Pre School Age Children

"Giving every child the best start in life is crucial to reducing health inequalities across the life course. The foundations for virtually every aspect of human development - physical, intellectual and emotional - are laid in early childhood. What happens during these early years, starting in the womb, has lifelong effects on many aspects of health and wellbeing - from obesity, heart disease and mental health, to educational achievement and economic status. To have an impact on health inequalities we need to address the social gradient in children's access to positive early experiences. Later interventions, although important, are considerably less effective if they have not had good early foundations" (Marmot, 2010).

Children in Derby have a relatively poor start in life when compared to England as a whole. Derby has significantly:

  • high percentage of children living in poverty
  • high rate of teenage pregnancies
  • high proportions of mothers smoking at the time of delivery
  • high rates of low birth weight term babies
  • low levels of breastfeeding initiation
  • low levels of children achieving a good level of development at the end of reception year.

Children in Derby do however, have high levels of immunisation uptake across most childhood immunisation protecting them from a range of diseases such as diphtheria, measles and meningitis.

The latest nationally published information on childhood health and wellbeing can be found in the interactive tools Child Health Profiles and Children and Young People's Health Benchmarking Tool produced by Public Health England.

Public Health England's 'Local Health' provides an interactive geographical tool showing a range of health and related measures at Clinical Commissioning Group, local authority and ward level information.

Additionally, a range of information, including health, is provided for each of Derby's seventeen wards can be found in the Neighbourhood Profiles


The following pages explore the level of need in this population in relation to these focussed subject areas: