Public Health England (PHE) has published Cost-effectiveness and return on investment (ROI) of interventions associated with the best start in life, an ROI tool that pulls together evidence on the effectiveness and costs of interventions aimed at providing children with the best start in life.

One of the PHE national priorities is ensuring every child has the best start in life, reflecting the increased understanding of the impact of health and wellbeing in early life.

This tool aims to evaluate the evidence for 11 interventions, selected on the basis that they had robust available evidence to analyse. These interventions include two relating to breastfeeding and nine relating to postnatal depression (PND).

The tool aims to provide a useful resource for service planners within local authorities and CCGs to help prioritise maternal and child services (from 0–5 years), including an interactive spreadsheet to tailor results to local situations. It also recommends more research to expand the evidence base for interventions associated with the best start in life.