Accessibility Skip to main content

Oral Health Framework Action Plan

Read the joint Oral Health Framework Action Plan and find out about key performance indicators, milestones and partners.

Children & Young People (programmes, data & intelligence)

Supervised Toothbrushing

Support delivery of extended ICB funded service under contract variation to IMD 7-10

  • Target Date: April 2025
  • Partners: Home Dental NHS Devon
  • Milestones:
    • Identify eligible settings for provider
    • Extended delivery launches Q2 2025
  • Further information: Review via 6 weekly Public Health/Home Dental meetings
  • Status: Not started
  • National KPIs (including LA data):
    • OHS-3YR
    • OHS-5YR
    • OHS-6YR
    • EXTR-019
  • Local KPIs: School and nursery uptake

Work with Home Dental to see whether young carers can be included in service

  • Target Date: June 2025
  • Partners: Home Dental NHS Devon
  • Milestones:
    • Confirmation of Home Dental capacity to extend
    • Ascertain best service/support contacts and cohort numbers
  • Further information: Review via 6 weekly Public Health/Home Dental meetings
  • Status: Not started
  • National KPIs (incl LA data): EXTR-019
  • Local KPIs: Numbers for cohorts monitored at 6 month intervals

Fluoride Varnishing

Complete re-modelling based on dental nurse/dental hygienist community delivery models and alternative reduced/scope/enhanced targeting in preparation for national guidance

  • Target Date: March 2025
  • Partners: NHS Devon, DCC and PCC
  • Milestones:
    • obtain national guidance on release re recommended service models for FV programmes
    • complete prospective re-modelling based on targeted provision - children on GA pathway
  • Further information: National guidance due February 2025
  • Status: Not started
  • National KPIs (incl LA data): None
  • Local KPIs: None

Complete procurement of ICB funded FV service for Devon. Minimum 12 months from release of guidance. Primary schools in ICB deciles 1-6. Anticipated live date March 2026.

  • Target Date: March 2026
  • Partners: NHS Devon, DCC and PCC
  • Milestones: Service provision and procurement timeline based on results of action above
  • Further information: Torbay Procurement Team aware and on hold
  • Status: Not started
  • National KPIs (incl LA data): None
  • Local KPIs: KPIs TBC in service specification

Water Fluoridation

Scope potential for roll-out of water fluoridation in Devon

  • Target Date: 2026 TBC
  • Partners: NHS Devon, DCC and PCC
  • Milestones: Monitor progress of NE England pilot scheme and subsequent government actions regarding potential further roll out
  • Further information: None
  • Status: Not started
  • National KPIs (incl LA data): 
    • OHS-3YR
    • OHS-5YR
    • OHS-6YR
    • EXTR-019
  • Local KPIs: None

First Dental Steps

Support continued delivery of programme 25-26 including pathways for families into high street dentistry or the Community Dental Service

  • Target Date: March 2025
  • Partners: NHS Devon, DCC and PCC, 019 Service, CDS Team
  • Milestones:
    • Confirm continuation of funding for 25/26
    • Ensure OHID are liaising with 019 Team to keep them fully up to date
  • Further information: None
  • Status: Not started
  • National KPIs (incl LA data): 
    • OHS-3YR
    • OHS-5YR
    • OHS-6YR
    • EXTR-019
  • Local KPIs: KPIs TBC based on ICB service spec and contract 25/26

Open Wide Step Inside

Delivery of ICB funded service to primary schools in IMD deciles 1-6.

  • Target Date: March 2025
  • Partners: NHS Devon, DCC and PCC
  • Milestones: On-boarding to commence early in 2025 
  • Further information: Public Health funded delivery 24-25 academic year - 25/26 delivery builds on previous provision
  • Status: Not started
  • National KPIs (incl LA data): 
    • OHS-3YR
    • OHS-5YR
    • OHS-6YR
    • EXTR-019
  • Local KPIs: KPIs TBC based on ICB service spec and contract 25/26

Education under GA Report

Scope establishment of a Devon wide report using Plymouth model of existing delivery to assist with local targeting and best use of resources

  • Target Date: June 2025
  • Partners: NHS Devon, DCC and PCC
  • Milestones:ICB agrees funding/structure to create a regular Devon wide report separated into LA areas pending OHID capacity to support regional exercise
  • Further information: None
  • Status: Not started
  • National KPIs (incl LA data): None
  • Local KPIs: None

Priority Area: Children & Young People (specific population group outputs)

Children in care/SEND/young carers

Establish MECC provision for children in care / SEND / young carers

  • Target Date: June 2025
  • Partners: NHS Devon, PCC, DCC, Children's Services, Carer Support Teams
  • Milestones:
    • Develop oral health and dental access resources for health professionals working with children in care, SEND children (including learning disabilities) and young carers.
    • Distribute when complete.
  • Further information: Utilise 2025 NCMP Oral Health Guidance
  • Status: Not started
  • National KPIs (incl LA data): EXTR-019
  • Local KPIs: None

