Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to page 22 of, SEND Reform: Putting Children and Young People First (CP1509), how will Integrated Care Boards be held more accountable for providing support to children and young people with complex needs.

The Schools White Paper and consultation document on special educational needs and disabilities (SEND) reforms set out proposals on strengthening roles and responsibilities. We are working closely with the Department for Education, and with local area partnerships, for instance integrated care boards and local authorities, to explore further opportunities to strengthen accountability for families and children and young people with SEND.

These reforms are intended to build a system with clearer roles and responsibilities for all partners, and more collective responsibility for the outcomes of children and young people with SEND in a local area. As part of this, we will update the Ofsted and Care Quality Commission (CQC) Area SEND Inspection framework, so that it aligns with the clarified statutory roles of local authorities and integrated care boards. There will be a full consultation on the proposed changes to the framework. Ofsted and the CQC will continue to inspect the role of education, health and social care partners responsible for the planning, commissioning, and delivery of arrangements for children and young people with SEND in the local area, setting clear standards and holding them accountable. In addition, the Children’s Commissioner for England will take on a new role to monitor the progress and effectiveness of SEND reforms for all children with SEND, focusing on the most vulnerable groups.

For the first time, the NHS Medium Term Planning Framework included a clear expectation that integrated care boards and providers fulfil their statutory SEND duties and support the Government’s SEND reform plans. Within their local area partnerships, ICBs are being asked to contribute to Local SEND Reform Plans. This will set out how they will move towards stronger inclusive practices and early intervention, including for children and young people with complex needs. These plans will also be used to assess ongoing performance and delivery of the reforms.