THE BRUSH PROJECT | BRUSH Toolkit

Starting in 2021, the BRUSH project, aims to support the implementation of supervised toothbrushing programmes across England.

Through engagement and collaboration with a wide range of stakeholders, including national and local government, NHS England, industry, and charities and guided by implementation and improvement science we have explored effective ways to implement, scale up, and sustain these programmes. The result, is this toolkit, launched in 2024, which brings together new and existing resources to support the implementation of supervised toothbrushing programmes. For more details on our research activities, please see below.

Centres of religion

Consider approaching local centres of religion/faith to reach a wider audience. An example of this is the project in Bradford. This project raised oral health awareness in mosques, introducing the Prophet Mohammed as a role model to encourage young children to look after their teeth and eat well.
Poster programmes

Advertising information about the programme through public advertisement, such as banners on buses, at bus stops, and across available poster-stands. Also, in places where families and people who work with young children and families are likely to visit such as local library, swimming pool, children’s centres and supermarkets. Consider if you need to provide posters in additional languages to address potential language barriers
Health visiting teams

Working with health visiting teams to coordinate information, raising awareness of toothbrushing programmes to new parents, and offering information to them.
Link with other campaigns

Consider approaching other healthy lifestyle campaigns, to coordinate work and spread information more widely. An example of such a campaign is the GULP (Give Up Loving Pop) campaign which raises awareness on the negative impact sugar has on teeth and overall health.
School initiatives

Consider finding existing health/oral health initiatives to help raise awareness of the Supervised Toothbrushing Programme. There are several initiatives already in place across different areas of the country, such as ‘Book, Brush, Bed’, which seek to instil healthy and regular routines.
Social media

Being very active on social media about the programme. This raises awareness for parents, settings within a particular area, and perhaps possibilities for shared peer-to peer learning.
Local magazine or newspaper

Consider raising awareness through your local magazine or newspaper. You can advertise the presence of the programme or engage the community through local competitions. One such example is where a provider liaised with the local council and local supermarket to advertise a summer colouring competition of toothbrushes and toothpaste. The local councillor decided the winner, and in collaboration with the supermarket, they were provided with a fruit hamper, toothbrushes and toothpaste as a prize.
Involve local library services

If possible, provide local libraries with the funds to send local nurseries/schools a resource box and discuss the possibility of providing all 3-year-olds a book on toothbrushing.
Community building

Liaise and build partnerships with family agencies supporting families such as charities, food banks, local farms, etc. Provide them with oral health training so everyone is giving consistent messaging.