Scenario Two: A Quiet Case for Skin Health in The First 1000 Days

What if Skin was Named in The First 1000 Days?

‘It begins before they’re even born.’

The first 1000 days—conception to age two - are widely recognised as a critical window for lifelong health. Nutrition, sleep, emotional safety, and microbiome development all shape a child’s future.

But what about skin health?

The skin is the body’s largest organ. It protects, communicates, and hosts its own delicate microbiome. And yet, when it comes to early years public health guidance, skin is largely absent from the conversation.

In fact, the UK Parliament’s 13th Report on the First 1000 Days of Life (2017–19)—a major policy document—doesn’t mention skin once.

No standard advice exists for parents whose babies may have a higher chance of developing skin conditions.

Not for eczema.

Not for acne.

Not for psoriasis or rosacea.

Not even for preventable skin cancers.

Parents with lived experience of these conditions may naturally worry about their child. But there’s no one gently asking about family history, offering pre-emptive guidance, or helping families support their child’s skin from day one.

No early skin health conversation—unless there’s already a problem.

This isn’t a criticism of the NHS.

It’s an invitation to build on its strengths.

The 2017–19 report rightly focuses on reducing inequalities and supporting vulnerable families.

But the first 1000 days matter to every child.

And when it comes to skin health, wealth or education aren’t protective. Even the most intelligent, well-resourced families can lack understanding of basic self-care.

Prevention, clarity, and support should be universal.

Because every parent deserves the chance to understand how to protect their child’s skin—regardless of postcode, income, or qualifications.

A simple step forward could look like this:

• A question in the antenatal record about family history of skin conditions

• A leaflet or digital tool explaining how genetics and environment interact

• Gentle guidance on protecting the skin barrier, microbiome, and immune system

• Acknowledgement that skin health is part of overall health - from the very beginning

This isn’t about clinical complexity.

It’s about offering clarity and care before crisis.

The Skin Well™ quietly asks: Why isn’t skin health part of the first 1000 days?

📬 Related Open Letter(s):

• Open Letter 5: A Quiet Call to Include Skin in Public Health

Last update May 2025