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.