NHS Dentist Archives - The Stray Ferret

Chatsworth House dental patients in Harrogate to be offered alternative NHS provision

NHS dental patients at Chatsworth House Dental Clinic, in Harrogate, will be offered treatment at alternative NHS practices next month.

Chatsworth House, on King’s Road, announced in September it would stop providing NHS treatments from December 1.

The move heightened concerns about the lack of access to NHS dentistry in the Harrogate district.

It prompted Andrew Jones, the Conservative MP for Harrogate and Knaresborough, to seek assurances from the Integrated Care Board for Humber and North Yorkshire that local NHS provision would be expanded.

Mr Jones said today he had been told any patient on Chatsworth House’s roll in the last two years will be sent a letter by the NHS next month explaining where the new provision will be available.

Subject to the terms and conditions of their contract, any former NHS patient who has signed up for private services with Chatsworth House can apply to a new provider.

Mr Jones said:

“This is good news for NHS patients at Chatsworth House. It was important that the cash provided for NHS dental activity at Chatsworth House remained invested in Harrogate NHS dentistry. I am grateful to the ICB for ensuring this is the case.”

Mr Jones said more than 50 Chatsworth House patients had contacted him.

The ICB letter to Mr Jones said:

“We have written to eligible dental providers in Harrogate to invite them to submit an expression of interest in taking on more dental activity. This EOI went out week commencing 30 October and providers have been given two weeks in which to respond.

“Once EOIs are received, officers at the ICB will then consider all EOIs in order to allocate the dental activity. As soon as new providers are confirmed, the ICB will ensure that patients from Chatsworth House are written to, explaining where they may be able to find an alternative dentist.”

Mr Jones added he had “longer term aspirations for dentistry in our area:, adding:

“I want to see a centre of dental excellence for North Yorkshire based in Harrogate. This will train the next generation of NHS dentists and could help provide more capacity locally. I have also met two dentists locally who are looking to expand their practices and put them in touch with people in the NHS who can help with that. These discussions look very positive.

A review of NHS dentistry in August 2021 also found that there was just one NHS dentist practice per 10,000 people in the Harrogate district.

Health chief pledges to help patients at Harrogate NHS dentist

NHS dentistry provision was discussed at a meeting yesterday between Andrew Jones, the MP for Harrogate and Knaresborough, and Stephen Eames, the chief executive of the Humber and North Yorkshire Integrated Care Board.

The issue was highlighted recently by the announcement that Chatsworth House dental practice on King’s Road in Harrogate was closing to NHS patients from December 1.

The meeting was a follow-up from a briefing this month which the ICB – a collaboration of health and care organisations tasked with improving the health and wellbeing of people in the region – arranged for all Humber and North Yorkshire MPs.

Mr Jones said:

“We have a short-term issue – one that I raised at Prime Minister’s Questions – about what happens when a practice suddenly closes to NHS patients as has happened here. We also have a medium-term issue about increasing NHS dentistry capacity. Mr Eames and I discussed both these issues.”

Chatsworth House Dental Clinic

The ICB told Mr Jones it is planning to redistribute the funding given to Chatsworth House to other local practices so that they can take on more patients. Patients affected will be contacted directly by the ICB to explain where their new practice will be.

According to a government briefing published in April 2023, total funding for NHS dental services in England fell by 8% in real terms between 2010 and 2022.

The crisis in NHS dental provision was highlighted by a YouGov poll in March. The survey found that more than a quarter of the UK population (27%) have not seen a dentist within the last two years, and one in five people (22%) are currently not even registered with a dentist.

Of those, 37% said it was because they couldn’t find an NHS dentist, and 23% said it was because they couldn’t afford to pay for treatment. One in 10 admitted to attempting their own dental work.

To help address the problem, the ICB is looking to increase NHS dental capacity locally through the rapid launch ‘Centres of Dental Development’, which are intended to support, develop and retain the dental workforce across the Humber and North Yorkshire.

Mr Jones said:

“It is good that the ICB are looking at the long-term sustainability of our dental service. This is a positive and constructive approach and I have asked that Harrogate, which is the largest town in North Yorkshire, will be host to one of these new centres.

“Such a facility would place front and centre significant dental provision for our area. It could educate a new generation of local dentists. To have such a centre in Harrogate would be a huge boon to our area.

“I look forward to receiving more details from the ICB and feel hopeful that my request for a Centre of Dental Development in Harrogate will be successful.”

NHS places to be lost as Ripon dental practice closure announced

A dental practice offering NHS care in Ripon is set to close in three months’ time.

