A Better Start

Overview A Better Start Local Partnership – LEAP LEAP Interventions Support to deliver Implementation

A Better Start: a summary Aims to improve the life chances of babies and very young children by delivering a significant increase in the use of preventative approaches in pregnancy and the first three years of life. £215m investment over 10 years Five local area partnerships within Blackpool, Bradford, Lambeth, Nottingham and Southend on Sea. All pregnant women, babies and children aged up to their fourth birthday living in the target wards will benefit. Each local area consists of a number of target wards and has a population of around 50,000. All pregnant women, babies and children aged up to their fourth birthday living in those target wards will benefit and some will received additional and specialist support if they need it. Partnerships include Parents, Community Groups, VCSE organisations, Health and Public Services. Inclusive decision making & coproduction of service design.

A Better Start Timeline October 2012 A Better Start is launched January 2013 Wrote to all local authorities across England to identify wards with high levels of deprivation, low educational achievement and child health 30 areas chosen for Stage 1 application AUGUST 2013 15 Development sites chosen Strategic planning support from Social Research Unit at Dartington May 2014 and beyond Award 5 areas Implementation support for areas to ensure quality Evaluate impact and share learning

Lambeth Early Action Partnership A wide range of partners – local authority, CCG, hospital trusts, community and parents – convened by National Children’s Bureau Coalesced around a shared vision – Lambeth to be the best place in the world to be born and grow up Delivery in 4 wards – 50,000 pop Three child focussed outcomes – improving social and emotional development , communication and language and diet and nutrition Systems change outcomes – Resources are focused on prevention, with parents and the community as active drivers of local services. Pregnant women and children are supported by a strong, family-centred single pathway, around which organisations work together and information flows freely

The LEAP Portfolio of interventions Diet and Nutrition Community Activity and Nutrition – supporting women with a high BMI during pregnancy Breast feeding Peer Support Oral Health Leap into Healthy Living Communication and Language Raising Early Achievement in Literacy – adapted for under twos Chatter Time Doorstep libraries Social and emotional development Parent and Infant Relationship Support – on to one and group work Support for families experiencing Domestic Violence Cross-cutting Support for families in Overcrowded Housing Parent Champion Programme

Support to deliver Development partner – Dartington Social research Area wellbeing survey Preventonomics – London School of Economics Cohort study – Warwick consortium of academics People in the Lead – workforce and community survey Frameworks – social marketing

Implementation Service design approach – lived experience Test and learn moving towards scale Embed and work alongside local systems – despite changing landscape Place based approach