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Establish the Need for a Supervised Toothbrushing Programme

Discussion within the relevant commissioning organisation to review the need for a supervised toothbrushing programme, discuss the potential for funding, and gain high-level support for example:


  • LA level - Director of Public Health and Health and Well-being board  

  • ICS – Director of Population Health– Integrated Care commissioning board  


Liaison with the local consultant in dental public health is important at this stage to discuss the appropriateness of a supervised toothbrushing programme, and its integration with other, existing or future, oral health improvement programmes. 

In many cases, a business case for the supervised toothbrushing programme needs to be written and submitted for consideration. Once this has been approved a service specification needs to be developed.

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