Today, the First 1001 Days Movement, a coalition of over 200 charities and professionals, including the Institute of Health Visiting, published a ‘Manifesto for Babies’. The manifesto calls on all political parties to invest in prevention, demanding urgent support for vulnerable babies amid growing concerns about the health and welfare of Britain’s youngest.

The appeal follows last month’s warning from the Academy of Medical Sciences that the UK is “betraying” young children, by neglecting their essential physical and mental health needs.

The charities warn that a failure to act now will create “a ticking time bomb” that hits when children start school. The manifesto is published ahead of what is set to be the most crucial election for babies.

The manifesto recommendations include:

  1. An ambitious cross-government strategy to support babies’ healthy development, with a dedicated Cabinet Committee reporting directly to the Prime Minister, to ensure cohesive action.
  2. Sustainable funding for preventative services, including health visiting, and extending funding for the ‘Start for Life’ programme.
  3. Action to tackle health inequalities so that all babies have a good start to life – including targeted approaches to reduce inequalities and a commitment from the next government to tackle child poverty.
  4. Develop a workforce plan for children‘s social care and the early years, alongside delivering the NHS Long Term workforce plan.
  5. A rapid review of the tax and benefits system for parents and carers of under-2s, with increased paid paternity and parental leave, alongside training nursery staff on infant mental health

Local services are worried by the worsening health of the babies and young children they see:

  • Toddler development in England has declined over the last five years, with 1 in 5 two-year olds now below the expected level of development.
  • Slow development impacts on school readiness, with latest data showing 2.5 hours of teacher time is lost every day because children are not ‘school-ready’, and one in four children starting reception are not toilet trained.
  • The charities warn an estimated 10% of babies in this country are living in fear and distress because of disturbed or unpredictable care, and that one in five babies is missing the mandatory one-year old health visitor check where problems can be picked up early.

Evidence shows that the first 1,001 days of a child’s life, from pregnancy to age two lay the foundations for a happy and healthy life. The support and wellbeing of babies during this time is strongly linked to better outcomes later in life, including educational achievement, progress at work, physical and mental health.

Commenting on the “Manifesto for Babies”, Alison Morton, CEO Institute of Health Visiting, said:

“The next government must prioritise the health of our babies and young children. The current situation is deeply concerning as the health of our nation’s children has now plummeted to the lowest rankings amongst other comparable nations. Health visitors see the human face of these statistics every day. With more young children falling behind with their development and being harmed by conditions that are entirely preventable, there is a clear imperative to act.

“We urge all parties to listen to the collective voice of the First 1001 Days Movement coalition of more than 200 organisations captured in this manifesto. In particular, their call for urgent investment in health visiting to ensure that all babies and young children get the support that they need to thrive and to restore this vital safety-net for the most vulnerable.”

Keith Reed, Chief Executive at The Parent-Infant Foundation, said:

“Ignoring the needs of vulnerable babies leaves a ticking time bomb that hits when children start school. With the electoral battleground heating up, crucial services for babies hang in the balance. Start for Life cannot be allowed to suffer the same fate as Sure Start.  As babies can’t vote, it’s crucial that we speak up for them. Investing in babies’ wellbeing is not only the smart thing to do from a policy perspective, it’s a moral imperative.”

About the Manifesto for Babies

The Manifesto for Babies is published by the First 1001 Days Movement – a coalition of over 200 charities and professionals who believe that babies’ emotional wellbeing and development matters. Our members deliver a wide range of services that protect and support vulnerable babies and their families. These recommendations for UK policymakers are based on a survey of the First 1001 Days membership.

The Manifesto for Babies was developed by a Steering Group comprised of NSPCC, the National Children’s Bureau, Home-Start UK, the Institute of Health Visiting, the Anna Freud Centre, AiMH-UK, the Association of Child Psychotherapists, SANDS, Blackpool Centre for Early Child Development, Best Beginnings, Future Men, Approachable Parenting, Fatherhood Institute, Oxpip, the Parent-Infant Foundation and elected individual experts; Professor Eunice Lumsden, Bethany Boddy and Emma Carey.

 

  • iHV joins a coalition of early years charities to warn government they’re at risk of failing a generation of babies born during the coronavirus pandemic.
  • Joint Statement on the future of public health in England – giving every child the best start in life.

In a Joint Statement on the future of public health in England, the iHV, alongside nine expert early years charities, put their eight principles to Matt Hancock which must be considered when looking at health visiting. The organisations are urging Government to recognise there is a timely opportunity to rebuild the nation’s public health services for children and families.

The coalition of early years charities consists of Action for Children, the Association of Child Psychotherapists, Best Beginnings, First 1001 Days Movement, Home Start, OXPIP, the Institute of Health Visiting, NCB, NSPCC and the Parent-Infant Foundation.

NSPCC sent the Joint Statement together with an open letter to Secretary of State for Health and Social Care Matt Hancock, saying that England’s health visiting programme is not equipped to meet the challenge of the Coronavirus pandemic, and must be rebuilt according to eight principles developed by the group of early years experts.

Dr Cheryll Adams CBE, Executive Director the Institute of Health Visiting, said:

“We are delighted to be part of this important coalition sharing our joint position on the need to return investment to the health visiting service so that it may fully play its part in ensuring that all parents have the support they need. Then, and only then, will every baby have the opportunity for the best possible start in life.”

The Pandemic has also seen restrictions to the service and redeployment of health visitors, which have resulted in many families not receiving their entitled health visits. According to the Babies in Lockdown report, produced by Best Beginnings, Home Start UK and Parent-Infant Foundation, just 1 in 10 parents with children under two saw a health visitor face-to-face during the pandemic.

The organisations have long warned Government about the history of cuts to public health funding and the significant decline in NHS health visitors, which meant the service struggled to support families across the country even before the pandemic.

The letter, backed by over 2,000 members of the public, highlights that the restructure of Public Health England must prioritise giving every child a fair start in life.

Led by health visitors, all families in England are entitled to receive five check-ins from qualified health visitors via the Healthy Child Programme. However, NSPCC research with over 2,000 mothers in England, conducted with YouGov prior to the pandemic, found only 6% had been supported by the same health professional throughout the perinatal period. One in four mothers had reviews conducted via letter, text message, or a phone call instead of in-person support.

Whilst Public Health England recently announced that health visitors should not be redeployed over the winter, research by UCL found that in some areas of England, as many as 50% of staff were redeployed during the first phase of the pandemic.

Since April, the NSPCC’s helpline has received 1,897 contacts from adults concerned about parental mental health, with over half being referred for further support. The monthly average number of contacts post-lockdown has increased by over a third (34%) when compared to the average for January to March.

Dr Adams commented:

“Over the past five years we have seen an average 30% reduction in the number of health visitors in England, accompanied by a massive variation in these losses across the country. The average health visitor caseload is now 500 children, double the recommended number.

“The number of invisible vulnerable babies will have increased and perinatal mental illness is already reported by health visitors to be ‘sky rocketing’.

“The whole population will also be paying the price – the erosion of the health visitor role results in kicking the can down the road where the impact is picked up by other much more costly services. We urge the Government to listen to the voices of parents, charities and health professionals now and take urgent action to reinstate a robust health visiting service before even more damage is done.”

The NSPCC is inviting people to join the thousands who have already raised their voice and signed the Fight for a Fair Start petition.