Childsmile after 10 years part 2: programme development, implementation and evaluation

Childsmile is the national child oral health improvement programme for Scotland. It was developed as pilot studies from 2006/7, building on an established national supervised toothbrushing programme in nursery schools. By 2011, an integrated programme was in place in all NHS Boards across the country. The importance of a multi-agency, common risk factor approach is acknowledged and the programme continues to evolve through learning from the embedded process evaluation. The development and implementation of Childsmile has been associated with major improvements in child oral health. However, clear health inequalities remain and the future focus of the programme will aim to reduce further the social gradient of child oral health in Scotland. CPD/Clinical Relevance: This paper describes the development, implementation and evaluation of Childsmile, utilizing the theories and approaches outlined in Part 1.