The aim of this study was to evaluate the effect of the Primary Movement programme on the fine motor skills of children in an early years setting in an area of high social disadvantage. Primary Movement is a programme which can be used as an early intervention technique to help children inhibit persistent primary reflexes that have been shown to adversely affect motor and cognitive development. Previous research has found that the programme can have significant effects in increasing the motor and academic attainments of children, aged 8-11 years. A repeated measures design was used to evaluate the impact of the Primary Movement intervention, in comparison to a control intervention, on the fine motor skills of 65 Reception children, aged four to five years. The results from this study provide evidence that the Primary Movement programme had a significant effect on improving the fine motor skills of the children. This research provides further evidence to support the use of the programme within the Early Years curriculum. (Contains 1 table and 1 figure.)