{
 "meta": {
  "title": "NHS dentistry in England",
  "standfirst": "Access to NHS dentistry in England has not recovered from the pandemic. By 30 June 2025, only 39.81 per cent of adults, roughly 18.5 million people, had seen an NHS dentist in the previous 24 months. That means about 28 million adults have had no NHS dental contact in two years. Children are better served at 57.32 per cent, but access varies sharply by place. Scotland and Wales run separate dental systems; all figures here are England only.",
  "basis": "Patients seen is measured as the proportion of the registered adult (18 and over) or child (under 18) population who had at least one NHS dental appointment in the 24 months (adults) or 12 months (children) before the reference date. An ICB is an Integrated Care Board, the NHS commissioning body for a local area. ICB percentages use 2022 mid year population estimates and are provisional. Scotland and Wales commission NHS dentistry separately from England and are not included in any figure on this page.",
  "sourceNote": "Computed from NHSBSA NHS dental statistics 2024/25 (national overview and patient geographic breakdown, published 2025) and the NHS England GP Patient Survey dental supplementary tables, January to March 2025. National adult percentage is for 30 June 2025 using ONS mid year 2024 population estimates.",
  "adultsSeenPct": 39.81,
  "adultsSeenMillions": 18.49,
  "adultsNotSeenMillions": 27.95,
  "adultPopMillions": 46.44,
  "childrenSeenPct": 57.32,
  "prePandemic": 47.18,
  "trough": 33.87,
  "specPrePandemic": 45.7,
  "specTrough": 33.9,
  "prePandemicNote": "File value 47.18% (spec said 45.7%); file trusted."
 },
 "headline": {
  "eyebrow": "Public services · The national record",
  "heading": "About 28 million adults not seen in two years",
  "intro": "At 30 June 2025, 39.81 per cent of adults in England had seen an NHS dentist in the previous 24 months, roughly 18.5 million people out of 46.4 million. That means about 28 million adults, close to 60 per cent of the adult population, have had no NHS dental contact in the past two years. The problem is structural: before the pandemic, about 47.18 per cent of adults were seen. Access fell sharply during 2020 to 2022 as NHS dental contracts were suspended, hitting a low of 33.87 per cent in March 2022, and has recovered only partly since.",
  "adultsSeenPct": 39.81,
  "adultsNotSeenMillions": 27.95,
  "adultsSeenMillions": 18.49,
  "totalAdultMillions": 46.44
 },
 "cliff": {
  "eyebrow": "The access cliff",
  "heading": "From near half to well below forty per cent",
  "intro": "The chart below shows the proportion of adults seen by an NHS dentist in the previous 24 months, from June 2020 to June 2025. The pre pandemic level (47.18%) had already been falling before COVID. Access collapsed as NHS dental services were restricted and contracted in 2020 to 2022, reaching a low of 33.87 per cent in March 2022. Recovery has been slow and partial: five years on the figure stands at 39.81 per cent, still well below where it started.",
  "series": [
   {
    "date": "30 Jun 2020",
    "pct": 47.18
   },
   {
    "date": "30 Sep 2020",
    "pct": 45.68
   },
   {
    "date": "31 Dec 2020",
    "pct": 44.18
   },
   {
    "date": "31 Mar 2021",
    "pct": 42.43
   },
   {
    "date": "30 Jun 2021",
    "pct": 40.49
   },
   {
    "date": "30 Sep 2021",
    "pct": 37.95
   },
   {
    "date": "31 Dec 2021",
    "pct": 35.23
   },
   {
    "date": "31 Mar 2022",
    "pct": 33.87
   },
   {
    "date": "30 Jun 2022",
    "pct": 36.27
   },
   {
    "date": "30 Sep 2022",
    "pct": 37.84
   },
   {
    "date": "31 Dec 2022",
    "pct": 39.11
   },
   {
    "date": "31 Mar 2023",
    "pct": 39.97
   },
   {
    "date": "30 Jun 2023",
    "pct": 39.48
   },
   {
    "date": "30 Sep 2023",
    "pct": 39.72
   },
   {
    "date": "31 Dec 2023",
    "pct": 39.99
   },
   {
    "date": "31 Mar 2024",
    "pct": 40.14
   },
   {
    "date": "30 Jun 2024",
    "pct": 39.7
   },
   {
    "date": "30 Sep 2024",
    "pct": 39.75
