Change description : 2025-04-17 14:22:00: Updated the ‘Toothbrush storage systems’ section to clarify the 2 approaches to toothbrush storage and that they both follow UK Health Security Agency (UKHSA) infection prevention and control guidance. Updated the ‘Step 4: supervise toothbrushing’ section relating to the responsibilities of the observing supervisor. [Guidance and regulation]
This toolkit is for commissioners and providers of supervised toothbrushing programmes in England.
Following evidence published in 2014, both the National Institute for Health and Care Excellence (NICE) and the Office for Health Improvement and Disparities (OHID) recommend commissioning targeted supervised toothbrushing in early years’ settings.
Many local authorities in England already commission such programmes. This toolkit will help commissioners, public health teams and providers to make sure their programmes are evidence-based and safe, and have clear accountability and reporting arrangements.