Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help ensure that statutory duties for safeguarding (a) children with special educational needs and disabilities and (b) other children are met, in the context of the NHS England model framework for integrated care boards.

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health services and to reduce the duplication of responsibilities within their structure. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025, where ICBs were tasked with developing plans setting out how they will manage their resources to deliver across their priorities. This letter is available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

NHS England is actively engaged with ICB executive leads for special educational needs and disability (SEND) across the system, to ensure that ICBs continue to ensure that statutory duties and accountabilities for children with SEND are met. We will be working with a range of partners and stakeholders to review the proposals to ensure that statutory duties, as laid out in legislation, continue to be met for children with SEND.

NHS England is actively engaging with safeguarding professionals across the system, including those in local government, ICBs, and provider organisations, to ensure that safeguarding responsibilities are not compromised.

This engagement is being supported by the NHS Safeguarding Accountability and Assurance Framework 2024 and the National Safeguarding Steering Group ICB Safeguarding Protocols, which outline the roles, accountabilities, responsibilities, and expectations for safeguarding across NHS-funded care. NHS England is also setting up a joint working group with the Local Government Association to carefully consider issues relating to safeguarding.

Ministers and the Department will work with the new transformation team at the top of NHS England to ensure ICBs continue to fulfil their functions effectively within the running costs cap and unlock the benefit of working at scale to deliver better care for their population.