A high rate of teenage pregnancies, alcohol abuse and poor education, training and employment opportunities mean that Britain is far from the best place to grow up as a child.
This is according to the latest Unicef (United Nation's Children's Fund) report on child well-being in rich countries.
"Report Card 11" puts Britain - the world's seventh largest economy - in 16th place out of 29.
This is below Slovenia, the Czech Republic and Portugal, but well ahead of the US, which lies in 26th place.
The report should make sober reading for the British government - especially the Department of Education - which, according to Unicef has slashed more than £300 million ($460 million) from services for young people.
Unicef predicts that cuts will lead to 400,000 more British children being in poverty in the next three years.
Anita Tiessen, Unicef's Deputy Executive Director (Communications and Programmes) warned: "While children and young people will be the first to bear the brunt if we fail to safeguard their well-being, over time society as a whole will pay the price."
With a rapidly ageing population and against an economy struggling to stay out of recession, Britain would do well to heed this warning.
There's more than its reputation at stake.
Thoughts on customer service, communication and, of course, reputation management.