

The Duchy Hospital, on Queen’s Road, will be offering the appointments with Dr Jason Jones at £100 for a 30 minute appointment.

He said:

“I’m very happy and excited to be joining the team at The Duchy and providing some primary care services.

“Being based within the hospital will also give me access to all the hospital’s facilities, services and consultant colleagues. This should improve the patient journey if any secondary care referrals are needed.”

The news follows reports that people across the UK have been struggle to get GP appointments, particularly face-to-face, following the covid pandemic.

In the Harrogate district, demand for GP services has also risen thanks to extensive house-building in recent years, increasing the population.

A report by Healthwatch North Yorkshire in December found people were struggling to access appointments either over the phone or in person. The service added:

“Several people expressed their concern about digital exclusion for people who can’t access GP and other services online. Others raised issues about misdiagnosis following telephone appointments.

“We know that GP practices across North Yorkshire are working hard to ensure everyone can access the right services for them.”

Read more:

• Patients urged to be kind as abuse prompts GP staff in North Yorkshire to quit
• Access to NHS dentists in North Yorkshire has ‘got worse’, says MP

Appointments with Dr Jones at The Duchy Hospital are available from Monday, April 25 and can be booked by calling 01423 567136 and selecting option four.

The Duchy’s executive director Rick Sanders added:

“The private GP service is a great addition for our patients at The Duchy. This new service will allow patients to see a GP face to face with easy access to any diagnostic tests, scans or onward referrals that may be required.”

A former chair of Healthwatch North Yorkshire has described the suspension of visitors to hospitals in Harrogate and Ripon as a “scandal” and called for the decision to be reversed.

NHS Harrogate and District Foundation Trust introduced the measure yesterday at Harrogate District Hospital and Ripon Community Hospital due to the threat of the Omicron variant.

Visitors are now only allowed for patients on end of life care, or if a patient has a learning disability or severe cognitive impairment like dementia. Parents or carers of children and birthing partners are also permitted.

Ripon Community Hospital, Firby Lane

It means that many patients will not be able to see their families and loved ones on Christmas Day.

Read more:

• Hundreds of Harrogate hospital staff still unvaccinated
• Harrogate and Ripon hospitals restrict visitors due to Omicron

Chris Brackley, who lives in Harrogate and stepped down in October as chair of Healthwatch, which gives patient feedback to NHS leaders so services can be improved, told the Stray Ferret:

“Harrogate and District Foundation Trust needs to reverse these measures immediately. They are unfair and an absolute scandal.

“If necessary bring in the requirement for visitors to provide proof of a negative lateral flow test. It may not be popular but it would be far better to give people that option.

“From the data I have seen I see no reason to bring in restriction on visitors. We at least need a date for when these measures are going to be under review.

“These new measures were communicated poorly and will leave many alone this Christmas, like my 91-year-old mother in law who fell at home and is suffering with a fractured pelvis.”

Harrogate District Hospital.

Mr Brackley added that he believed the number of unvaccinated frontline staff at Harrogate and District Foundation Trust posed a greater coronavirus risk than visitors, who could have had three vaccinations.

Decision ‘not taken lightly’

Last month the Stray Ferret reported that there were believed to be 450 unvaccinated frontline health staff at the trust, although that number is likely to have been reduced.

The Stray Ferret asked the trust to comment on Mr Brackley’s views.

Emma Nunez, executive director of nursing, midwifery and allied health professionals at the trust, said:

“This decision has not been taken lightly and it is one which trust’s across the country are having to consider. Many trusts already restrict visiting and others are currently considering putting similar restrictions in place.

“We understand that this will be disappointing for people who have a loved one in our care, and we apologise for any upset that this will cause, but we have had to take this difficult decision to protect both our patients and our staff.

“We will be reviewing our visitor arrangements regularly and we will look to relax visiting restrictions at the earliest opportunity.”

Care homes in the Harrogate district have sounded the alarm over a looming recruitment crisis over mandatory coronavirus vaccinations for staff.

Government legislation requiring all care home staff and volunteers to have had both jabs comes into force on November 11.

With the date approaching, the health watchdog Healthwatch North Yorkshire conducted a survey of 16 care homes in North Yorkshire and York about the impact of the legislation.

Most care homes supported the sentiment but expressed concerns about its impact.

The social care sector was experiencing staff shortages pre-pandemic and there are concerns that after a tough couple of years, mandatory vaccines will create another recruitment barrier.

Read more:

• 350 Harrogate hospital staff not fully vaccinated against covid
• 500 staff at North Yorkshire care homes could leave due to compulsory vaccinations

One care home told Healthwatch it expected to lose staff; another said it had been forced to turn down candidates and a third said it had created a bureaucratic burden on already overstretched staff.

The Coach House Nursing Home in Ripon said in the report:

“I do not agree with making vaccinations mandatory just for those working in a care home, while leaving it entirely open to any friend or relative of a resident to visit without vaccinations.

