Early years: health and care needs of under-5s and their families report

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Summary of report content

Healthwatch Kingston upon Thames, in partnership with Kingston Voluntary Action, engaged with over 130 parents, carers, and community members to understand the health and care needs of children aged 0–5 and their families. Their community engagement project identified key strengths, challenges, and areas for improvement across early years services in Kingston. 

Key findings included: 

Mental and physical health impacts: Many parents reported emotional strain, isolation, and exhaustion. 59% experienced some mental health impact, while 50% reported physical health effects.

Access challenges: Long waits for speech therapy, child and adolescent mental health services (CAMHS), special educational needs and disabilities (SEND) assessments, and autism diagnosis were common. Families had to organise, manage and coordinate the care their children were receiving. 

Service experiences: While some praised GPs, dentists, and children’s centres, others faced issues with referrals, dismissive attitudes, and inconsistent care. 

Child wellbeing concerns: 20% expressed worries about emotional, behavioural, or developmental issues, with many facing barriers to timely support. 

Financial strain: A third of families reported struggling financially, particularly single-parent households.

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General details

Local Healthwatch
Healthwatch Kingston upon Thames
Publication date
Key themes
Access to services
Accessibility and reasonable adjustments
Caring, kindness, respect and dignity
Consent, choice, user involvement and being listened to
Cost and funding of services
Lifestyle and wellbeing; wider determinants of health
Referrals
Waiting for appointments or treatment; waiting lists for treatment

Methodology and approach

Was the work undertaken in partnership with another organisation?
Yes
Name(s) of the partner organisation(s)
Kingston Voluntary Action
Primary research method used
Engagement event
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools Services (TaMHS)
Children's social care services
Dentist
General Practice (GP)
Services for people with Autism/on the Autism spectrum

Details of people who shared their views

Number of people who shared their views
130
Age group
0 to 12 years
Does this report feature carers?
Yes
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