Scottish Government announces funding for projects to tackle poverty and inequality

Supporting people in need

An initiative which will support low income families to take part in community action and advise on improvements in local services is being funded as part of a wider programme to help develop new approaches to child poverty.

The project, led by Midlothian Sure Start in partnership with Midlothian Council, is one of nine successful applicants to the Child Poverty Practice Accelerator Fund – which was set up to explore promising approaches or redesign services to maximise their impact on child poverty.

A Cash First Fund, which aims to reduce the need for emergency food parcels and food banks, will also fund eight partnerships to provide help to low income families. Six of these will provide new sources of cash-first support.

Social Justice Secretary Shirley-Anne Somerville said yesterday: “These two funds exemplify the innovative approach the Scottish Government is taking to tackling poverty and delivering for the people of Scotland.

“The Midlothian partnership will give local families the opportunity to get involved in and influence local services. It will aim to identify improvements which will ensure help on offer is joined-up and people are supported in a dignified way to reduce stigma.

“Other projects will help to accelerate progress in tackling poverty, including by making it easier for people to access cash in a crisis and by connecting people with advice to prevent future hardship.

“We are investing £3 billion this financial year to tackle poverty and protect people from the cost of living crisis. We are taking all the action we can to support people within our limited powers and fixed budget.”

Cash First Fund: successful proposals

AreaLead partner
AberdeenAberdeen Voluntary Action (TSI)
AberdeenshireAberdeenshire Council
EdinburghEdinburgh Health and Social Care Partnership
FifeFife Council
GlasgowGlasgow Centre for Population Health
North LanarkshireNorth Lanarkshire Council
OrkneyVoluntary Action Orkney (TSI)
West DunbartonshireWest Dunbartonshire Council

Child Poverty Practice Accelerator Fund: successful proposals

AreaProject
Aberdeen CityData driven identification of households experiencing child poverty to inform and direct intervention and support.
Argyll and ButeEvaluating the usefulness of third-party datasets for identifying communities in need of financial support.
EdinburghIncome Maximisation Outreach
InverclydeParent Centred Early and Intensive Intervention – supporting parents with children and babies under 5 years
MidlothianMidlothian Peer Research – A Case for Change through a Place Based Approach Building Skills and Influencing
MorayImproved identification of families affected by disability and delivery of support to maximise income
North AyrshireNorth Ayrshire Single Shared Assessment (NASSA)
Perth & KinrossBeyond Emergency Support to Sustainable Livelihoods – Capacity Building Programme for Local Communities
South LanarkshirePaths out of Poverty’ – empowering parent/carers of disabled children through innovative, holistic, strengths-based approach.

TUC: ‘We must end the grotesque inequality of the Tory era’

“It’s only right that the wealthiest pay their fair share”

  • Wealthiest “feathering their nests” while working people suffer the worst pay crisis for two centuries
  • NEW POLLING reveals significant cross-voter support for increasing taxes on wealth and excess profits, as the TUC general secretary renews call for a national conversation on tax
  • 3 in 4 think capital gains should be taxed at the same or higher than income tax – including 73% of Conservative 2019 voters
  • TUC calls for a new deal for workers to help tackle the boom in insecure work, stagnant wages and attacks on workers’ rights.

The TUC has declared that “we must put an end to the grotesque inequality of the Tory era”. Ahead of its annual Congress in Liverpool this weekend, the TUC says the Conservatives have allowed Britain’s wealthiest to “feather their nests” while working people have suffered the worst pay crisis for two centuries.

The union body adds that the Conservatives have delivered a “broken economic model which rewards wealth, not work”.

With “living standards plummeting, public services on their knees, and rampant wealth inequality blighting every corner of the country”, the union body says fair taxation must be a key part of a wider set of policies to help “reset the economy to work for working people”.

The TUC is renewing its call for a “national conversation on taxing wealth and windfalls” to help build a fairer society and “fix broken Britain”.

Significant support for fairer tax

The call comes as the union body publishes new polling, conducted by Opinium, which shows significant cross-party support for increasing taxes on wealth and excess profits.

