Public Dental Health and Sustainability Linda Hillman Consultant - - PowerPoint PPT Presentation

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Oct 06, 2022 334 likes •666 views

Public Dental Health and Sustainability Linda Hillman Consultant in Dental Public Health Public Health England, East of England Introduction 1. Context 2. Business as usual: oral health in 2050 3. National and local leadership 4. Health

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Public Dental Health and Sustainability

Linda Hillman Consultant in Dental Public Health Public Health England, East of England

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1. Context
2. Business as usual: oral health in 2050
3. National and local leadership
4. Health benefits of supporting and promoting active travel for staff and

patients

5. Current oral health policies : Promoting oral health in practice/communities,

NICE recall etc

6. Metrics

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Introduction

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3 Public Dental Health and sustainability

Recap: Social Development Goals

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UN Social Development Goals (2015): A better world by 2030 Paris Climate Change Agreement: keeping a global temperature rise this century well below 2 degrees Celsius above pre-industrial levels and to pursue efforts to limit the temperature increase even further to 1.5 degrees Celsius. Additionally, the agreement aims to increase the ability of countries to deal with the impacts of climate change UK Climate Change Act (2008): https://www.legislation.gov.uk/ukpga/2008/27/contents the net UK carbon account for the year 2050 is at least 80% lower than the 1990 baseline.

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Recap:

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the net UK carbon account for the year 2050 is at least 80% lower than the 1990 baseline.

Source: UK Climate Change Act

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Recap:

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at least 80%

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Recap:

Source: New Scientist 2014

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8 Public Dental Health and sustainability

Recap:

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£125 billion health spend, NHS in England 2017/18: £110 billion - NHS healthcare £15 billion approx - Department of Health ‘things like public health initiatives, education, training, and infrastructure (including IT and building new hospitals)’.

Source: Full Fact, the UK’s independent fact-checking charity

Dentistry, a Call to Action NHS 2014 The NHS in England spends around £3.4bn per year on dental services; the value of the private market is estimated at £2.3bn per year.

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Recap: Size and share of budget

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the net UK carbon account for the year 2050 is at least 80% lower than the 1990 baseline.

Source: UK Climate Change Act

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Recap:

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Child born in 1960: aged 90 years Child born in 1980: aged 70 years Child born in 1990: aged 60 years Child born in 2018: aged 32 years

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Oral health in 2050

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Population in 2050

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10 20 30 40 50 60 70 80 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5

1973 1983 1993 2003 2013 1992 1994 1996 1998 2000 2002 2004 2006 2008 2012 2015 2017

% d3mft > 0 Average d3mft

Average d3mft Percentage with decay experience Levels measured using positive consent

CDHS survey NDEP surveys

Public Dental Health and sustainability

Caries - five year old children over time

Courtesy of Sandra White

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Extractions in hospital for children

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Source: Duane et als BDJ 2017

Recap:Total annual carbon footprint of dental services in England – 2013/14

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Recap: the upstream downstream model

Diagram provided by Sandra White

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Source: Salisbury Journal 2014

When upstream becomes downstream

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Leadership for change

Source: The Camel Support Group

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Domains for sustainable development ap: Domains for sustainable development

Public Dental Health and sustainability

Leading at a community level

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Source: PHE SDMP 2014-17

Recap: Domains for sustainable development

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All Our Health is a call to action for all healthcare professionals to use their skills and relationships to maximise their impact on avoidable illness, health protection and promotion of wellbeing and resilience. New measures to halve childhood obesity by 2030 Duncan Selbie said: “Reversing this epidemic is possible provided everyone pulls together and the bold steps announced today [24 June] will help turn the tide. NHS Right Care

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Working together

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Public Dental Health and sustainability

All our health: health benefits of physical activity

s://www.gov.uk/government/publications/physical-activity-applying-all-our-health/physical-activity-applying-all-our-health

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Inspiring behaviour change

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Delivering Better Oral Health - prevention in practice

first published in 2007 to support dental teams in a more preventive approach which is evidence based Universal with targeted support living document always expected to update revised in 2009 and 2014 Revisions healthier eating, alcohol 2017

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Working together

Starting Well/smile for life/dental check by one

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New ways of working

Technology/materials/methods

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Public Dental Health and sustainability 30

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Saving teeth might save the planet

Sandra White