SEND specific oral health content on Torbay Healthy Learning

  • Target Date: June 2025
  • Partners: Public Health Torbay, CDS Team, primary schools
  • Milestones: Review current content and update as required
  • Further information: Utilise 2025 NCMP Oral Health Guidance
  • Status: Not started
  • National KPIs (incl LA data): EXTR-019
  • Local KPIs: None

Adults (including vulnerable
groups)

Mouth cancer

Improve mouth cancer provision to help address levels of diagnosis and mortality in Torbay

  • Target Date: December 2025
  • Partners: NHS Devon, DCC and PCC, CDS Teams
  • Milestones:
    • Ascertain current levels of community mouth cancer screening (via Community Dental Service)
    • Implement a new screening programme for adults including specific vulnerable groups - people using drug, alcohol, homeless/rough sleeping and smoking cessation services 
  • Further information: ICB Steering Group agreed priority action
  • Status: Not started
  • National KPIs (incl LA data): PHOF - Mouth Cancer Diagnosis and Mortality rates
  • Local KPIs: None

MECC (Making Every Contact Count)

Establish MECC provision for people using drug, alcohol, homeless/rough sleeping and smoking cessation services

  • Target Date: December 2025
  • Partners: NHS Devon, DCC & PCC,CDS Teams Drug & Alcohol, Lifestyle and Homeless services
  • Milestones:
    • Develop resources/guidance regarding mouth cancer signs and symptoms, including advice on general oral health and dental access, for health professionals and the voluntary sector working with people using drug, alcohol, homeless/rough sleeping and smoking cessation services
    • Distribute when complete
  • Further information: ICB Steering Group agreed priority action
  • Status: Not started
  • National KPIs (incl LA data): None available
  • Local KPIs: Local TBC

Dental Provision for homeless/rough sleepers

Create a new pathway for homeless/rough sleepers

  • Target Date: December 2025
  • Partners: NHS Devon, DCC and PCC, CDS Teams Drug & Alcohol and Homeless services
  • Milestones:
    • Funding and model agreed for Devon wide pathway
    • Service/pathway launches
  • Further information: ICB Steering Group agreed priority action.
  • Status: Not started
  • National KPIs (incl LA data): None available
  • Local KPIs: KPIs TBC based on ICB service spec and contract

Learning disabilities

Improve oral health and dental access knowledge & awareness in the learning disability community/service support teams

  • Target Date: December 2025
  • Partners: NHS Devon, DCC and PCC, CDS Teams, Adult Social Care
  • Milestones:
    • Develop bespoke advice and guidance on oral health and dental pathways for adults with learning disabilities and their carers/support workers
    • Ascertain contact routes and cohort numbers via Adult Social Care
    • Distribute when complete
  • Further information: ICB Steering Group agreed priority action.
  • Status: Not started
  • National KPIs (incl LA data): None available
  • Local KPIs: Local TBC

Food banks

Support people accessing foodbanks to improve their oral health, including oral health packs (toothbrushes and toothpaste) and information leaflets.

  • Target Date: December 2025
  • Partners:NHS Devon, DCC and PCC, local food bank network
  • Milestones:
    • Ascertain current food bank network and best means of contact
    • Scope costs and availability of oral health packs
  • Further information:
    • Opportunity to amplify through ICB Steering Group
    • Local/ICB funding not secured yet
  • Status: Not started
  • National KPIs (incl LA data): None available
  • Local KPIs: Local TBC

Devon wide Oral Health Promotion Service

Support people accessing foodbanks to improve their oral health, including oral health packs (toothbrushes and toothpaste) and information leaflets.

  • Target Date: September 2025
  • Partners: NHS Devon, DCC and PCC, local food bank network
  • Milestones: Scope the potential to disaggregate the oral health promotion funding of Community Dentistry Teams in Devon to potentially fund a Devon wide Oral Health Promotion Team to promote oral health throughout the lifecourse based on the outreach model currently being delivered in One Cornwall
  • Further information: ICB Steering Group agreed action - NHS Devon Hub / ICB Commissioners researching potential to amend CDS contract prior to renewal in Sept 2025 via internal process
  • Status: Not started
  • National KPIs (incl LA data): None available
  • Local KPIs: Local TBC

Older Adults

Guidance for care homes and domiciliary care

Improve current oral health and dental access advice and guidance for the sector

  • Target Date: June 2025
  • Partners: Public Health, ICB, Adult Social Care
  • Milestones: Promote available HIVE training platform content to sector
    Establish delivery scope in Torbay for the new joint SW ICBs Care Homes Oral Health training service and assist with local delivery/promotion
  • Further information: Joint ICB funding for training posts agreed December 2024
  • Status: Not started
  • National KPIs (incl LA data): None available
  • Local KPIs: Local TBC

Support delivery of OHID Epi Survey for oral health in care homes

  • Target Date: December 2025
  • Partners: Adult Social Care, OHID
  • Milestones:
    • Identify dip sample of care homes based on OHID eligibility in conjunction with Adult Social Care
    • Communicate upcoming survey to the sector in Torbay.
    • Complete Survey
  • Further information: Survey due mid/late 2025. Results early 2026.
  • Status: Not started
  • National KPIs (incl LA data): OHS-Care Homes (due early 2026)
  • Local KPIs: None
Back to the Oral Health Framework executive summary