A clear majority (61%) of the public think wealthy people should pay more tax than they are now – including over half (53%) of Conservative voters in the 2019 general election.

Only 4% of the public think wealthy people should pay less tax.

There is significant backing for increasing capital gains tax too.

Around 3 in 4 (72%) think capital gains should be taxed at the same or higher than income tax – including 73% of Conservative 2019 voters.

There was also huge support across the board for windfall taxes on excess profits:

  • Three quarters (75%) of the public support a windfall tax on banks’ excess profits – including 76% of Conservative 2019 voters
  • 4 in 5 (80%) support a windfall tax on energy companies’ profits – including 81% of Conservative 2019 voters
  • 7 in 10 (69%) support a windfall tax on large online retailers’ excess profits (like Amazon)

The TUC has already called on the government to equalise capital gains tax with income tax which could raise over £10 billion – and it has supported a bigger windfall tax on energy companies.

Recent TUC analysis set out options for taxing the wealthiest 0.3% with wealth over £3 million, £5 million and £10 million, excluding pensions.

It found a modest wealth tax on the richest 140,000 individuals – which is around 0.3% of the UK population – could deliver a £10.4 bn boost for the public purse.

Rampant inequalities

The TUC warns that huge inequality has “become the norm” in Tory Britain.

The ONS’ analysis of its Wealth and Assets Survey shows that the richest 1% of households had wealth of more than £3.6 million, and the least wealthy ten per cent had £15,400 or less. 

Of financial wealth, the ONS say the wealth held by the richest 1% of households was greater than for the entire bottom 80 per cent of the population.

At the same time, CEO pay is booming, with the bosses of the UK’s 100 biggest listed companies collecting an average £500,000 pay rise last year.

City bonuses have been at a record level for the past two years.  And banks and energy giants have been registering record profits too.

Worst pay crisis for two centuries

The TUC says working people are suffering the worst pay crisis in 200 years, which is contributing to the rampant wealth and income inequalities blighting every corner of the country.

Fifteen years on since the financial crisis, real pay is still down £360 this year compared to 2008. The average worker has lost out on a total of £21,600 since 2008, compared with wages just keeping pace with inflation.

And pay is not expected to return to 2008 level for at least another two years.

If real wages had continued to grow at the average pre-2008 rate of 2.3 per cent each year, the average worker would now be £280 per week, or £14,600 per year, better off.

Time for an economic reset

The TUC is calling for an economic reset after years of Tory failure.

As well as growing inequality, declining living standards, and public services which have been cut to the bone, the union body says the Conservatives have presided over a boom in insecure work and an attack on workers’ rights.

In addition to fairer taxation, the union body is repeating its demands for stronger protections for workers, and calling for improvements including:

  • Fair pay agreements to get pay rising in low-paid industries
  • A ban on the abusive use of zero hours contracts and a ban on fire and rehire
  • Day one employment rights, like protection against unfair dismissal.

The TUC says these policies are hugely popular across the political spectrum – as various recent polls have shown.

TUC General Secretary Paul Nowak said: “It’s time to end the grotesque inequality of the Tory era.

“As households across the country have struggled to put food on the table, energy companies and banks have registered eyewatering profits, and CEO pay has skyrocketed.

“The wealthiest have feathered their nests while working people have suffered the worst pay crisis in two centuries.

“Rampant inequalities are the direct result of a broken Tory economic model that rewards wealth, not work.

“We need a reset – and an economy that delivers better living standards for all – not just those at the top.”

On the need to kickstart a national conversation about taxing wealth, Paul added: “Now is the time for a national conversation on taxing wealth and windfalls.

“With living standards plummeting, public services on their knees, and huge wealth inequalities blighting every corner of the country, fairer taxes can help to fix broken Britain.

“But our current tax system isn’t fit for purpose. A nurse will pay a bigger share of their income in tax than a city trader does on profits from their investment portfolio. 

“That’s not only absurd and unfair – it’s bad for our economy and our public services too.

“The public overwhelmingly back increased taxes on the wealthiest and companies that have made massive profits.

