The Institute of Health Visiting (IHV) has published the results from a survey of health visitors working with families across the UK. Findings from 1,323 responses include: 84% reported an increase in children with speech, language and communication delay; 76% reported an increase in child behaviour problems; and 60% of health visitors reported further increases in child safeguarding over the last 12 months. The institute calls for a shared cross-government strategy for the first 1001 days to improve health outcomes and reduce inequalities for babies, young children and families.