Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase...

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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 preventi ve dental treatmen t Parent’ s attend / registe red Parents don’t attend / not register ed Community Dentistry Data: National Dental Inspection programme Advertisi ng & marketing General Dentist ry Speciali st treatmen t School & Nursery catering regulation s Fluoride Diet Water fluorida tion (possible under current legislation ?) Home toothbrus hing Home diet Access to healthy food Water Eradicate child poverty

Transcript of Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase...

Page 1: Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase no. of children with no obvious caries experience.

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 groupsDental

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

Page 2: Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase no. of children with no obvious caries experience.

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

Page 3: Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase no. of children with no obvious caries experience.

Percentage of Lothian 5-year-olds free of tooth decay experience, 1999/2000 & 2007/2008, by DepCat Score

78

6064

49

25

33

51

77

7067

50

44 4339

22

3034

44

58

65

53

23

3333

48

69

53

57

0

20

40

60

80

100

Least deprived Carstairs DepCat Score most deprived

Per

cent

age

dm

ft=0

1999/2000 2003/2004 2005/2006 2007/2008

Target 60% Caries free, 2010

Page 4: Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase no. of children with no obvious caries experience.

Percentage of Lothian 5-year-olds free of tooth decay experience, 1999/2000 & 2007/2008, by DepCat Score

78

6064

49

25

33

51

77

7067

50

44 4339

22

3034

44

58

65

53

23

3333

48

69

53

57

0

20

40

60

80

100

Least deprived Carstairs DepCat Score most deprived

Per

cent

age

dm

ft=0

1999/2000 2003/2004 2005/2006 2007/2008

Linear (1999/2000) Linear (2003/2004) Linear (2005/2006) Linear (2007/2008)

Target 60% Caries free, 2010

Page 5: Reviewing service pathways Increase no. of children with no obvious caries experience in P1 Increase no. of children with no obvious caries experience.

Poverty and income inequality in Scotland: 07/08A National Statistics Publication for Scotland 7th 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%!