A pioneering program in Greater Manchester is helping people facing long-term unemployment overcome oral health barriers, boosting their confidence and improving their prospects for work.
The initiative, Working Well: Roots to Dental, is jointly led by the University of Manchester, the University Dental Hospital of Manchester—part of Manchester University NHS Foundation Trust—and the Greater Manchester Combined Authority (GMCA). It combines dental treatment with employment support, while also providing hands-on training for dental students.
The scheme targets a largely overlooked issue: poor oral health as a barrier to employment. Participants often struggle with pain, limited access to dental care, and embarrassment about their appearance—factors that can hinder job readiness and performance.
One participant described the impact of treatment, saying they previously experienced constant pain and sensitivity that affected everyday activities such as eating and drinking. After receiving root canal treatments, they reported reduced pain, improved ability to eat, and increased confidence in their appearance, which they believe will enhance their employment prospects.
The program has already supported more than 200 residents during its pilot phase. It was recognized with an Employment Related Services Association (ERSA) Employability Award for Adding Social Value, in partnership with employment support provider Ingeus. Plans are now underway to expand access through the broader Working Well program and additional referral pathways.
Cllr Eamonn O’Brien, Greater Manchester’s lead for Technical Education and Skills, said the initiative demonstrates the benefits of integrating health services with employment support. He noted that participants gain both the treatment and confidence needed to move closer to work, while students acquire valuable real-world experience.
Sarah-Jade Akintomide, an undergraduate dental student involved in the program, said the experience goes beyond clinical training. She emphasized that restoring patients’ smiles also helps rebuild confidence and improve overall quality of life.
The initiative comes amid broader challenges in Greater Manchester, where health conditions and disabilities are closely linked to unemployment. Data from a related Work and Health program involving 4,469 participants found that 10% experienced oral pain, another 10% felt embarrassed about speaking or smiling due to dental issues, and 40% lacked access to a regular dentist.
Working Well, the umbrella program behind the initiative, has supported more than 92,000 residents to date. By addressing unmet dental needs alongside employment barriers, Roots to Dental highlights how integrated support services can help individuals return to work and improve their overall well-being.