“So what does PHE do?”

Sandra White BDS, FDSRCS, MPH, FDS(DPH)RCS, FFPS, MBA, PGCMedEd

Summary

• Who we are and where are we?

• Vision to delivery

• Story so far

• What’s next?

• Who we are and where are we?

• Vision to delivery

• Story so far

• What’s next

National team

Sandra White

National Lead for

dental public health

Semina Makhani

National Dental Public Health Consultant

Vacant

National Consultant in Dental Public Health

Andrew Wood

Fluoridation Business Manager

Jenny Godson

National Consultant in Dental Public Health

Julia Csikar

Senior DPH Manager

Diane Seymour

Senior DPH Manager

Kate Jones

National Consultant in Dental Public Health

Janet Neville

DPH Analyst

Joanne Sumner

Epidemiology Support

Matt Gill*

Policy Lead DPH & Population Healthcare*

Hayley Stripling

Business Manager

Satveer Kour

Operational Support

Gill Davies

National Consultant in Dental Public Health

North West

5 (4.1)

North East

2

Yorkshire and the

Humber

3 (2.8)

West

Midlands

4 (2.7)

East Midlands

3 (1.6)

East Anglia

3 (3)

South West

3 (1.4) South East

4 (3.4)

London

3 (3)

Centre

Network

Consultant

workforce in

England by centre

PHE is the sole

provider of dental

public health advice

locally. There are no

dedicated dental public

health Consultants in

LA, CCGs or

elsewhere in England.

How we work….

• Who we are and where

• Vision to delivery

• Story so far

• What’s next

Securing our future - Dental Public Health proposals

A national 5 year plan 2015-2020

We protect and improve the nations health and wellbeing and reduce inequalities

Our vision

Starting well A generation free

of dental disease

Living well Better oral health

for all

System

support our

organisation,

our workforce,

our partners

High Level objectives

1. System leadership to co-ordinate the approach to oral health improvement and

reduction in health inequalities, particularly through a focus on children and

vulnerable adults.

2. Ensure that an appropriate range of evidence based information is available for

dental public health purposes and for a range of stakeholders including the findings

from the dental epidemiology programme and descriptions on inequalities

3. Carry out PHE’s water fluoridation responsibilities and those responsibilities carried

out on behalf of the SoS and ensure adequate support to our workforce and

partners.

4. Support the health protection role of PHE including the AMS agenda.

5. Support the work of the DH, NHS England and HEE to encourage high quality, safe

and effective oral healthcare that is preventive focused, equitable and sustainable

6. Ensure professional and system leadership and research for dental public health,

develop the future workforce and undertake corporate responsibilities

• Who we are and where are we?

• Vision to delivery

• Story so far

• What’s next

Oral health improvement

Water fluoridation

All our Health

CBOH

Sugar reduction

Brief intervention

-Alcohol

Smoke free and smiling

DBOH

COHIPB

COHIPB

Health Matters

Action plan

Return on Investment

tool

Workforce resources

The ‘red book’ Blogs,

launches, media

Toothbrushing feasibility

report

Supervised toothbrushing

toolkit

Menu of interventions

(maternity and early years)

Water fluoridation

Performance management of Schemes

Research

Paying the bills!

Capital schemes

Water fluoridation monitoring

report

Water fluoridation

toolkit

Support to new and existing schemes

PQs, FOIs,

Dental epidemiology

and intelligence.

3 and 5-year-old Surveys

Adult surveys

Prescribing data

Epi toolkit GA figures

Children attending special schools

Local and National bespoke

data

Healthcare

Supporting our

partners

DH e.g. Contract reform

NHS Commissioning

e.g. Starting well

OCDO

e.g. DCby1

CQC,

HEE,

LPNs

Starting Well

Intelligence to select the ‘13’

Evidence base for

interventions and support to develop

them

Local needs assessment

Develop safeguarding

flowchart

Develop the care pathway

Develop the audit

tool

Support launch

and DBOH training

Health protection e.g. AMS ESPAUR

ESPAUR Dental Subgroup

1.Primary care

Prescribing data

Resources for practices

Clinical audit

Implementation

2. Secondary care

National ADH audit

Secondary care guidelines

3. Education

Resources for primary care (SCRIPT)

Resources for secondary care

(Scenario training)

4. Multi-system AMS

collaboration

e.g. BNF

Metronidazole

Research • Relationships between oral health and

• Dementia

• Cardiovascular disease

• Pulmonary disease

• Diabetes

• Obesity

• Oral health of vulnerable adults (CBOH)

• Water fluoridation – fluorosis and horizon scanning

Working towards>>>>

• Workforce – wellbeing of GDPs

• ICDAS and child surveys

• Multivariate analysis and child dental health surveys

• GAs – variety of research!

• Who we are and where are we?

• Vision to delivery

• Story so far

• What’s next?

Further work of the COHIPB

Ongoing delivery plan 2017/18

• Community based FV toolkit- PHE

• Update e-den DBOH- PHE/RCS/HEE

• Work to increase FV Rx- NHSE

• Support -DcBy1- NHSE/BSPD

• Support - Starting Well- NHSE

• Support Health for all children 4th Ed -

RCPCH

• SACN – breastfeeding and tooth decay

• Best Beginnings – Baby Buddy app

• LA hotspots- identifying 30 where

challenges remain

• Further work with Change4life

Other oral health improvement work

• Stocktake LA’s on OHI

• Smoke free and smiling – update and implementation

• Commissioning better oral health – vulnerable older people

• Development of a vulnerable adult steering group and actions

• Work on homelessness / dementia / prisons ( survey) / migrant health

Support to partners Healthcare Public Health

BSA data

• Complimentary dashboard on access to and use of dental service

• Report on equity of access to dental services

• Starting well

• Interventions and prevention care pathway

• Training for the dental teams

• Data and evaluation

• Health inequalities report

• Supporting dental contract reform

• Sustainability

• Dental noticeboard

• Recall Matters

• Patient and public engagement

Epidemiology and intelligence.

• oral cancer profiles

• decennial adult dental health survey – the case

• prescribing data at provider level

• new website

• mildly dependant adults survey

• 5 year old survey

• A survey of adult oral health to provide local information to assist with

commissioning 2017/2018 Survey

Aims of survey of adults

To inform commissioning of treatment services for adult patients and oral health

improvement strategies by collecting information about oral health and

service use from adult patients attending general dental practice

To establish baseline learning about the feasibility of collecting information from

general dental practice patients and assess the validity and utility of this.

Plans for a local survey of adults

Planning group with NHSE, LDNs, BDA, GDPA, LAs, fieldwork provider, FGDP

Developing - principles to guide the survey,

workable method – national protocol

and communications strategy

Regional training

Random sample of 10 practices per local authority– NHS, mixed, independent.

Fieldwork teams contact sampled practices and ask them to host for 1 day or 2 sessions at

convenient times

Adult patients asked to take part

Simple questionnaire – self-administered with support from fieldwork team

Simple clinical examination – by trained clinician in fieldwork team

Extraction of some information from patient’s FP17 (with their consent)

National collation, analysis and reporting at local authority level

How can LDNs help? • Speak in support of the survey

• Encourage local committees to provide resources to

incentivise practices

• Assist with forewarning of practices and reassurance of

purpose

• Liaise with local fieldwork teams

• Other suggestions?

Summary

• Who we are and where are we?

• Vision to delivery

• Story so far

• What’s next?

• What else could we do?

Thank you