James Roach, Director of Primary Care, has responded to concerns raised by Phil Jordan, leader of the Isle of Wight council, regarding the state of NHS dentistry on the Island.
Mr Roach acknowledged the council’s recent motion and highlighted ongoing efforts to improve access to dental services.
Recognising the current situation
Mr Roach stated that the Integrated Care Board (ICB), which took on the responsibility for commissioning dental services in 2022, understands the significant work required to meet patients’ needs.
Emphasising that this shortfall is recognised by the current and previous governments, dental bodies, and other organisations, he said,
“Unfortunately, nationally, NHS dentistry is not where it should be,”
He goes on to say the Isle of Wight’s unique geography presents additional challenges that the ICB is actively addressing.
Progress amidst challenges
Despite the difficulties, Mr Roach pointed to tangible progress. He highlighted that access to NHS dental services has improved across Hampshire and the Isle of Wight. From February 2022 to February 2024, access increased from 35.74% to 41.8%.
Mr Roach acknowledged that dental services on the Isle of Wight are still below the desired level, but reiterated that the ICB is committed to continued improvement.
Mobile Dental Unit initiative
Addressing the issue of ensuring dental care reaches those most in need, Mr Roach mentioned the mobile dental unit commissioned earlier this year through the charity Dentaid. This unit has provided over 10,000 treatments to date.
He said,
“This is not a long-term measure but ensures flexible commissioning has been making a difference.”
The mobile unit operates on the Isle of Wight for two days a week, travelling to various locations.
Rapid response to service closures
Mr Roach outlined the ICB’s quick response to unexpected service closures. When MyDentist announced their plan to close their Freshwater location by the end of October, the ICB swiftly secured a new provider to take over the contract.
He admitted that while such situations are not ideal, the ICB is acting as quickly as possible to ensure continued access to dental care.
Calls for national reform
While local initiatives are making an impact, Mr Roach acknowledged that broader systemic changes are necessary.
He highlighted ongoing discussions with stakeholders and local MPs aimed at achieving national reform, including efforts to maintain an uplifted UDA (Units of Dental Activity) rate for the Isle of Wight. This, he noted, is not currently part of the national dental contract.
Looking ahead
Expressing gratitude for the continued support of stakeholders and community representatives, Mr Roach said,
“We recognise the work that is ahead of us.”
He concluded by looking forward to discussing these matters in more detail at an upcoming meeting with the council.
Jordan: Disappointed there appears to be no plans to address the dire situation
In response, Councillor Phil Jordan said,
“I welcome the response from the ICB and their acknowledgement that they have a duty to ensure dentistry services are to a standard and capacity for our Island.
“I am disappointed however that there appears to be no plans to address the dire situation our community is faced with.
“I understand government funding can be an issue but equally the ICB must implement actions that try to address the problem. Mindful that Government has pledged substantial increased funding to the NHS I would hope that the ICB invest in a strategy to improve dentistry for the Island.
“I will be following this up through a number of Boards on which the ICB and the Local Authority are members.”
