Recommendation 4

Accessing health expertise presents a significant barrier to identifying and supporting SEN needs. DHSC plays a critical role in the SEN system. It jointly published with DfE the Code of Practice and 2023 improvement plan and is responsible for overseeing local health service providers. Currently, only 2 out of 32 competing priorities for the National Health Service (NHS) relate to SEN. DHSC recognises it could improve Integrated Care Boards’ (ICBs) focus on SEN. Since 2023, it requires each ICB to appoint an executive lead for SEN and recent planning guidance asks ICBs to look at community health services. Despite increasing need, DHSC does not have data to understand current long waiting times for health support, with reports of children waiting years to access children’s and adolescents’ mental health support (CAMHS). DHSC is still working on a solution - it has committed more funding and aspires to provide more support for speech and language therapy and CAMHS. However, with staffing being considered as part of a wider 10-year plan for NHS recovery, it is unclear when there will be wider progress. recommendation Within six months, DHSC should set out how ICBs will consider SEN alongside wider priorities; how its longer-term workforce plans will address current and forecast SEN skill shortfalls; and its processes, plans and targets for reducing related waiting lists.