Suffolk County Council CYP South and West Ipswich Locality has 3,000 children under five years of age living in the population. Many of these children live in the 20% poorest households in the country. In February 2013 head teachers from local primary schools requested help from the Integrated Services Manager (Health) for assistance in preparing children for school learning. It was agreed that the most pressing need was toilet training as there were a high number of children in their reception years who were still in nappies or ‘pull-ups’ and this was diverting attention away from their learning.