   },
   {
    "date": "31 Dec 2024",
    "pct": 39.91
   },
   {
    "date": "31 Mar 2025",
    "pct": 39.78
   },
   {
    "date": "30 Jun 2025",
    "pct": 39.81
   }
  ],
  "baseline": 30,
  "prePandemic": 47.18,
  "trough": 33.87,
  "latest": 39.81
 },
 "geography": {
  "eyebrow": "Dental deserts",
  "heading": "From 27 per cent to 53 per cent by ICB area",
  "intro": "Access to NHS dentistry is sharply unequal by geography. Among ICB areas, the adult rate ranges from 27.6 per cent in Somerset to 52.9 per cent in South Yorkshire, a gap of 25.3 percentage points. The worst served areas cluster in the South West and rural East of England, where dentist capacity is lowest relative to population. The best served are mostly in the North.",
  "worst": [
   {
    "name": "Somerset",
    "adultPct": 27.6,
    "childPct": 43.7
   },
   {
    "name": "Cambridgeshire and Peterborough",
    "adultPct": 29.2,
    "childPct": 54.1
   },
   {
    "name": "Devon",
    "adultPct": 29.9,
    "childPct": 48.9
   },
   {
    "name": "Gloucestershire",
    "adultPct": 30.1,
    "childPct": 53.6
   },
   {
    "name": "Cornwall and the Isles of Scilly",
    "adultPct": 31.1,
    "childPct": 49.2
   },
   {
    "name": "Bath and North East Somerset, Swindon and Wiltshire",
    "adultPct": 32.9,
    "childPct": 56.2
   },
   {
    "name": "Norfolk and Waveney",
    "adultPct": 34.2,
    "childPct": 54.4
   },
   {
    "name": "Dorset",
    "adultPct": 34.8,
    "childPct": 53.7
   }
  ],
  "best": [
   {
    "name": "South Yorkshire",
    "adultPct": 52.9,
    "childPct": 63.9
   },
   {
    "name": "Greater Manchester",
    "adultPct": 48.3,
    "childPct": 64.2
   },
   {
    "name": "Mid and South Essex",
    "adultPct": 47.1,
    "childPct": 58.0
   },
   {
    "name": "Coventry and Warwickshire",
    "adultPct": 47.1,
    "childPct": 57.8
   },
   {
    "name": "West Yorkshire",
    "adultPct": 45.8,
    "childPct": 63.9
   },
   {
    "name": "Staffordshire and Stoke-on-Trent",
    "adultPct": 45.4,
    "childPct": 62.0
   },
   {
    "name": "Cheshire and Merseyside",
    "adultPct": 45.3,
    "childPct": 62.2
   },
   {
    "name": "Derby and Derbyshire",
    "adultPct": 45.2,
    "childPct": 63.7
   }
  ]
 },
 "regions": {
  "eyebrow": "Regional picture",
  "heading": "South West the clear outlier",
  "intro": "By NHS region, the South West records the lowest adult access at 32.1 per cent, far below the North West (46.2 per cent) and North East and Yorkshire (46.2 per cent), which record the highest rates. London (37.8 per cent) and the South East (36.8 per cent) are also below the national average of 39.81 per cent.",
  "rows": [
   {
    "name": "South West",
    "adultPct": 32.1,
    "childPct": 52.4
   },
   {
    "name": "South East",
    "adultPct": 36.8,
    "childPct": 56.9
   },
   {
    "name": "London",
    "adultPct": 37.8,
    "childPct": 50.8
   },
   {
    "name": "East of England",
    "adultPct": 38.8,
    "childPct": 58.1
   },
   {
    "name": "Midlands",
    "adultPct": 41.8,
    "childPct": 57.3
   },
   {
    "name": "North West",
    "adultPct": 46.2,
    "childPct": 63.4
   },
   {
    "name": "North East and Yorkshire",
    "adultPct": 46.2,
    "childPct": 62.8
   }
  ],
  "nationalAdultPct": 39.81
 },
 "appointments": {
  "eyebrow": "Getting through the door",
  "heading": "South West bottom on both measures",
  "intro": "The GP Patient Survey (January to March 2025) asked those who had tried to get an NHS dental appointment in the past two years whether they succeeded. Across England, 78.0 per cent said yes. The South West region was the clear outlier at 66.0 per cent, matching its bottom position in the NHSBSA access data. Among ICS areas, Somerset ICS was worst at 56.0 per cent and Coventry and Warwickshire ICS was best at 89.0 per cent.",
  "englandSuccessPct": 78.0,
  "swSuccessPct": 66.0,
  "regions": [
   {
    "name": "South West",
    "successPct": 66.0
   },
   {
    "name": "East of England",
    "successPct": 77.0
   },
   {
    "name": "North East and Yorkshire",