“This is yet another recruitment hurdle for providers to try to overcome along with the additional administrative burden in policing, enforcing and maintaining records of compliance.

“The impact of this legislation could be huge and widely felt, restricting agreed contractors, maintenance and servicing personnel, along with the effect on the hospitality side of care homes.”

Ashley Green, chief executive of Healthwatch North Yorkshire and Siân Balsom, Healthwatch York manager said in a joint statement:

“The concerns we’ve heard from care home managers aren’t a surprise, but some are very stark in their warnings of the impact of mandatory vaccinations.

“Care homes we spoke to question the decision where all healthcare staff and care home visitors don’t have to be vaccinated. There was strong sentiment that this is being seen as further unfair treatment of an undervalued sector.

“There is an irony that while almost all the care homes we spoke to recognise the importance of the vaccinations to protect vulnerable people, the new rules might put residents at risk due to staff shortages and low morale.”

Most acute recruitment crisis ever

The National Care Forum, which is the membership organisation for not-for-profit organisations in the care sector, has today written an open later to the government asking for support with what is describes as the worst job crisis in the sector’s history.

MHA, the UK’s largest charity care provider which has two care homes in Harrogate, is among the signatories of the letter.

The letter said:

“This is the most acute recruitment and retention crisis that we are aware of historically.

“It is the result of many years of underfunding in the sector, compounded by a number of other factors.

“That is including some staff exhausted from the pandemic and others moving to the NHS due to different approaches on mandatory vaccine regulations.”

The NCF called on the government to offer a retention bonus to care staff, welcome staff from overseas and launch a national recruitment campaign.

A health watchdog has laid bare the shocking lack of provision of NHS dentists in the Harrogate district in a new report published today.

NHS Dentistry in North Yorkshire: A Review of Public Feedback 2020-2021 found there was just one NHS dentist practice per 10,000 people in the district.

The report, published by Healthwatch North Yorkshire, also revealed that no Harrogate district dental practices were currently taking on new patients.

With so few dentists and so many patients, the report said many patients faced either long waits or high bills through private treatment.

Healthwatch North Yorkshire also highlighted how confusing it can be for someone attempting to find an NHS dentist.

In most areas across the county there are dentists listed on the NHS Choices website which do not actually provide an NHS service.

Volunteers from Healthwatch North Yorkshire called all of the practices listed on the NHS website in the county to ask if they were taking on new patients.

Three of the 19 in the Harrogate district said they were not NHS practices.

Read more:

• Investigation: ‘Shocking’ waits for NHS dentists in Harrogate district
• Housing Investigation: infrastructure at breaking point?

This means there are 16 NHS dentist practices in the Harrogate district for an estimated 160,500 people. None are taking on new patients.

Healthwatch North Yorkshire received 176 calls from the public in the last year about NHS dentists. The vast majority — 84% — were negative.

Some of the complaints from Harrogate residents:

Anonymous email, December 2020, Harrogate:

“I needed an emergency filling at the beginning of the first lockdown. I was offered a temporary DIY kit which worked for all of two days.

“Weeks go by. I finally got my appointment, only to find that they still can’t fix it because they can’t use all equipment without the correct PPE.

“God knows how many months later and I’ve still only got a temporary fix.”

Anonymous website feedback, April 2021, Harrogate:

“I have been trying to obtain an NHS dentist for my 10-year-old daughter, myself and my husband.

“One dentist in Knaresborough said they could add us to a list that had a three year wait for an appointment.

“Another told me that the only way that my daughter could be seen would be if myself and my husband took a private place at a cost of £75 for an initial consultation each.

“This is disgraceful and holding people ransom for their children to be able to access basic dental treatment.”

Anonymous telephone call, April 2021, Harrogate:

“Caller rang about their partner. They have a hole in their tooth. Rang 111 to arrange an emergency appointment because of the pain – it took a week and a half to get an appointment.

“The dentist charged £90, and gave antibiotics. Told them to come back two days later for further treatment, bill to be £1,600.

“I tried finding NHS dentists elsewhere, none anywhere. Partner can’t pay that as they have been unemployed for the past six months.”

What can be done to fix the problem?

Ashley Green, chief executive of Healthwatch North Yorkshire, said:

“The lack of access to and availability of NHS dentists has severely affected the health and wellbeing of people across North Yorkshire, from Scarborough to Selby, from Craven to Harrogate.

“The impact of coronavirus has only acted to exemplify a dental system already under enormous strain and challenge.

“We feel it is now time to act – and to use upcoming changes to NHS and social care reforms, specifically the emergence of integrated care systems to fuel this change.

“We hear on a weekly basis the struggles of people and families unable to be seen by an NHS dentist, but also the desire by NHS dentists to see and treat their patients more effectively.”