Report

Bold action or slow decay? The state of NHS dentistry and future policy actions

Think tank: The Nuffield Trust

Author(s): Wilf Williams; Dr Elizabeth Fisher; Nigel Edwards

December 19, 2023

This report from UK think tank the Nuffield Trust explores the state of NHS dentistry and future policy actions.

NHS-funded dental services in England are in near-terminal decline: nearly six million fewer courses of NHS dental treatment were provided last year than in the pre-pandemic year; funding in 2021/22 was over £500m lower in real terms than in 2014/15; and there are widespread problems in accessing a dentist. So what is to be done?

This major new policy briefing proposes a series of short-term actions relating to appointment recall intervals, commissioning and the workforce. It also sets out two approaches for longer-term action, which involve improving the current dental model or adjusting the NHS offer.