Bupa’s practice on Finkle Street will shut its doors on June 30, with the national company citing a lack of dentists to provide care.

The Finkle Street branch has provided NHS and private dental care. The Bupa Clock Tower practice in North Parade is unaffected, as are Harrogate’s Raglan Suite and Bupa Dental Care in East Parade – but none of these is accepting new adult NHS patients.

Finkle Street is one of 85 across the country to be closed, sold or merged over the coming months. As well as problems with recruiting, Bupa said rising costs influenced its decision.

Bupa Dental Care general manager Mark Allen said:

“As a leading dental provider in the UK, our priority must be to enable patients to receive the care they need.

“For the majority of affected practices, this decision will allow commissioners to procure local providers for the NHS contract, tailoring services and investment to the needs of the local community, thereby providing a better opportunity for patients to continue access to NHS dental services.”

Bupa said it will hand back its dental contract in Ripon to the NHS, allowing commissioners to find a new provider for NHS dental services.

However, the issue of NHS provision has already raised concerns in the Harrogate district.

It was raised in the House of Commons last month when Daisy Cooper, MP for for St Albans, said only half of children in North Yorkshire had seen an NHS dentist last year.

Last month, the chairman of North Yorkshire County Council’s health scrutiny committee, Cllr Andrew Lee, said he had raised the issue of NHS dental access in the county with the government.

The NHS website does not list any practices in the Harrogate district as accepting new adult patients for NHS treatment. Only two – Bupa’s Clock Tower in Ripon and Boroughbridge Dental Centre – are shown as taking new patients aged under 18 on the NHS.

Previously known as Oasis Dental Care, the Finkle Street practice had five surgeries and employed six dentists, a hygienist, seven dental nurses, a practice manager and two receptionists when the Care Quality Commission last inspected in 2016.

Bupa has not confirmed how many jobs will be lost as a result of the closure, but said it would redeploy staff “where possible”.

Mr Allen added:

“We fully understand the impact today’s decision has on our patients and our people within these practices. This decision has not been taken lightly and closure is a last resort.

“Despite our continued efforts, the dental industry is facing a number of significant and systemic challenges that are placing additional pressure on providing patient care, in particular recruiting dentists to deliver NHS dental care.

“This decision enables us to focus our efforts on high-quality, continued sustainable care for patients across our wider portfolio.”

Lack of NHS dentists ‘severely affecting’ North Yorkshire residents’ health

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.

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.”

Harrogate district patients feeling ‘catastrophic impact’ of dental crisis

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”.

Ashley Green, chief executive officer at Healthwatch North Yorkshire, said:

“The case studies presented in this report reiterate the severe issues facing people across North Yorkshire. To hear the drastic measures people have resorted to after not being able to access an NHS dentist is harrowing.

“The financial impact, the impact on people’s mental health and on people’s physical health – these case studies reiterate the disaster people across our county are facing.

“Urgent reform is needed, and we urge that something is done now — before the situation gets even worse.”

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.

Ripon woman with gum problems unable to see NHS dentist for two years

A woman from Ripon suffering with gum problems has not been able to get treatment at a dentist for two years.

Rachael Kimberley is a single mother on a low income so she cannot afford to go private and relies on NHS dentistry.

Her experience comes after a Healthwatch North Yorkshire report found that there was just one NHS dentist practice per 10,000 people in the Harrogate district.

It also comes after an investigation by the Stray Ferret found patients in the district face a minimum wait of two and a half years to register for an NHS dentist.

Ms Kimberley has been registered with the same practice on for the last 40 years but told the Stray Ferret that she has struggled since a private provider took over.

She added:

“The provider said that the NHS patients still registered would see no change when they took over the practice.

“I have been suffering with bleeding and receeding gums so I have been trying to go for a check up.

“When I ask to be seen they tell me that I will be seen in ‘due course’ but what does that mean?

“If the problem continues then I fear I will be stumped with a big bill in the hundreds or thousands that I just cannot afford.”

Her story shows the real suffering behind the statistics from the health watchdog. Healthwatch North Yorkshire received 176 calls from the public in the last year about NHS dentists. The vast majority — 84% — were negative.

The health watchdog called in its report for action on the problem and said coronavirus has only acted to exemplify a dental system already under enormous strain and challenge.

Harrogate dentist drops plans to stop NHS services

A Harrogate dentist has dropped plans to stop providing NHS services after patients raised concerns.

Chatsworth House Dental Clinic proposed in August transferring NHS patients to Starbeck Dental Centre.

