This book presents findings from studies evaluating Sure Start programmes in North-East England. Section I examines the policy background, evaluation framework and key concepts underpinning the programme.Section II draws upon findings from the evaluation of five Sure Start programmes. Section III presents evaluation findings from a linked national programme, Sure Start Plus, designed to provide inter-agency, inter-professional support to pregnant teenagers and young parents.Section IV examines two propositions: Firstly, that local programmes should deliver better outcomes for children and families if they are proficient, as measured by engaging service users, multi‑agency working, leadership and ethos; and secondly, that local programmes provide a foundation for delivering the five outcomes set by the Labour Government Green Paper Every Child Matters (2003): be healthy, stay safe, enjoy and achieve, make a positive contribution, and achieve economic well-being.