Forgotten. Left behind. Overlooked - The experiences of young people with SEND and their educational transitions during the Covid-19 pandemic in ...
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Forgotten. Left behind. Overlooked. The experiences of young people with SEND and their educational transitions during the Covid-19 pandemic in 2020 Report Spring 2021
This is not an official publication of the House of Commons or the House of Lords. It has not been approved by either House or its committees. All‑Party Parliamentary Groups are informal groups of Members of both Houses with a common interest in particular issues. The views expressed in this report are those of the group. 2 | Forgotten. Left-behind. Overlooked.
Foreword This is the first report of the APPG for SEND. When we formed as a group in early March 2020, we had no idea of the turmoil that we all would face just a few short weeks later as the Covid-19 pandemic hit and the country went into lockdown. The group formed with the aim of supporting special schools and SEND provision in mainstream school and college settings. This past year has seen young people with SEND, their families and their educational settings needing support and a platform more As an APPG we don’t have the power to than ever, as the Covid-19 pandemic has make changes to policy or to systems held a magnifying glass to the existing but, as MPs, we do have influence. This problems in the SEND system. This report aims to further that influence and report serves to highlight their stories; to crystalise suggestions of how things be a platform for their voice. can be improved. And they must be improved. When we began thinking about the inquiry, the members of the APPG We thank all the organisations who were particularly keen to focus on submitted evidence to this inquiry, and how the transitions that young people we are in the privileged position to be with SEND face had been impacted by able to bring together evidence and the significant changes in education statistics from the important research provision since March 2020. they have conducted over the past year. Moving between education settings, for But particular thanks go to the parents either a change of phase or for enhanced and young people themselves, who or different provision, is difficult for all submitted written evidence but also children, but how has this been impacted spoke at virtual oral evidence sessions by the pandemic and what has been the in front of Members of Parliament and specific experience for the children and hundreds watching online across the young people with additional needs? country. While transitions were the focus of the We are grateful to each of you for inquiry, it is clear that the needs and sharing your experience. We hope this experiences of young people and their report and our representations can families are wide-ranging, emotional contribute to improving that experience and often desperate. Many of the during the ongoing pandemic and submissions we received were raw and beyond. anxious – they were reaching out to seek help for their child in a system that has Olivia Blake MP long needed change. Chair of the APPG for SEND APPG for SEND Report Spring 2021 | 3
“ “ It is very sad to see that the lives and care of our young people is regarded as so unimportant that the services we rely on for support... were deemed non-essential and closed down for six months. 4 2 | APPG for SEND Report Spring 2021
Contents Foreword ........................................................................................... 3 Introduction ..................................................................................... 6 Executive summary ...................................................................... 8 Key recommendations ................................................................ 9 Overview of the written and oral responses..................... 11 Hearing their voice: young people and parents in their own words ...................................................................................... 32 Summary of recommendations ............................................. 39 Appendices ....................................................................................... 51 Acknowledgments ....................................................................... 54 APPG for SEND Report Spring 2021 | 5
Introduction Members of the APPG for SEND combination of all of these • To make recommendations to Government on its role in mitigating Olivia Blake MP Labour (Chair) and remedying the impact that Covid-19 has had upon children and Conservative young people with SEND during Sally-Ann Hart MP (Vice Chair) transition Rob Butler MP Conservative The inquiry James Daly MP Conservative The inquiry was launched at a meeting Marsha de Cordova MP Labour of the APPG for SEND on 15 July 2020. From there, it was publicised through the Jack Dromey MP Labour APPG’s website, the APPG’s mailing list and on Twitter. Liberal Tim Farron MP Democrats There was an open invitation to submit written evidence and the terms of Emma Hardy MP Labour reference for the inquiry were publicly available on the APPG’s website. At all Julian Sturdy MP Conservative stages it was emphasised that hearing directly from parents and young people James Sunderland MP Conservative was of particular importance. An invitation to register interest to Objectives of the inquiry submit evidence at the oral evidence sessions was issued on 7 September and • To further build the evidence base there were 49 offers received. of the impact that Covid-19 has had upon young people’s mental health In each oral evidence session, the group and wellbeing during transition sought to hear from at least one young • To further build the evidence base person and one parent as they felt it of the impact that Covid-19 has had was important to hear directly of their upon learning outcomes during experiences. To facilitate the evidence transition of young people, the group contacted • To examine the impact that Covid-19 national organisations representing and has had upon children and young supporting young people with special people with SEND during transition, needs and disabilities. We are thankful to specifically in relation to the social these organisations for facilitating and and emotional wellbeing within the supporting the young people to give oral community. evidence. • To establish where the capacity and responsibility to address the impact This is primarily qualitative research, of Covid-19 lies, whether this be with with written and oral submissions to tell the Government, the sector, parents a story. We have collated quantitative and young people themselves or a research that was submitted. 6 | Forgotten. Left-behind. Overlooked.
