Chris Cuthbert Director of Development, A Better Start, UK - PowerPoint PPT Presentation

Chris Cuthbert Director of Development, A Better Start, UK #evidence4impact

A Better Start #ABetterStart

http://www.bbc.co.uk/programmes/p00hhrwl

Sir Michael Marmot

Inequalities emerge early Bottom 40% on British Ability Scale Social & Emotional Difficulties at age 5 at age 3, by SEP by family income % 70 60.7 58.5 60 53.7 50 50 41.8 37.8 40 33.1 31.5 30 27 25.4 20 10 0 Most deprived 2nd 3rd 4th Least deprived Source: Dearden, L. (2010) Sources: Millennium Cohort Study

A Better Start

Ten-year investment: focus on conception to 4 th birthday

Early childhood development IMAGE FOR SOCIA AND EMOTIONAL DEVELOPMENT IMAGE FOR COMMUNICATIONS/ SPEECH & LANGUAGE

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies

Achieving positive outcomes National Implementation Research Network

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration Picking up the pieces Focus on prevention

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration Picking up the pieces Focus on prevention Parent v. child focus ‘ Think Family ’

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration Picking up the pieces Focus on prevention Parent v. child focus ‘ Think Family ’ Community v. expert Coproduction of evidence based services

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration Picking up the pieces Focus on prevention Parent v. child focus ‘ Think Family ’ Community v. expert Coproduction of evidence based services Reactive interventions Pathways supporting prevention

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration Picking up the pieces Focus on prevention Parent v. child focus ‘ Think Family ’ Community v. expert Coproduction of evidence based services Reactive interventions Pathways supporting prevention ‘ Professional gift ’ Sharing power and building capabilities

Shifts in thinking ‘ Old think ’ ‘ New think ’ Isolated programmes Place-based strategies Competing agendas Common purpose and collaboration Picking up the pieces Focus on prevention Parent v. child focus ‘ Think Family ’ Community v. expert Coproduction of evidence based services Reactive interventions Pathways supporting prevention ‘ Professional gift ’ Sharing power and building capabilities Data for compliance Data for learning and improving

A Local Example

Life course approach

Focused intervention

4 Cornerstones

Change for a population (public health approach) Community Resilience Enhanced Universal Offer Public Health Campaigns • Parks and safe play • Baby Steps • Social, emotional & language • Children’s Centres • Health Visiting transformation • Alcohol exposed pregnancies • Activity cards • Perinatal Mental Health Pathway • Oral health • Workforce Development • Community Connectors • Common Language (Frameworks) • Baby Rover, Food Banks • EPEC

Targeted/Specialist Change for those with • Parents Under Pressure • Safecare additional needs • Video Interaction Guidance • Survivor Mums • Family Nurse Partnership Adapt Change for a population • Steps to Safety • Making it REAL (public health approach) • SALT Community Resilience Enhanced Universal Offer Public Health Campaigns • Parks and safe play • Baby Steps • Social, emotional & language • Children’s Centres • Health Visiting transformation • Alcohol exposed pregnancies • Activity cards • Perinatal Mental Health Pathway • Oral health • Workforce Development • Community Connectors • Common Language (Frameworks) • Baby Rover, Food Banks • EPEC

Amplifying learning Work with others to Research and share development learning in the Centre Use and allow to tell us what leveraged more works and funding to families to what might be benefit. improve the Focus replicated in lives of Better other areas. babies Start across the funding town on identified wards

Evaluation Implementation Impact • Prospective cohort • 5 test; 15 control areas • Pregnancy – age 5 • Cost effectiveness Dissemination

Learning together “Tell me and I forget, Teach me and I may remember, Involve me and I learn” Benjamin Franklin

www.abetterstart.org.uk