PARLIAMENTARY WRITTEN QUESTION
(10 October 2025)

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the Big Brush Club on rates of dental decay among children who participated in that scheme.

Asked by:
Dr Caroline Johnson (Conservative)

No assessment has been made of this locally commissioned scheme. However, supervised toothbrushing is evidence based and cost effective, with a five-year return on investment of £3.06 for every £1 spent. Further information is available at the following link:

https://www.gov.uk/government/publications/improving-oral-health-supervised-tooth-brushing-programme-toolkit/commissioning-and-delivering-supervised-toothbrushing-schemes-in-early-years-and-school-settings

The national supervised toothbrushing programme currently underway is targeting up to 600,000 three- to five-year-olds in the most deprived areas of England. This is backed with investment of £11 million in 202525/26 and a five-year collaboration with Colgate-Palmolive. The National Institute of Health and Care Research will evaluate effectiveness and cost-effectiveness of the national targeted supervised toothbrushing programme, where we expect an impact on population outcomes from two years of implementation. Further information is available at the following link:

https://www.nihr.ac.uk/funding/evaluation-national-targeted-supervised-toothbrushing-programme-england/2025435

Answered by:
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