“It’s only right that the wealthiest pay their fair share.”

TUC: It’s time to end the pay disparity that penalises disabled workers

Disabled people are more at risk of having to make the difficult decision between heating and eating

Before the outbreak of the Covid-19 pandemic disabled workers faced huge barriers getting into and staying in work (writes TUC General Secretary PAUL NOWAK).

The pandemic, and the huge changes it has caused to our everyday lives, has exacerbated the barriers disabled people face.

Not only have disabled people been disproportionately affected in terms of loss of life, with six in 10 Covid-19 related deaths being disabled people, but pre-existing workplace barriers have been accentuated by the pandemic.

And now, new data published by the TUC for our disabled workers conference shows disabled workers are much more likely to earn less than non-disabled workers.

That’s not right.

Having an impairment should never mean you get paid less or that you’re on worse terms and conditions. However, for too many disabled workers in this country, it is an all too true reality.

With spiralling inflation and eye watering bills, workers are having their income stretched in every direction. But for disabled people, the situation is even more challenging.

Let’s not forget – disabled workers face even higher living costs than non-disabled workers. So as the cost-of-living crisis continues to play havoc with everyone’s lives, we know that these workers are feeling the pinch even more.

But the challenges don’t end there.

Disabled workers also encounter more barriers in the workplace than non-disabled colleagues – with many worried that if they ask their employer for the reasonable adjustments they need to do their job, they’ll be refused outright.

New TUC analysis reveals disabled workers are much more likely to be paid less than their non-disabled colleagues – with those in the North of England and Wales even more likely to be paid less.

And we know that disabled people are more at risk of having to make the difficult decision between heating and eating.

With this cost-of-living crisis not looking like it’s going to end any time soon, things are only going to get worse. We need action now.

With the government too focused on its own political survival, ministers have done nothing to put the mind of disabled workers at ease.

Our call is clear: It’s time to end the pay disparity that penalises disabled workers and it’s time disabled workers get the support they need in the workplace.

At the TUC’s disabled workers conference, we heard from delegates about how the cost-of-living crisis is hitting disabled workers across the country. And we heard how we can build workplaces that work for everyone.

That means stamping out insecure work by banning zero-hour contracts, increasing the minimum wage and outlawing fire and rehire.

That means giving disabled workers fair access to request reasonable adjustments, and fining those employers who discriminate against workers because of any impairment. 

And that means forcing employers to come with an action plan to report their disability pay and employment gaps.

This is a plan which will deliver and transform the lives of so many disabled workers across the country.

Ministers must step up and act now.

UK Government reveals plans to improve disabled people’s lives

New plans to improve the lives of disabled people have been set out by the Government today (Tuesday 18 July).

  • Government launches consultation on Disability Action Plan, which brings together ideas and action across Government to make disabled people’s lives easier
  • Plans include raising awareness of life-changing tech for disabled people, mandatory disability awareness training for taxi drivers, autism-friendly programmes for cultural and heritage sites
  • Plans designed by Ministers to make the UK a more inclusive society in the long term

Immediate and practical measures proposed in the fully accessible consultation include ensuring businesses are aware of disabled people’s needs – including Guide Dog access needs – to allow all disabled people to live, work and shop freely and support for local authorities to ensure the playgrounds they build or refurbish are accessible for disabled children.

The proposals will inform the Government’s Disability Action Plan later this year, laying the foundations for longer term change.

Other measures in the proposed Plan include:

– Raising the profile of assistive technology to ensure more disabled people have access to life-changing tech

– Legislating for mandatory disability awareness training for taxi and private hire drivers to unlock greater travel freedom for disabled people

– Encouraging more autism-friendly programmes in the cultural and heritage sectors to drive greater inclusivity

– Improving reasonable adjustments in the courts system so more disabled people can be on juries improving diversity and breadth of experience

– Implementing the British Sign Language (BSL) GCSE, over a year after the BSL Act was introduced, giving thousands of pupils communication and visual memory skills that will be an advantage to them for the rest of their lives

– Exploring the feasibility of Great Britain hosting the Special Olympics World Summer Games in 2031.