Key dates for the inquiry Date Event Inquiry launched at meeting of the APPG for SEND and written evidence 15 July 2020 invited. Terms of reference for the inquiry available on the APPG’s website. Invitation to submit oral evidence and 7 September 2020 confirmation of the dates for 4 APPG meetings with oral evidence sessions. First oral evidence session with a focus 23 September 2020 on communication and interaction. Second oral evidence session with a 14 October 2020 focus on cognition and learning. Third oral evidence session with a focus 11 November 2020 on social, emotional and mental health difficulties. Deadline for submission of written 15 November 2020 evidence Fourth oral evidence session with a 2 December 2020 focus on sensory and/or physical needs. APPG for SEND Report Spring 2021 | 7
Executive summary Contributors to this inquiry have used Delays in the process of assessing for powerful words to describe how young and implementing Educational and people with SEND and their families Health Care (EHC) Plans impacted have felt during the Covid-19 pandemic: on the transitions of young people forgotten, left-behind and overlooked. with SEND. This meant they started in a new setting without the provision The Covid-19 pandemic has amplified the they required or, in some cases, not problems and issues that were already attending school. Not being able to visit present in the SEND system. new settings increased the anxiety of transitions for young people with SEND. The manner and speed in which the lockdown and closure of school Changes to the school set-up and happened had a negative impact on staffing provision has caused anxiety and children and young people with SEND disruption which has been felt acutely by and their families. Many were left without children with SEND. support. Specialist resources and support that are Funding for SEND provision has been of available for young people with SEND long-term concern with local authorities, in school settings cannot be replicated school settings and families reporting in the home environment, which has an deficits in the high-needs budget. impact on their ability to learn. The impact on schools of Covid-19 related costs and losses of income has Therapists and technicians who support exacerbated this crisis. the provision for young people with SEND have in many cases not been The government guidance for special allowed on to school sites due to Covid schools and alternative provision was restrictions. frequently published later than guidance for mainstream schools. This led settings There are some positive experiences and young people with SEND to be seen from the impact of the pandemic on as, and feel like, an “afterthought”. learning which emphasises how every child has unique needs. However, they The Coronavirus Act and the reduction are positive because they mitigate in requirements of local authorities and existing issues and problems. schools to make ‘reasonable endeavours’ has had a negative impact of the support Mental health of young people with available for young people with SEND SEND, and that of their families, has and their families. There is concern that been widely impacted by the pandemic. this impact could be long-lasting. Anxiety was frequently reported. In some cases, risk assessments were The Government and Department for used to refuse attendance in school Education did not do enough to support for young people with SEND. These children and young people with SEND assessments were often conducted during Covid-19. Our most vulnerable without the input of families or the children were failed and schools and young people themselves. families were left to pick up the pieces. 8 | Forgotten. Left-behind. Overlooked.
