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A Better Start Through Better Systems: Insights from The National Lottery Community Fund's A Better Start Programme

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Introduction

This research explores systems change in the A Better Start (ABS) programme. The programme aimed to improve outcomes for children in the early years. It focused on pregnancy and the first 4 years of life. The report shares learning about how local areas worked to create better, more joined-up systems for families.

Findings

The research found that long-term funding helped areas test and embed new ways of working. Many areas strengthened relationships between health services, local authorities, and community organisations. This improved coordination of support for families with young children.

The research found that strong leadership helped partners agree shared goals. Co-production with parents improved service design and trust. Data sharing supported better decision-making, although it remained challenging. Systems change took time and required sustained commitment.

Areas that focused on prevention and early support reported better alignment of services around family needs.