Smile4life – HoPSCOTCH NHS Forth Valley

Fiona Macfarlane

Health Promotion Officer

Pre Smile4life

An Action Plan for Improving Oral Health and Modernising the NHS Dental Services in Scotland (2005)

Recommendation

“to develop and deliver oral health care preventative support programmes for adults

most in need such as prisoners and the homeless”

2007 – to present day

• Provision of oral health packs to local authority, third sector and private services supporting homelessness and inequalities

• Deliver oral health awareness training to staff within services

• 2007 = 37 2013 = 62

Transition to Smile4life

• Launched with a training event in June 2012

• 2 Control and 2 Intervention Boards selected - NHS Forth Valley is an Intervention Board

• Two programmes currently co-existing – local programme and Smile4life

2013 Smile4lifeImplementing HoPSCOTCH

• Evaluation Protocol • Identified services working with clients that

met the Roofless and Houseless Typologies for HoPSCOTCH

• Communication with Health and Homelessness partnership, Housing Services Development Officer, Strategic Housing Service Manager

Service Engagement

Local Authority and Third Sector Services:• Clackmannanshire Council Housing Support• Castings Hostel, Falkirk Council• Stirling Council Housing Options and

Support• Salvation Army Falkirk and Stirling• Garry Place, Loretto Housing Association• The Bridge, Loretto Housing Association

Engagement Success ?

• History of involvement

• Already addressing Registration

• Recognition

• Motivated / Enthusiastic staff

• Oral health needs recognised

Challenges

• Client engagement

• Raising the issue

• Data collection

• Baseline / Follow up Questionnaire

Achievements

• Service and Staff engagement

• Client engagement

• Dental attendance and treatment

• Positive oral health outcomes

Summary

• How do we define successful engagement? – Agreement from Services– Investment in Staff training– Clients completing intervention