Key recommendations 1. That the Department for Education 6. That urgent funding is given to ensures that all future guidance support the mental health of young pertaining to schools and other people with SEND as part of recovery educational settings are fully from the pandemic. That all mental cognisant of the complex range health provision is fully accessible for of needs and challenges for SEND young people with SEND and tailored children, schools, families and carers. to their needs. Critically, that such guidance is timely and considered as a priority 7. An urgent review of high-needs both during national emergencies funding is undertaken. This has been and as we emerge from the current long-called for, but the pandemic lockdown measures. has highlighted issues in the funding of provision for SEND. Funding will 2. That an urgent and time-bound be crucial in the recovery from the parliamentary review is undertaken pandemic. by government in order to assess the impact which Covid-19 has had 8. That the Secretary of State for upon children with SEND in order Education publishes the long-awaited to ensure that the support provided SEND review and commits to working as we recover from the global with the APPG SEND and allied pandemic is focussed on the most APPG’s in order to ensure that SEND vulnerable. Such a review to include Children and Young People are placed all stakeholders including children at the centre of government’s policies and young people, parents and carers and decision making. and organisations with a legitimate interest. 9. That support for children and young people with SEND must be a feature 3. That new and additional funding is of all future pandemic planning. made available in the short, medium and long-term to support SEND children and young people with the Covid-19 recovery. 4. Specific funding to be given to addressing the delays and backlog in the process of assessments for Educational and Health Care (EHC) Plans. 5. That the process of applying and assessing for EHC Plans is made simpler and more compassionate. That families should not have to fight for support for their child, even more so in a pandemic. APPG for SEND Report Spring 2021 | 9
“ “ My input was added once the decision that my son had to stay home had already been made. 10 | APPG for SEND Report Spring 2021
Overview of the written and oral responses Learning at school during the not given a ‘choice’, however false, whether to attend school or learn at initial lockdown home. Respondents to a survey2 by Adoption UK “expressed frustration” that Despite children with Education Health places were not offered despite their Care (EHC) plans being one of the child meeting the criteria. This was felt groups able to access learning at school to add to challenges caused by previous during the initial lockdown, several of the disruptions to a child’s education. submissions said that this was not the case. The Children’s Services Development Group (CSDG), whose members A survey1 by 1Voice, a charity that collectively operate over 90 special supports users of augmentive and schools as well as providing foster care alternative communication (AAC), found and children’s homes placements for that 83% of respondents did not access young people with complex needs, school at all between March and July. reported that they became aware that a They cited that this was due to their number of non-member special schools medical vulnerability and the increased had to cease provision during the first risk they face because of their personal lockdown and asked children to return care needs which meant that school felt to their families. In some instances, this too risky. Respondents to the survey was sadly triggered by local authority reported feeling ‘forced to choose’ to commissioning decisions. (CSDG) keep them at home, which left them without care support because the lack of testing meant the risk to life took Support stopped or reduced precedence. The Covid-19 pandemic has resulted in Ambitious about Autism also cited the educational and therapeutic support health fears due to co-occurring provided to children with SEND being conditions or vulnerable members within reduced or stopped completely. their families as a reason for pupils with EHC plans not to access learning in Ambitious about Autism reported school. that 80% of autistic young people and their parents who responded to their Careers Connects reported that even survey3 said that support they had been with specialist settings remaining open accessing before the pandemic stopped during lockdown, the attendance of or was reduced. This includes access young people has been low, with many to vital services such as speech and young people and parents choosing not language therapy, mental health support, to attend and engage in learning. and respite care. Services have had to alter, delay or remove provision entirely Some young people and families were which has increased vulnerabilities. 1 1Voice: survey completed by 12 parent-carers or the young AAC users themselves, who are aged between 8 and 27. 2 Adoption UK: survey of 674 parents/carers of care-experienced and adopted children in early April 2020 3 Ambitious about Autism: survey of over 2000 autistic children and young people and parents/carers conducted August and September 2020 APPG for SEND Report Spring 2021 | 11
organisation with an aim to provide Their submission contends that better outcomes for children and young the disadvantage faced by young people with SEN. They found that people with autism can be mitigated families had witnessed a drastic decline by exceptional support provided in in usual SEND provision from the start education, community services and of lockdown, including all areas across the perseverance of families, but the education, health care, mental health, capacity to do this has been further respite care, and social care services. reduced during the pandemic. Almost all respondents to their survey reported that their family’s special needs In oral evidence, Sense highlighted how support was “significantly impacted” by attending school is more than education. the pandemic. Attending school is often an opportunity for children to receive treatment and During an oral evidence session, Let therapies and support from additional Us Communicate, a volunteer-led, experts such as speech and language independent support group in East therapists and other healthcare London, told the inquiry that the NHS professionals. Not being able to attend providers of therapies such as speech school has impacted on the ability of therapy largely came to a halt. This is children or families to access that vital supported by the Local Government care and support. Association (LGA) during their oral evidence, who pointed out that physical The initial lockdown period from March development has also been badly 2020 meant that many families lost hit through not being able to access their access to not only respite through therapies. education, but any other respite packages of support they had in place. The Royal College of Occupational This put a huge strain on many families, Therapists (RCOT) reported that face- which still continues to impact on them. to-face consultations were limited (Sense) during the initial phase of the pandemic in March 2020. Again, families with 1Voice found 58% of respondents to vulnerable children are reluctant to their survey had no care support at receive people into their homes or all between March and July. Only one visit a healthcare setting even when it respondent had the same hours of is permitted. This has made it difficult support as usual. 22% of those who did for occupational therapists to address continue to get some care had ‘a lot the needs of young people with SEND, less than usual.’ Without additional care particularly physical needs that cannot support, these young people depended be met through virtual consultations, on their parents for everything. The for example reviewing and adjusting complexity of their physical disabilities specialist seating or hand splints to means that they need support with accommodate a child’s growth. feeding, changing, toileting and facilitation for interaction in online They also described how social environments: “The levels of physical distancing regulations have impacted and emotional stress these youngsters the number of spaces that meet the and their families have reported is requirements for occupational therapists enormous”. (1Voice) to conduct confidential conversations with young people, parents/carers and SEN Talk is a London-based non-profit educators. Furthermore, a number of 12 | Forgotten. Left-behind. Overlooked.
