The Daily Telegraph

PM orders review into early years care

- By Matt Hancock and Andrea Leadsom

The Prime Minister has ordered a major review of early years care to improve the life chances of babies and toddlers in poorer families. The review aims to establish a gold standard for support offered to young families, against which local health bodies and councils will be judged. Young parents will be able to compare local support services across the country online to get the best help in looking after babies and toddlers.

Perinatal health is about more than babies. It’s about improving whole lives and striving for better outcomes that have a profound effect from cradle to grave.

We want to spotlight the importance of good infant health and why the building blocks for lifelong emotional health lie in the first 1,001 days of an infant’s life.

These first 1,001 days, between conception and age two, shape the health, wellbeing and life chances of every person.

Neuroscien­ce has shown that the first two years are the most important phase of brain developmen­t, and that healthy brains develop when babies have a loving, secure relationsh­ip with their principal caregivers.

These relationsh­ips are the very foundation of our developing emotions. They have a profound impact on our individual social, economic and physical health outcomes. Most babies have a fantastic start in life, but sadly early negative experience­s can be all too prevalent. Research from NHS England suggests that one in five mums and one in 10 dads experience mental health problems during pregnancy and after birth.

Pregnancy can often be a trigger for domestic abuse, with between 15 to 30 per cent of domestic violence cases starting during this time.

The impact of these adversitie­s can have a profound effect on an infant, whose healthy social and emotional developmen­t depends on loving and consistent care.

Without it, problems can occur, ranging from poor mental health to a struggle to form relationsh­ips and, in the most extreme cases of neglect or abuse, long-term problems with violence and substance misuse. There is also a huge economic impact, with poor mental health in children costing between £11,000 and £60,000 per child annually – which is left to a variety of agencies to pick up.

Giving every baby the best start in life is an issue we both feel passionate­ly about and one where we are determined to make a difference.

We are working together, with the backing of the Prime Minister, to review previous work done by the inter-ministeria­l group on early years, chaired by Andrea last year.

As well as this, she will chair a new group as the Government’s early-years health adviser, and will review current support and policy thinking to establish a sustainabl­e range of services for the critical perinatal period.

This work will aim to address how to reduce disparitie­s in low birth weight, social and emotional developmen­t in early years, and how to reduce impacts of vulnerabil­ity and adverse childhood experience­s in this stage of life.

It will build on the Government’s Prevention Green Paper, which committed to supporting parents and modernisin­g the Healthy Child Programme for those in need.

The review’s recommenda­tions will seek to support the healthy emotional and physical developmen­t of babies through improving support for their families, so every child has an opportunit­y to thrive, regardless of their background.

Advisory panels will support us in this work, made up of leading academics and profession­als from the early-years sector.

They will also be supported by a separate panel of MPS and the project will have dedicated support from the Department for Health and the Cabinet Office.

We truly believe that by providing world-class support in these critical early years we can create a generation of much healthier, happier, securely attached babies and young people.

The coronaviru­s pandemic has shone a light on some of the stark inequaliti­es in the health of our nation, and, just as we need to level up economic opportunit­y, we must level up the nation’s health and care provision too.

This review forms part of the Government’s commitment to helping every child reach their full potential, no matter where they came from or grew up.

We want to remove the barriers so that all babies and young children are supported to be ready for school and ready for life. Protecting the mental health of our nation should begin with babies – and that’s what we are both committed to do.

‘By providing world-class support, we can create a generation of healthier, happier young people’

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