The number of free NHS dental treatments in Swindon has fallen significantly over the last five years.

Dentists in the Swindon Clinical Commissioning Group administered 22,487 free courses of treatment to adults in 2018-19 according to NHS Digital figures.

This is a 20 per cent drop since 2013-14 in NHS treatments which are offered to low-income groups, elderly people, pregnant women and full-time students.

Across England, the number of free procedures fell by a quarter over the same period.

Without an exemption, adults have to pay a charge to visit the dentist, which varies depending on the type of treatment received.

Band 1 procedures, such as check-ups and examinations, and urgent operations to address severe pain or risk of deterioration cost £21.60 per treatment.

Band 2 treatments, such as fillings, extractions and root canals, cost £59.10, while Band 3 procedures, such as crowns, dentures and dental bridges, cost £256.50.

Free Band 3 procedures have seen the largest drop, falling by 36% over the last five years.

In Swindon, dentists did not charge their patients for 21% of the courses of treatment carried out in 2018-19.

As the number of free treatments declines, more patients are now being charged for their dentist appointments.

84,300 treatments incurred a fee last year, compared with 76,591 in 2013-14. They brought in a total of £3.3 million for the NHS.

The British Dental Association says an "aggressive and heavy-handed" policy of automatically fining patients up to £100 when accused of misclaiming free care is fuelling a collapse in attendance.

According to the BDA nearly 400,000 patients a year, including those with learning disabilities, have received fines, some simply for ticking the wrong box on a form.

Charlotte Waite, from the BDA, said: "Vulnerable patients will keep turning away from check-ups as long as ministers refuse to let go of their failed fines policy.

"People will keep falling foul of a confusing system which won't give an inch if you make an honest mistake."

"Sadly, the adults and children now failing to attend are precisely those who could benefit most.

"Ministers should be rolling out the red carpet for these patients, not providing reasons to bottle up oral health problems."

The policy in England is in stark contrast with those in other UK nations – in Scotland and Northern Ireland, patients do not receive fines for mistakenly claiming support for NHS care.

The Department for Health and Social Care maintained that it is right to recoup money lost from people incorrectly claiming exemption from prescription and dental charges.

A spokesperson said: "We want every single person to have access to high quality dental care, and we have a number of clear, unchanged exemptions in place to protect those who cannot pay – including those on low incomes.

"If anyone receives a penalty charge notice incorrectly, there are procedures in place to challenge the decision and have the penalty withdrawn."