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

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

Nov 03, 2023 302 likes •580 views

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 &

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#evidence4impact

Chris Cuthbert

Director of Development, A Better Start, UK

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#ABetterStart

A Better Start

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

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Sir Michael Marmot

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58.5 25.4 50 33.1 37.8 41.8 31.5 53.7 27 60.7 10 20 30 40 50 60 70

%

Source: Dearden, L. (2010)

Most deprived 2nd 3rd 4th Least deprived

Inequalities emerge early

Social & Emotional Difficulties at age 5 by family income

Sources: Millennium Cohort Study

Bottom 40% on British Ability Scale at age 3, by SEP

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A Better Start

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

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Early childhood development

IMAGE FOR SOCIA AND EMOTIONAL DEVELOPMENT

IMAGE FOR COMMUNICATIONS/ SPEECH & LANGUAGE

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Shifts in thinking

‘Old think’ ‘New think’ Isolated programmes Place-based strategies

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Achieving positive outcomes

National Implementation Research Network

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Shifts in thinking

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

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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

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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’

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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

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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

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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

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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

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A Local Example

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Life course approach

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Focused intervention

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4 Cornerstones

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Change for a population

(public health approach)

Community Resilience

  • Parks and safe play
  • Children’s Centres
  • Activity cards
  • Community Connectors
  • Baby Rover, Food Banks
  • EPEC

Public Health Campaigns

  • Social, emotional & language
  • Alcohol exposed pregnancies
  • Oral health

Enhanced Universal Offer

  • Baby Steps
  • Health Visiting transformation
  • Perinatal Mental Health Pathway
  • Workforce Development
  • Common Language (Frameworks)
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Change for a population

(public health approach)

Community Resilience

  • Parks and safe play
  • Children’s Centres
  • Activity cards
  • Community Connectors
  • Baby Rover, Food Banks
  • EPEC

Public Health Campaigns

  • Social, emotional & language
  • Alcohol exposed pregnancies
  • Oral health

Enhanced Universal Offer

  • Baby Steps
  • Health Visiting transformation
  • Perinatal Mental Health Pathway
  • Workforce Development
  • Common Language (Frameworks)

Targeted/Specialist

  • Parents Under Pressure
  • Safecare
  • Video Interaction Guidance
  • Survivor Mums
  • Family Nurse Partnership

Adapt

  • Steps to Safety
  • Making it REAL
  • SALT

Change for those with additional needs

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Amplifying learning

Focus Better Start funding

  • n

identified wards Use leveraged funding to improve the lives of babies across the town Research and development in the Centre to tell us what works and what might be replicated in

  • ther areas.

Work with

  • thers to

share learning and allow more families to benefit.

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Implementation Impact

  • Prospective cohort
  • 5 test; 15 control areas
  • Pregnancy – age 5
  • Cost effectiveness

Dissemination

Evaluation

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

Benjamin Franklin

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www.abetterstart.org.uk