Middlesbrough is the worst place in the country for children not being properly prepared to start school, and the town ranked lowest in the OFSTED findings.
South Tyneside was second worst.
The findings come as a new report says that children in the most deprived areas get the poorest pre-school childcare.
However, staff at one nursery in Middlesbrough say the report unfairly labels their youngsters.
Watch the full report from Rachel Bullock below.
More top news
ITV Tyne Tees has exclusive pictures of the police chase that ended with a fatal crash in County Durham.
Rixton stopped by the North East on their radio tour to promote Let The Road. They spoke to Rachel Sweeney about their music-scene takeover.
It seems we have some very talented pumpkin carvers in the region....