Pre-birth: Change Project

Published: 20/01/2025

Interactive resources designed to enhance pre-birth services and improve outcomes for infants and parents by driving policy and practice development. These tools are valuable for senior managers, strategic leads, commissioners, and professionals in social care, health, and midwifery services.

The Pre-birth Change Project brought together academics, practitioners and leaders in children’s social care to discuss local practices, procedures and protocols in relation to pre-birth work. In particular, the resources draw on learning from the Nuffield Family Justice Observatory funded Born into Care programme. 

The Born into Care research (2021) revealed a concerning rise in newborns entering care proceedings, with cases in England increasing from 2,425 in 2012/13 to 2,914 in 2019/20, and in Wales from 145 to 241. Also troubling were statistics showing that in 2019/20, 86.3% of newborn cases in England and 74.8% in Wales involved short-notice hearings.

The research showed parents often received less than seven days' notice, with one in six cases heard on the same day. These findings underscore the critical need for policy and practice changes to improve pre-birth support and assessment to ensure better outcomes for parents and infants.

The Change Project resources are designed for senior managers, strategic leads, and commissioners in child and family social care, as well as safeguarding leads and commissioners in health and midwifery services who oversee or lead pre-birth work and assessment. There are also resources designed to support practitioners in health and social care, and midwifery.

A number of organisations and researchers have contributed to work on which these resources are based. View details of the Data Partnership Team 

Before you get started

Watch a short video presented by Claire Mason, Research Fellow at the Centre for Child and Family Justice Research at Lancaster University, introducing the Change Project.

Claire outlines the ten key messages informing these resources and shares some thoughts about how to use them most effectively.

Length: 4 minutes

Explore the Introduction to the Pre-birth Change Project. This provides useful information on how to use the resources.

Explore the key messages

Hello. My name's Claire Mason, and I'm a research fellow at the Centre for Child and Family Justice Research at Lancaster University. And I'm really delighted to introduce today the resources that go with the pre-birth change project facilitated by Research and Practice in partnership with the Centre at Lancaster University.

It built on the Born into Care research and offered an opportunity for managers from local authorities and their health partners to come together to discuss pre-birth practice. The workshops had input from academics, from practice leaders, from other areas to share innovation and topic experts.

The change project offered an opportunity to share practice, to share challenges and solutions, and to build resources to help other local authorities to improve pre-birth practice for all the families with whom they will be working. The change project was underpinned by the Born into Care Research, a research series that has really focused on newborns in care proceedings because we knew so little about this cohort of infants prior to that research.

It was mixed methods. So this involve new novel data linkages, looking at the numbers and patterns of newborns in care proceedings across the country. It's also included a large scale qualitative piece of research where we've really highlighted stakeholder perspectives and have heard from practitioners themselves and most importantly, families experiences of services and it has led to new national guidelines to help support families where there is a separation at birth.

We really hope that the resources that we provide here will help other local authorities who weren't part of the change project but can use this to galvanise action in your own areas. It's really important to say that what we present here is not a one size fits all approach, but we really hope that you will use the information to prioritise and to drive your own area.

Action plans that meets the families in your areas needs and fits with your priority areas for change. Importantly, throughout both the Born into Care research and the change project we held in mind the voices of those with lived experience of the system. And you'll find throughout these resources some specific reference to those parent's voices.

Each key message begins with an introductory film explaining the rationale in the research underpinning that key message. There are also links to wider reading and to topic experts who will speak in more detail about that key message. We also have included some clips from practitioners where they talk about innovation in their own area.

Finally, we've included some reflective questions to help prompt discussion in your local area.
We've also included a simple self-assessment tool based on the born into Care guidelines that will allow those, if you wish to, to do a simple, quick assessment of where you're at using a red, amber, green traffic light system. And that should help inform your local area action plan and priorities.

As you will hear, there are a number of key messages. They're not designed to be used chronologically. They're of equal importance and many overlap and are interrelated. There's also a key theme running throughout around trauma informed and trauma responsive practice. Please scan through those key messages and start where you think is the most important starting point for you that reflects your local area priorities and action planning.

Parents with lived experience

Listen to this short podcast that hears directly from two mothers with lived experience of the pre-birth child protection system.

Key messages

Working in partnership

Professional Standards

PQS:KSS - Relationships and effective direct work | Child and family assessment | Analysis, decision-making, planning and review

CQC - Effective | Caring | Responsive

PCF - Values and ethics | Rights, justice and economic wellbeing | Intervention and skills | Contexts and organisations | Critical reflection and analysis