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