    "successPct": 78.0
   },
   {
    "name": "North West",
    "successPct": 79.0
   },
   {
    "name": "South East",
    "successPct": 79.0
   },
   {
    "name": "London",
    "successPct": 81.0
   },
   {
    "name": "Midlands",
    "successPct": 81.0
   }
  ],
  "worstIcs": [
   {
    "name": "Somerset ICS",
    "successPct": 56.0
   },
   {
    "name": "One Devon",
    "successPct": 59.0
   },
   {
    "name": "Cornwall and the Isles of Scilly ICS",
    "successPct": 62.0
   },
   {
    "name": "Norfolk and Waveney ICS",
    "successPct": 67.0
   },
   {
    "name": "Cambridgeshire & Peterborough ICS",
    "successPct": 67.0
   },
   {
    "name": "Healthier Together Bristol, North Somerset and South Gloucestershire ICS",
    "successPct": 70.0
   }
  ],
  "bestIcs": [
   {
    "name": "Coventry and Warwickshire ICS",
    "successPct": 89.0
   },
   {
    "name": "Black Country ICS",
    "successPct": 85.0
   },
   {
    "name": "South East London ICS",
    "successPct": 85.0
   },
   {
    "name": "Mid and South Essex ICS",
    "successPct": 85.0
   },
   {
    "name": "Staffordshire and Stoke-on-Trent ICS",
    "successPct": 84.0
   },
   {
    "name": "South West London ICS",
    "successPct": 84.0
   }
  ]
 },
 "questions": {
  "eyebrow": "Questions this raises",
  "heading": "For NHS dental policy",
  "items": [
   "Five years after the pandemic, 28 million adults have had no NHS dental contact. Why has recovery stalled at around 40 per cent when the pre pandemic norm was close to 50 per cent?",
   "Somerset and Devon record adult access rates below 30 per cent. Is this a recruitment and retention failure, a commissioning failure, or both? What would it take to close the gap with South Yorkshire at 52.9 per cent?",
   "The GPPS shows that in Somerset only 56.0 per cent of those who tried to get an NHS dental appointment succeeded. What is happening to the people who give up?",
   "Children are seen at higher rates than adults but access still fell heavily in 2020 to 2022. What is the long term oral health cost of the generation that missed routine childhood dental care?",
   "NHS dental contracts pay by activity units (UDAs), which critics argue incentivise high volume simple work over complex treatment. Is the contract model itself a root cause of the access problem?"
  ]
 },
 "sources": [
  {
   "name": "NHSBSA NHS dental statistics 2024/25: national overview (Tables 4a, 4b, 4c, 4d)",
   "licence": "Open Government Licence v3.0",
   "url": "https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202425"
  },
  {
   "name": "NHSBSA NHS dental statistics 2024/25: patient geographic breakdown (Tables 3e, 3f)",
   "licence": "Open Government Licence v3.0",
   "url": "https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202425"
  },
  {
   "name": "NHS England GP Patient Survey dental supplementary tables, January to March 2025 (Table 1)",
   "licence": "Open Government Licence v3.0",
   "url": "https://www.england.nhs.uk/statistics/statistical-work-areas/patient-surveys/gp-patient-survey/gpps-dental-statistics/"
  }
 ],
 "caveats": [
  "All figures are England only. Scotland and Wales commission NHS dentistry through separate systems and are not included.",
  "\"Seen in the previous 24 months\" (adults) and \"seen in the previous 12 months\" (children) means at least one NHS dental appointment; it does not measure treatment quality or continuity of care.",
  "ICB percentages use 2022 mid year population estimates because 2023 and 2024 ICB level estimates were not available at publication; figures are marked provisional and will be updated.",
  "National adult and child percentages use the ONS mid year 2024 estimate as the denominator.",
  "The GP Patient Survey success rate (Table 1) covers January to March 2025 and is based on a sample survey; figures carry sampling uncertainty (see published confidence intervals).",
  "Patients seen includes orthodontic visits. It is not possible to identify which patients were seen solely for orthodontic treatment."
 ]
}