Middlesbrough has been named as the worst area in the country for the number of children who are ill prepared for starting school.
The town led in the Ofsted findings, with South Tyneside emerging second.
The report from the Policy Exchange found parents living in the most deprived parts of the country receive the poorest childcare, leaving youngstest ill equipped for full-time education.
The report says that the gap between childcare in rich and poor areas needs to be reduced.
More top news
A school in Northumberland is taking part in a sleep study after Oxford scientists warn many teenagers are sleep deprived.
Junior Doctors across the region are set to go on strike this morning after talks with the Government failed to reach an agreement.
North Yorkshire County Council has decided that controversial proposals to close Eskdale School will now go to consultation.