described as the 10 key factors for an effective local strategy
(Figure 1). These factors were set out in new national guidance [4]
with more prescription of the “must do” actions for all areas, to
minimize variation in local implementation. Additional data were
provided to inform targeted prevention for young people most at
risk. The guidance was accompanied by a self-assessment tool,
which was issued to help local areas identify and address gaps in
their strategies. In poorer performing areas, local leadership was
strengthened by Ministers’ direct engagement with senior leaders
[5] andadditional supportwasprovidedtotheir resource teams [6].