Giving every child the best start in life
Why the first 1001 days matter

The first 1001 days, from conception to age two, are the most critical in shaping a child's future.
That's the message at the heart of West Berkshire's latest Director of Public Health Annual Report, written by Dr Matthew Pearce.
This year's report takes inspiration from the familiar 'red book', the Personal Child Health Record, and shines a spotlight on the earliest stage of life, when the building blocks of physical, emotional, and cognitive development are laid.
It's a time of rapid brain growth, deep emotional bonding, and profound vulnerability. And it's a time when the right support can make all the difference.
Dr Pearce shares his personal reflections as both a public health leader and a parent, acknowledging the challenges families face and the vital role communities play in raising children. In the report he writes;
"It is often said that it takes a 'village to raise a child', which conveys the importance of family members, neighbours, professionals, community members and policy makers all playing a role in the upbringing of children."
But not every child starts life on equal footing. Differences in health outcomes driven by factors like poverty, housing, education, and access to care, can shape a child's trajectory before they even take their first steps.
The report makes it clear: failing to act early doesn't just affect individuals but impacts society as a whole.
With nearly 10,000 children under five in our district, the report calls for bold, collaborative action to invest in early years services and for everyone to work together to ensure every child, no matter their background, has the chance to thrive.
The report also celebrates some of the good work that organisations are doing to support young children and their families.
Dr Matt Pearce, Director of Public Health and author of the Report says,
"This isn't just about preparing children for adulthood, it's about valuing childhood as a unique and vital stage of life. By prioritising the first 1001 days, we can build a healthier, fairer future for all."
West Berkshire's Executive Member for Public Health and Adult Social Care commented,
"This report highlights the vital role of the early years and the challenges we face across the district. The council is committed to working with partners and communities to support our youngest children and their families. I hope it inspires us all to take action and ensure every child, regardless of background, has a fair chance to thrive."
Read the full report to find out more about how West Berkshire is working to give every child the best start in life.