One in six toddlers in Dorset can't communicate properly, figures show.
Action for Children said the first few years of a child's life are "critical" for their development and called on the Government to address regional disparities across England.
Office for Health Improvement and Disparities figures show 521 of 626 children aged between two and two-and-a-half in Dorset met the expected ability for communication in the three months to March.
It meant 105 children (16.8%) did not have normal communication skills for their age.
Across England, 14% of children failed to meet the expected communication standard, however there was great variation in development from area to area.
In Ealing and Barnet in London, around four in five children did not have sufficient communication skills, while in Hull in Yorkshire, no child fell short.
Action for Children said it is essential children "lay the right foundations" during the first few years of their life.
Imran Hussain, director of policy and campaigns at the charity, said the regional disparity is "deeply worrying", with children in certain areas falling behind.
He added: "Where you grow up shouldn’t affect your life chances. If we want to give children the best start in life, early years services for parents are vital.
"The Government has invested in family hubs for around half of all local authorities in England. It must ensure that all preschool children and their families, in all areas, can access the support they need."
The figures also show 11.2% and 14.4% of children in Dorset did not have the expected gross and fine motor skills respectively for their age.
Gross motor skills involve large muscle movements, such as sitting and crawling, while fine motor skills involve smaller muscles and include movements such as holding, grasping or drawing.
Meanwhile, 14.1% did not reach the normal standard for social skills, and 12.3% fell short in problem-solving.
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