early-intervention-next-steps

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Full list of recommendations To build on the present political and fnancial momentum of Early Intervention, my recommendations below create no requests for new legislation and no requests for immediate additional public expenditure. Top three recommendations I recommend that the 19 ‘top programmes’ identifed in my Report should be supported and work undertaken with local areas to explore how they might be expanded to demonstrate our commitment to Early Intervention. However, I also recommend that this list of 19 should not be regarded as exhaustive or complete: all 19 should be reviewed and reassessed by the new Early Intervention Foundation (proposed below) before a ‘living list’ is evolved. I recommend that Early Intervention should build on the strength of its local base by establishing 15 local Early Intervention Places to spearhead its development. These should be run by local authorities and the voluntary sector, who are already the main initiators and innovators of Early Intervention. I recommend the establishment of an independent Early Intervention Foundation to support local people, communities and agencies, with initial emphasis on the 15 Early Intervention Places. I recommend that the Foundation should: • support local people, communities and agencies, with initial emphasis on the 15 Early Intervention Places; • be led and funded by non-central government sources, including local authorities, ethical and philanthropic trusts, foundations and charities as well as private investors who have already expressed an interest in this; • lead and motivate the expansion of Early Intervention; • evaluate Early Intervention policies based on a rigorous methodology and a strong evidence base, and encourage others to do the same; and • develop the capacity to attract private and public investment to Early Intervention. The Government should champion and encourage this concept. Whitehall should neither control nor isolate the Foundation but welcome it and engage with it as a source of complementary activity and advice. Chapter 1 1. I recommend that the nation should be made aware of the enormous benefts to individuals, families and society of Early Intervention – a policy approach designed to build the essential social and emotional bedrock in children aged 0–3 and to ensure that children aged 0–18 can become the excellent parents of tomorrow. xvii
xviii Early Intervention: The Next Steps Chapter 2 2. I recommend that the nation should recognise that infuencing social and emotional capability becomes harder and more expensive the later it is attempted, and more likely to fail. Chapter 3 3. I recommend a rebalancing of the current culture of ‘late reaction’ to social problems towards an Early Intervention culture, based on the premise of giving all children the social and emotional bedrock they need to achieve and to pre-empt those problems. 4. Within that context, I recommend an essential shift to a primary prevention strategy which ofers substantial social and fnancial benefts. 5. I recommend proper co-ordination of the machinery of government to put Early Intervention at the heart of departmental strategies, including those seeking to raise educational achievement and employability, improve social mobility, reduce crime, support parents and improve mental and physical health. Chapter 4 6. Since waiting for problems to take root before reacting costs the taxpayer billions of pounds, I recommend that we should exploit the potential for massive savings in public expenditure through an Early Intervention approach. Chapter 5 7. I recommend that the United Kingdom should adopt the concept of the foundation years from 0 to 5 (including pregnancy), and give it at least the same status and recognition as primary or secondary stages. Its prime objective should be to produce high levels of ‘school readiness’ for all children regardless of family income. To support this recommendation, it is important that everyone with responsibilities for child development, particularly parents, understands how the 0–18 health and educational cycle is continuous from birth and does not start on entry to primary school. It would therefore be helpful to clarify some of the jargon around school years. I therefore recommend that the Government should number all year groups from birth, not from the start of primary school. 8. Since a successful Early Intervention approach requires sustainability and a long-term view, I recommend that consideration should be given to creating a lasting, stable settlement between central and local government within a published framework or codifcation of the local/central relationship. I further recommend that, if developed, this settlement should be agreed by all political parties, and adhered to whichever of them are in power in central or local government. 9. I recommend that the Department of Health and the Department for Education should work together with other partners and interests to produce within 18 months a seamless Foundation Years Plan from pregnancy to 5 years of age, which should be widely understood and disseminated in order to make the 0–5 foundation years a reality. I recommend that this Plan is endorsed by Parliament. 10. I believe that under the Government’s proposed new arrangements for local health services, a great opportunity exists to localise Early Intervention, and I recommend that one of the reorganisation’s key themes should be a focus on antenatal education/preparation for parenthood, and on social and emotional development for the under-3s. I recommend that: • GP consortia and local authorities should work together to commission evidence-based preventive Early Interventions, especially in pregnancy and the frst years of life; • the proposed new local health and well-being boards should, as part of their proposed role in developing and overseeing local health and well-being strategies, create integrated Early Intervention approaches, share best practice and have the freedom to tie into the institutional arrangements for Early Intervention recommended below; and • in establishing the new directors of public health (jointly appointed by the Public Health Service and local authorities), there is strong accountability for improving social and emotional capability as a central aspect of children’s health.
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Page 6 and 7: Letter to the Prime Minister Rt Hon
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Chapter 5 Moving on If we are to gi
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to invest in this area. This entail
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18. The Healthy Child Programme is
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Recommendation I recommend that, bu
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40. I believe that centres should b
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53. This Report supports the recomm
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Recommendations I recommend that we
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teenage mothers who could beneft fr
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the UK but hardly any have been pro
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Chapter 5 Moving on 63 Box 5.1: Ear
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Chapter 6 The programmes: a new met
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16. The standards have four dimensi
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age has already been highlighted in
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prosocial fgures in their lives, es
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involving more than 6,000 students
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Box 6.2: From lower leagues to the
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77. If our country is to take this
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Chapter 7 The Places: pioneers for
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have already been allowed to escala
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36. I recognise that efecting chang
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43. The Report also supports explor
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Chapter 8 The Early Intervention Fo
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approach to fdelity - staying true
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I also drew on a database of efecti
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in these contracts, whether they ar
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Chapter 9 Making it happen: strong
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Recommendation As soon as ministers
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Evaluation quality (Good enough) Ev
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136 Annex C Standards of evidence c
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138 Annex D Evidence of programme c
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148 Annex F Consultation Formal res
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The three major party leaders suppo
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