The provider never made a formal approach to the NHS and has now confirmed it has no intention to stop the service.

The owners of Chatsworth House Dental Clinic said in a statement to the Stray Ferret:

“At the time, the practice was merely seeking opinion from our patient base about the possible merging of NHS services with another practice in the locality.

“We decided not to pursue this any further after feedback from our patients and the logistics of such a proposal.

“We have no intention of ceasing NHS services and the practice is fully committed to providing NHS services for the long-term future at its current location.”

The decision surprised the management team at Starbeck Dental Centre, which was set to take on the NHS contract.

Jonathan Campbell, group operations manager at Starbeck Dental Centre, said:

“I can confirm that the transfer to Starbeck Dental Centre is not happening following the unexpected withdrawal from the owners of Chatsworth House Dental Clinic.

“At Target Dental Group our aim is to provide the best possible care to the patients to both NHS and private patients of Harrogate and surrounding areas.”

Investigation into NHS dentist provision in Harrogate district

It comes after an investigation by the Stray Ferret found that just two NHS dentists in the Harrogate district are currently accepting patients and they have a waiting list of at least two-and-a-half years.

We looked into the availability of free NHS services at the 18 district dental practices listed on the NHS website.

Many have not updated their information for years. But they all fall into one of three categories: they have a long waiting list; they have such a long waiting list that they are not taking on new patients; or they no longer hold an NHS contract.

Of the 18 practices, only MyDentist in Knaresborough and AW Jones Dental Practice in Boroughbridge are taking patients — with waiting times of two-and-a-half years and three years respectively.

Harrogate NHS dental patients ‘not told’ about proposed closure

Patients at an NHS dentist in Harrogate have complained that they were not told about its proposed closure.

The patients claim Chatsworth House Dental Centre on Kings Road did not send letters to many of those who would be affected.

Under the proposals, patients would need to travel 1.7 miles to the practice on Starbeck High Street – a six-minute drive or more than 30-minute walk.

The Stray Ferret has taken the concerns of patients to both Chatsworth House Dental Centre and Target Dental Group. Both pointed to the other provider for a comment.

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One of the patients who has, along with her partner, been at Chatsworth House Dental Centre for more than 25 years said :

“I am in desperate need for a check up so I have been keeping a close eye on them but I had no idea about the proposed closure. It came as a bit of a shock because I have been there so long. Harrogate seems to be building a lot of houses but is not keeping up with vital services like dentists. It is quite frustrating.”

Chatsworth House Dental Centre has not formally approached the NHS with its proposal and it is unclear what the timescale is for the closure.

In the letter to patients, the provider said the merger would create a hub of dental services and “create an even greater patient experience”.

“Starbeck Dental Centre is situated in a modern spacious building. It is able to offer a broad range of services alongside full disabled access, modern facilities and easy access via public transport.”

How easy is it to get an NHS dentist in Harrogate?

The proposed closure of Chatsworth House Dental Centre will likely prompt fears about NHS dentist spaces in Harrogate.

Of the 11 NHS dentists in the town, only the Harrogate Dental Centre on Hookstone Park is advertising for new adult NHS patients. South Park Dental Practice is also advertising for child places up to the age of 18.

Currently, NHS dentists are not taking on any new patients because of the coronavirus pandemic. That could change by October, depending on guidance at the time.

Proposal to close NHS dentist in Harrogate

An NHS dentist in Harrogate could close and move its patients to Starbeck if planned changes go ahead.

Chatsworth House Dental Centre, based on Kings Road, sent out letters to its patients to tell them about the plans to merge with Starbeck Dental Centre.

Under the proposals, patients would need to travel 1.7 miles to the practice on Starbeck High Street – a six-minute drive or more than 30-minute walk.

The service provider, Target Dental Group, has not formally approached the NHS with its proposal and it is unclear what the timescale is for the closure.

In the letter to patients, the provider said the merger would create a hub of dental services and “create an even greater patient experience”.

“Starbeck Dental Centre is situated in a modern spacious building. It is able to offer a broad range of services alongside full disabled access, modern facilities and easy access via public transport.”

The Stray Ferret approached the provider for a comment but received no response by the time of publication.

How easy is it to get an NHS dentist in Harrogate?

The proposed closure of Chatsworth House Dental Centre will likely prompt fears about NHS dentist spaces in Harrogate.

Currently, NHS dentists are not taking on any new patients because of the coronavirus pandemic. That could change by October, depending on guidance at the time.