1. Childsmile Kim Fraser- Childsmile Programme Manager- North Region

2. Childsmile: Programme aims Recommendation:  To improve oral health of young children  To reduce oral health inequalities  Dental health  Access to dental services  Childsmile Dental Action Plan, 2005

3. Development of Childsmile Stage 1: Demonstration phase (2006-08)  West: Childsmile Practice  East: Childsmile Nursery & School Stage 2: Interim phase (2009-11)  development of an integrated programme across Scotland Stage 3:Mainstream into dental services

4. Childsmile Practice Childsmile Nursery Childsmile School Core tooth brushing Programme An Integrated Childsmile Programme (2009-11)

5. Childsmile Making sure that pre-school children brush regularly with a fluoride toothpaste. Preventive dental care delivered in the nursery and school setting by mobile clinical teams Community support, oral health promotion and clinical caries prevention delivered by the dental team Core Nursery and School Practice

6. Population: Core programme e.g. dental packs, nursery toothbrushing Tailored programme of care within Primary Care Dental Services Targeted: Additional home/community support via DHSW Enhanced programme of care within Primary Care Dental Services Additional clinical preventive programmes targeting 20% highest need nursery and primary schools Supervised toothbrushing P1 and P2 targeting 20% highest need primary schools (extended in some areas) Childsmile Approach Mixed Approach: Directed Population Approach

7. Childsmile Model

8. Future Developments Continue development, rollout & evaluation of integrated Childsmile programme across Scotland Integration of Childsmile dental pathway with child health systems & policy framework (national and local) Embed within national IT and dental payments systems as Childsmile is mainstreamed

9. Future Developments Continue development, rollout & evaluation of integrated Childsmile programme across Scotland Integration of Childsmile dental pathway with child health systems & policy framework (national and local) Embed within national IT and dental payments systems as Childsmile is mainstreamed