The Disability Action Plan sits alongside the Government’s National Disability Strategy which sets out our longer-term vision to improve disabled people’s lives for the better.

6.6927 Disability Unit branding

Minister for Disabled People, Health and Work, Tom Pursglove MP, said: “Our Disability Action Plan will lay out practical measures we can implement here and now to improve the lives of disabled people.

“From leading the way globally with assistive technology to improving inclusivity and accessibility across sport, travel and culture, the Plan will also be important in setting the stage for longer term change.

“We want disabled people to be at the heart of decision making and I would encourage anyone interested to respond to this consultation so the views of disabled people across the country are front and centre of our final Disability Action Plan.”

The Plan builds on the Government’s achievements over the last year on education, work, leisure, and rights for disabled people. This includes supporting the passage of landmark legislation: the Down Syndrome Act and British Sign Language (BSL) Act – and a consultation to support the introduction of a new BSL GCSE.

The overarching focus on disability has also ensured over 2,000 miles of King Charles III England Coast Path is accessible, while the government has delivered an additional £1 billion for the education of children and young people with more complex needs.

The consultation will run for 12 weeks and be open for anyone to comment. This will ensure the Plan is informed by the experience and views of disabled people, disability organisations and charities as well as other interested parties.

Chair of the Disability Unit West Midlands Regional Stakeholder Network, Louise Mckiernan said: “I welcome the Government’s commitment to their new Disability Action Plan and their intention to take immediate and practical actions to improve the lives of disabled people across the UK.

The launch of this consultation is an important opportunity for disabled people in particular to have their say and to help shape the Government’s short-term plans.

“I would encourage as many disabled people, disability organisations and other interested parties as possible to take part in this consultation exercise to ensure their voices are heard.”

Further Information:

Scottish Government: Support for equalities and human rights groups

Funded organisations report on progress

A fund that helps to tackle inequality and discrimination has supported more than 115,000 people in its first year.

The Scottish Government’s Equality and Human Rights Fund is providing £21 million in grants over three years to 48 organisations working with diverse communities to further equality and protect human rights.

Funded initiatives include advice helplines, mental wellbeing sessions, English classes and benefits advice.

Equalities Minister Christina McKelvie visited the West of Scotland Regional Equality Council (WSREC) in Glasgow, to see how people have benefited from their work.

Ms McKelvie said: “We want to build a fairer, more equal Scotland which is free from discrimination and where the human rights of everyone are respected, protected and fulfilled.

“I was very pleased to visit WSREC and see the range of activities that they deliver. For example, their cost of living advice service for people from minority ethnic communities has helped to boost family incomes and lift children out of poverty.

“WSREC is just one of 48 organisations that receive grants from the Equality and Human Rights Fund. From advocacy support to public education, these organisations are transforming the lives of the thousands of people that they work with.”

Ghzala Khan, Executive Director at WSREC, said: “Based in Glasgow, the West of Scotland Regional Equality Council supports a range of minority ethnic communities across 12 local authorities.

“The Equality and Human Rights Fund has enabled us to deliver bi-lingual, culturally sensitive services to marginalised minority ethnic groups in the areas of advice and information, employability, direct discrimination, civic participation and health and wellbeing.

“Our work reduces inequality, increases opportunity, and supports people and families to achieve their full potential.”

Equality and Human Rights Fund — second progress report.

Glasgow has the shortest life expectancy for people aged 40

  • Residents in Glasgow City have the shortest remaining life expectancy compared to any other UK area
  • West Dunbartonshire comes in second for females whilst Blackpool is second for males
  • Inverclyde is third for females, and West Dunbartonshire is third for males 

New analysis has revealed that Glasgow City has the shortest life expectancy for both men and women aged 40.

The research, by care experts Guardian Carers, analysed ONS data to reveal the life expectancy from the age of 40 for each local authority in the UK.

A 40-year-old resident of Glasgow City has the lowest remaining life expectancy compared to any other UK area. For women living in this area, the average life expectancy from the age of 40 is 39.3 years more – this is nearly ten years less than their female counterparts in Kensington and Chelsea. Male residents have an average 34.8 years more from the ages of 40.

