NHS dentistry in Britain: A long overdue check‐up

Abstract

AbstractThere has been longstanding international fascination with the British National Health Service since it was established in 1948. The British population itself has offered enduring support for the principles and institutions of public provision. However, coverage of the NHS has typically been uneven in academic and policy debates. There is limited understanding of some darker corners of NHS provision resulting in a partial picture of public service provision. Public dentistry has been a Cinderella service in broader debates about the NHS and a check‐up is overdue. We offer a long‐term view of dentistry that assesses the current state of dental health policy, including its gradual decay. We examine the purpose of dentistry and the challenge of injecting fundamental National Health Service values (weighted capitation and a focus on need) into services and which necessitates redistribution and tackling shibboleths of NHS provision. Alongside political values and public attitudes, we examine the interests of professional stakeholders and how the combination of values, attitudes, and interests does not currently cohere into a sustainable policy. We explore how dentistry might recover purpose and respond to need. Discussion is prescient considering an acknowledged crisis in British dental care, including widespread public and media coverage, and with 2024 being a general election year with NHS provision a familiar battleground.