The Brush Bus Scheme in Bury Pre-school and Nursery Settings

The Brush Bus Scheme in Bury Pre-school and Nursery Settings

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This information is provided by Oral Health Improvement Bury | The Bury Directory Bridgewater Community Healthcare NHS Foundation Trust

The Brush Bus supervised toothbrushing scheme was launched in EYFS in order to increase exposure to fluoride among the 2-5 year old children in Bury. The Bury Oral Health Improvement Team facilitate daily supervised toothbrushing (STB) with a family fluoride toothpaste at targeted establishments, nurseries, playgroups and EYFS in schools via staff training, support, advice to parents and the provision of equipment and toothbrushing resources. Unfortunately, the funding has not been provided to include Childminders in the scheme in Bury.

All participating settings have found ways to incorporate toothbrushing into their daily routines and use it as part of the curriculum.

Fluoride toothpaste is an effective method of reducing tooth decay and its benefits can be maximized, if brushing with toothpaste is started as soon as the first tooth appears. At home children should be taught to brush their teeth at least twice a day, this should be done the last thing at night and one other time of the day. Toothbrushing should be supervised by an adult until a child is 7- 8 years old, use a family toothpaste containing (1,3450ppm - 1,450ppm) fluoride which is more effective for protecting teeth and will help to make the teeth stronger.

Good habits developed in early childhood can have a great impact on a child’s future health. The Brush Bus Supervised toothbrushing Scheme used in conjunction with the established Bury MBC Golden Apple Award Scheme in EYFS, could in time have a real impact on children’s oral health. A child's smile is a big part of how they view themselves, they will feel more confident if they are proud of it.

Supervised toothbrushing in EYFS supports toothbrushing at home. Sometimes parents struggle to brush young children’s teeth at home and often parents with children in settings where supervised brushing takes place, report that their children are much more enthusiastic about having their teeth brushed at home. Toothbrushing also becomes much less of a struggle.

The aim is to improve children’s school readiness and give every child the Best Start in Life NHS England » Best Start in Life.

DfE statement:

Early Years providers have a responsibility to promote the health of children in their setting, set out in the EYFS. Good oral health can form a part of this.”

There were some minor changes to Safeguarding and Welfare in the EYFS framework published in April 2021. A new requirement to promote the good oral health of children was included which has to be in place before September 2021

Implementing a daily supervised daily toothbrushing programme will help EYFS work towards the new requirement to promote good oral health.

When STB schemes were originally set up in Bury EYFS before the COVID-19 pandemic, the Oral Health Promotion Team provided face-to-face training for EYFS Practitioners to deliver the scheme. This ensured the scheme could be delivered safely and effectively, parental consenting procedures were followed and cross-infection control was of the highest priority. In the recovery phase of the COVID-19 pandemic the Greater Manchester (GM) Training Hub developed a free training package .

This e-learning tool is intended to guide staff to deliver a safe effective STB scheme, rather than implementing their own systems. It is compulsory that all EYFS Practitioners where STB takes place are now required to complete this free, simple learning tool which provides PHE guidance, in-line with cross-infection procedures. The training package takes no longer than 30 minutes to complete, after a simple evaluation of knowledge gained, a certificate is accessible. All staff should have read Public Health England Guidance COVID-19: guidance for supervised toothbrushing programmes in early years and school settings Published 13 August 2020 .

Contact Details


Alison Tabois

Job Title/Position

Oral Health Improvement Practitioner

Organiser Address

Oral Health Promotion, 1st floor, Brook House, Oldham Road, Middleton, Manchester M24 1AY

Mobile Number

07826 85005

Email Address

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