West Dunbartonshire comes in second for women who, on average have 39.8 years left to live after the age of 40, and Blackpool places second for men at 36 years.

Ranking as the areas with the third lowest life expectancy after the ages of 40 are Inverclyde, with an average of 40.1 years expected for women, and West Dunbartonshire for men, with a predicted 36.04 years. The top three areas with the lowest life expectancy for women are situated in Scotland.

Blackpool comes in fourth for women who, according to the ONS data, have on average, 40.2 years left to live after the age of 40. Dundee City has the fourth lowest life expectancy for men with 36.2 years.

Women aged 40 in North Lanarkshire have, on average, 40.4 years left to live. Inverclyde male residents have 36.5 years, making these the areas with the fifth lowest life expectancy in the UK for women and men.

Knowsley comes in sixth as women living in this area are expected to have 40.6 years left to live. Manchester provides a further 36.7 years for men.

In seventh place, Dundee City’s female residents have an average 40.7 years of life expectancy after the age of 40, while men living in North Lanarkshire have 36.8 years.

Women in Manchester are expected to live for 40.8 more years after the age of 40, and 37.01 years for men living in Kingston upon Hull, making these the areas with the eighth highest life expectancy.

In ninth place, 40-year-old women living in Liverpool are estimated to have 40.8 years to live on average, while the figure is 37.2 years for men living in this area.

Ranking as the areas with the tenth highest life expectancy after the age of 40 is East Ayrshire for women with an average of 41 years left to live, and East Ayrshire for men, who have 37.3 years.

A 40-year-old woman living in Kensington and Chelsea has the highest remaining life expectancy compared to any other UK area. For women living in this borough, the average life expectancy from the age of 40 is 48.6 years more. Male residents in Westminster have an average of 45.5 years more from the ages of 40, the highest amount for men in the UK.

A spokesperson for Guardian Carers commented on the findings: “Women living in Kensington and Chelsea have an extra expected 9.3 years left to live compared to those in Glasgow.

“The disparities seen between areas of the UK in this analysis could highlight major problems in social, economic or health-related factors. It also shines a light on the finding that women across the UK are expected to live longer than men.

“The age of 40 marks the typical midway through an average lifetime, and it is fascinating to see how many years people can expect to live further, in each location.”

The UK Areas With The Lowest Life Expectancy For Women At The Age Of 40
Local AuthorityLE
Glasgow City39.33
West Dunbartonshire39.83
Inverclyde40.12
Blackpool40.2
North Lanarkshire40.39
Knowsley40.66
Dundee City40.74
Manchester40.77
Liverpool40.8
East Ayrshire40.97
The UK Areas With the Lowest Life Expectancy For Men At The Age Of 40
Local AuthorityLE
Glasgow City34.76
Blackpool35.96
West Dunbartonshire36.04
Dundee City36.17
Inverclyde36.47
Manchester36.73
North Lanarkshire36.8
Kingston upon Hull, City of37.01
Liverpool37.22
East Ayrshire37.33

Source: Office of National Statistics

The study was conducted by Guardian Carers, which is an introductory service placing carers, companions and housekeepers all over the UK and beyond; who provide a wide range of premium care services on a live-in, live-out, full-time or part-time basis.

Corra Foundation announces £1m Henry Duncan Grants

Funding to support children and young people experiencing inequality

Corra’s Henry Duncan Grants are open to organisations supporting children and young people (aged 6-26 years) experiencing inequality. Grassroots organisations with an annual income of £500,000 or less can apply for up to £8,000 a year for up to five years.

This year Corra is working alongside children and young people to support the design and decision-making processes for Henry Duncan Grants.

The theme for this year was developed with children and young people, and two key priority areas were identified:

  • Organisations that are supporting children and young people to shape their own lives.  
  • Organisations that are supporting children and young people to develop skills for the future. 

Carolyn Sawers, Corra Acting CEO said: “Our strategy is all about listening to people’s voices, shifting power and getting alongside people to create change. This means grant making needs to be shaped by the people it exists to serve.

