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We're included in the First 1000 Days report

By: RCOT 22 January, 2026 News 5 minute read

New parliamentary report on the first 1,000 days of life includes evidence from RCOT

The Health and Social Care Committee in UK Parliament has today published its latest report examining the critical first 1,000 days of a child’s life – a period recognised as fundamental to long‑term health, wellbeing and development.

We contributed to the inquiry with Dr Sally Payne, one of our Professional Advisors, giving oral evidence to MPs on the essential role of occupational therapists in early childhood development and early intervention. The Committee’s findings strongly reflect the points we raised, particularly the need for integrated, multi‑agency support, strengthened early intervention services and a well‑resourced workforce capable of supporting families during pregnancy and early childhood. 

Dr Sally Payne, Professional Advisor for children and young people, said:

'We welcome the Department of Health and Social Care’s report on the first 1000 days of life to which we contributed both written and oral evidence.

'This period is a critical time for brain development, establishing the foundations for lifelong physical, sensory and emotional wellbeing. As occupational therapists we play a vital role in helping babies and children take part in everyday activities that help them grow, thrive and reach their full potential. However demand for our support in the early years remains high, and families often struggle to access the support they need.

'We're pleased the report highlights the significant shortfall between recommended and actual occupational therapy staffing levels in neonatal units and the impact this has on crucial care for vulnerable infants and families.

'It also recognises our Workforce Strategy’s call for occupational therapists to be positioned primarily in community settings, and raises our concern that allied health professionals – including occupational therapists – are under-represented in current neighbourhood health guidance.  

'A key recommendation in the report is the expansion of Family Hubs to more communities, with improved perinatal mental health services to caregivers. We strongly agree. With expertise in child development and in both physical and mental health across the lifespan we are uniquely placed to help caregivers build routines, strategies and skills to navigate the challenges of early parenthood and give their infants the best possible start in life.'    

The report’s recommendations will now be reviewed by the UK Government. We'll continue to engage with policymakers to ensure the voice of the profession - and the needs of children and families - remain central as decisions are made on the future of early years support.

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