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Wales health correspondent Jenny Rees reported on recent changes to NHS dentistry in Wales. Instead of plans that would have assigned patients to a specific dentist for each check-up, a new contract will now pay dentists based on the individual’s oral health needs. This shift means patients will no longer have routine bi-annual check-ups, with up to two-year gaps between visits. The Welsh government stated that those requiring active treatment or support will be seen more frequently, and dentists will assess individual risks accordingly.
The British Dental Association Cymru expressed some concerns despite acknowledging “some important wins.” They highlighted that patching up existing issues does not address the true cost of care. Under the previously proposed plans, adults would have been put on a centralized waiting list and could be seen for check-ups at any practice within their health board area. However, feedback from the consultation revealed worries about the lack of continuity of care.
The revised policy, set to come into effect in April 2026, allows for longer intervals between check-ups for patients with healthy teeth, in accordance with NICE guidelines. Practices will receive a fixed sum to support ongoing care for patients with good oral health, rather than payment per visit. Despite these changes, concerns have been raised about the reduced opportunity to detect early signs of diseases like oral cancer.
Dr May Bassett, a dentist from Rhondda Cynon Taf, emphasized the importance of preventive care and expressed worries about the direction of NHS dentistry. She noted that patients are now being seen less frequently, leading to more emergency-based care. Dr. Bassett also highlighted the potential social divide that could arise from reduced access to regular dental check-ups
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