“We’re enormously grateful to the children and young people who helped us design this year’s Henry Duncan Grants, and to those who will participate in making the funding decisions.

“One of the things we’ll be looking for is organisations that engage children and young people in their own design and decision-making processes.”

Corra welcomes applications from organisations working to:

  • Provide advice and advocacy services that are person-centred and led by the child/children or young person/people. 
  • Support safe spaces for children and young people to connect with each other and access support. 

At least £300,000 (approximately 30%) of the fund budget will support organisations that are led by Black, Asian, and Minority Ethnic communities. This reflects the historic inequity of funding and Corra’s proactive focus on Diversity, Equity and Inclusion

The closing date for applications is 12pm on Tuesday 5 July.

Corra will be holding information sessions for organisations interested in applying to Henry Duncan Grants as well as opportunities to discuss ideas with a Grants Advisor.

To find out more, including how to sign up please visit the Corra Foundation website.

Edinburgh gender pay gap “well above Scottish average”

  • In Edinburgh, men are paid 14.2% more than women – well above the Scottish average gender pay gap of 10.2%
  • East Dunbartonshire has the biggest gender pay gap in Scotland, with men being paid 26.9% more than women
  • Aberdeenshire is Scotland’s second worst area for gender pay gaps, with men enjoying 22.1% more pay than women

Edinburgh’s gender pay gap is well above the Scottish average, new research can reveal.

In Edinburgh, men are paid 14.2% more than women. The Scotland average gender pay gap is 10.2%

Following International Women’s Day, financial experts Forbes Advisor used new ONS data to explore the gender pay gap for full time employees in every local authority in Scotland to discover which areas have the worst gender pay gap of all.

RANKED: Gender pay gaps in Scotland from biggest to smallest

Scotland areaRankHow much more men earn than women (%)
East Dunbartonshire126.9
Aberdeenshire222.1
Inverclyde320.1
Renfrewshire418.6
Aberdeen City517.9
Moray617.1
Perth and Kinross716.9
Na h-Eileanan Siar815.8
South Ayrshire915.5
Clackmannanshire1015.0
City of Edinburgh1114.2
Argyll and Bute1213.6
East Lothian1313.6
Dundee City1411.6
Falkirk1511.0
Glasgow City1610.7
North Lanarkshire178.8
East Ayrshire187.7
Midlothian194.9
Fife203.4
South Lanarkshire213.3
West Lothian223.1
Scottish Borders232.3
Angus242.2
Stirling251.6
Highland260.9
North Ayrshire27-4.6
Dumfries and Galloway28-7.0
Scotland average 10.2

East Dunbartonshire has the biggest gender pay gap in Scotland. In East Dunbartonshire, men are paid 26.9% more than women – well over double Scotland’s average gender pay gap (10.2%).

Aberdeenshire has the second biggest pay gap in Scotland, with men earning 22.1% more than women – twice the Scottish average gender pay gap of 10.2%. Inverclyde has Scotland’s third biggest pay gap, with men raking in 20% more in wages than women.

Renfrewshire, Aberdeen City and Moray are also some of Scotland’s worst areas for gender pay gaps, with men earning 18.6%, 17.9% and 17.1% more than women respectively.

At the other end of the scale, Dumfries and Galloway and North Ayrshire in Scotland are the only areas in the country where women earn more than men. In Dumfries and Galloway, women earn 7% more than men, and in North Ayrshire, women earn 4.6% more than men.

The Scottish Highlands, Stirling and Angus also have smaller gender pay gaps than the rest of Scotland. In the Scottish Highlands, men earn 0.9% more than women, and in Stirling and Angus, they earn 1.6% and 2.2% more than women respectively.

A spokesperson for Forbes Advisor commented on the findings: “These figures shed light on the concerning gender inequality which still persists in Scotland.

“It’s not enough to tweet about gender equality in the wake of International Women’s Day, we all have a responsibility to ensure that everyone is equally compensated for their labour.

