1. Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase no. of children with no obvious caries experience in P1 Healthy eating initiatives e.g.. Hungry for Success Free fruit Child Smile Programme Nursery tooth brushing campaign Tooth brushing packs and weaning cups distributed at key stages Fluoride varnish Oral health education training provided to nursery and P1 classes.and community groups Dental Weaning pack (in development) Access to preventive dental treatment Parent’s attend / registered Parents don’t attend / not registered Community Dentistry Data: National Dental Inspection programme Advertising & marketing General Dentistry Specialist treatment School & Nursery catering regulations Fluoride Diet Water fluoridation (possible under current legislation?) Home toothbrushing Home diet Access to healthy food Water Eradicate child poverty

2. The measurement challenge ! Can we measure change against the medium term outcomes 1.Improve emotional well being in early years 2.Increase proportion of newborn children breastfed at 6 -8 weeks 3.Reduce obesity levels among children in P1 4.Reduce pregnancies in under 16 years 5. Increase no. of children with no obvious caries experience in P1 (yes, every 2 years) 6. Improved educational attainment 7. Reduce smoking rates in pregnancy 8.Increase opportunity for involving parents & children 9.Increase number of Health Impact Assessments on new developments 10.Improved outcomes for looked after children

5. Poverty and income inequality in Scotland: 07/08 A National Statistics Publication for Scotland 7 th May 2009 Levels of poverty and income inequality remained stable between 2004/05 and 2007/08. i.e. no improvement!!! Between 2006/07 and 2007/08 the proportion of individuals in poverty remained at 17%. i.e. no improvement!!! The proportion of children in poverty fell from 21% to 20%. Pensioners in poverty increased from 20% to 21%. Working Age Adults in poverty increased from 14% to 15%. Great, in Denmark, Norway, Sweden & Finland it is less than 4%!