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.
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The constituency of Washington and Sunderland West includes the UK's largest car plant, which was opened by Nissan in 1984.
This seat was formed prior to the 2010 General Election, taking in Sunderland city centre and the Ryhope area to the south.
The constituency of Stockton South includes relatively affluent areas like Yarm and Eaglescliffe.