“Not only do men earn 10.2% more than women across Scotland as a whole, but in local authorities such as East Dunbartonshire, men are earning up to 26.9% more than women, which shows that we have a long way to go before achieving fair pay.”

Stroke Association responds to latest Public Health Scotland figures

Responding to Public Health Scotland’s latest stroke statistics, John Watson, Associate Director Scotland of the Stroke Association, said: “The latest stroke figures reinforce what the Stroke Association has repeatedly said – that stroke has a huge impact on the health and social care landscape in Scotland, and those who live in the poorest parts of our country are the most adveresly affected.  

“The health and social burden of stroke falls most heavily on certain groups. The death rate for cerebrovascular disease in the most deprived areas in 2020 was 43% higher than in our least deprived areas.  

“Stroke remains Scotland’s fourth biggest killer. More than 128 000 Scots are living with the effects of their stroke. The need for improvements in stroke prevention, treatment and care is urgent and recognised by the Scottish Government. 

“We await the imminent publication of the Scottish Government’s vision report outlining a new progressive stroke service for Scotland.

“We then expect a Stroke Action Plan to follow that quickly – outlining how the vision is to be delivered in Health Boards and communities across Scotland.”

Dentistry: Latest data highlights access crisis and widening inequalities in Scotland

The British Dental Association Scotland has called on the Scottish Government to strongly support NHS dentistry to address the large reduction in patients visiting the dentist as new data reveal further decreases in attendance and ever-widening inequalities. 
  
Registration rates remain high due to lifetime registration – over 96% of the Scottish population were registered with an NHS dentist in September 2021 – but the percentage of children registered fell from 91.4% in 2020 to 87.7% in 2021. 
  
Participation rates – contact with a dentist within the past 2 years – continued to fall during the pandemic due to ongoing restrictions imposed on dental practices. At 30 September 2021, just over half of registered patients (52.6%) had seen an NHS dentist within the last two years, a considerable reduction from almost two-thirds (65.1%) in 2020. The participation rate among children was higher than for adults (63.9% compared to 50.2%). 
  
Oral health inequalities between the most and least deprived areas in Scotland continue to grow, with the new data showing record gaps in participation rates.

In September 2008, the gap between the child participation rates for the most and least deprived areas was three percentage points; this had increased to seven percentage points by 2010, and eighteen percentage points (55.3% compared to 73.1%) in September 2021.

Similarly, in September 2008 the gap among adults was three percentage points; this had increased to six percentage points by 2010, and eleven percentage points (45.1% compared for 56.4%) in September 2021. 
  
The BDA has repeatedly warned that lower levels of participation will inevitably translate into a higher disease burden, with deep oral health inequalities expected to widen even further, given the cumulative impact of limited access to services, the suspension of public health programmes, and the impact of lockdown diets.

Lower participation will reduce the chance of picking up early signs of decay and oral cancers at routine check-ups, and delays in treatment will mean higher costs to the NHS and worse outcomes for patients. 
  
Free NHS dental care at the point of use remains a central Scottish Government policy. The stark results of a recent BDA survey showed that Scottish Government plans to revert to pre-COVID models of care risk sparking a flight of dentists from the NHS, with potentially devastating consequences for patient access across Scotland.

BDA Scotland has long warned that a return to a ‘business as usual model’ – low margin and high volume – will put practices under unsustainable financial pressure and will likely lead to closures or movement to the private sector.

BDA Scotland repeats its assertion that the Scottish Government must, in the short term, develop a suitable interim funding package to support dentists and their teams as they work through the backlog, and begin work on a new, sustainable long-term model for NHS dentistry. 


  
Robert Donald of the British Dental Association’s Scottish Council said: 
“Today’s figures provide further evidence of the devastating effect of the pandemic on dental services. 
  
“Plummeting participation rates and the record gap in oral health inequalities present a bleak picture which will take a real commitment of time and resource to fix.  
 
“The Scottish Government needs to heed the concerns of the profession. It’s not just their signature policy of free dentistry that risks becoming unattainable. Failure to act risks sparking an exodus from the workforce that will leave families across Scotland losing access to NHS dentistry for good.”