children’s occupational therapists were survey of 4,000 families that seven redeployed to adult services at the start in ten parents said their child had of the pandemic. Around one third of the difficulty understanding or completing 1500 occupational therapist respondents schoolwork, and around half said that to an RCOT survey4 were deployed their child’s academic progress suffered. elsewhere and others were unable to work because they were shielding or Sense told the inquiry that parents had unwell. reported that they have had no contact at all from their child’s school whilst A parent who gave oral evidence to the others have had work sent home from inquiry said: “He needs physio, he needs school that they’re unable to access. orthotics, he needs a dentist, he needs speech and language therapy, yet it isn’t In response to unsatisfactory support there. It’s gone. He is not prepared to from their mainstream primary school, transition, he hasn’t the tools he needs to a parent/carer of a child with Autism transition.” Spectrum Condition (ASD/C), Attention Deficit Disorder (ADHD/ADD), and A survey by Family Fund found that 62% Pathological Demand Avoidance (PDA), of families said formal support available replied: “School over Zoom just doesn’t for their disabled or seriously ill children provide the required support for children has decreased due to the Covid-19 with complex needs who already outbreak. struggle with communication and social interaction.” (SENTalk) “Through our helplines, Tribunal Support Service and training we have heard that 54% of respondents to the 1Voice children and young people with SEND survey did not have work provided in an did not receive adequate support upon accessible format. “A picture emerges their transition to remote or a different from the responses of worksheets and kind of education when educational web links being sent home which the settings closed in March.” (IPSEA) learners’ physical disabilities meant they could not access. The work ‘wasn’t Accessibility of at home adjusted at all’ and was ‘not in grid or clicker.’ The online lessons were difficult learning and differentiation for AAC users to participate in.” (1Voice) National Deaf Children’s Society (NDCS) In their submission, IPSEA concurred reported that remote teaching may not that children and young people with be accessible to some deaf children SEND found it difficult or were unable to unless additional communication support access education remotely, either online is provided such as remote speech- or on paper. This was because the work to-text or sign language interpreters. set was not appropriately differentiated, “We believe it’s unacceptable that was provided using software they could accessibility continues to be an not access and/or they did not receive afterthought and would like to see a special educational provision required much stronger lead and encouragement by their SEN that they would have had from the Department in this area.” at their setting (e.g. the support of (National Deaf Children’s Society) trained teaching assistant 1:1 under the supervision of a qualified teacher). National Autistic Society found in a 4 RCOT: survey of 1500 occupational therapists (including 175 occupational therapists working with children and young people) in July 2020 APPG for SEND Report Spring 2021 | 13
Dinah, a deaf young person, gave oral A parent told the inquiry, via an oral evidence to the inquiry and spoke of the evidence session, that: “We don’t, as need to explain to new teachers what parents, have access to that specialist support you require, such as reminding software. That’s all in schools, with them to use the radio aid or to take off speech and language therapists, it’s with their masks: “That takes quite a lot of the people who make the software.” confidence, it can sometimes be a bit embarrassing as well.” The National Autistic Society told how children who usually receive SEN Special Needs Jungle, a volunteer Support in school “fell into a gap in parent-led blog for parents of children provision” during lockdown and were with SEND, surveyed over 1,000 parents left without any additional support at all. and carers in June 2020. Only 18% of These children were mostly at home, and respondents said that their child’s school parents reported that they were unable had delivered enough SEND support to to provide the specialist support their enable their child to complete their work, child received at school to enable them with appropriate differentiation identified to learn. as a major issue. “A significant minority” said they had received no work at all. Costs for parents Resources at home 1Voice told how parents had reported buying spin bikes, hot tubs and ijoy A key part of in-school learning are riders out of “desperation” to keep the resources available to children with their young people as fit and healthy as additional needs which support and possible. Parents reported ‘huge delays’ enable their learning. While learning at for new equipment, such as leg gaiters, home, there were noticeable gaps in to enable vital physical therapy at home. access to these important resources. A lack of space, equipment and support NDCS reported that some deaf children from NHS services means the physical were told that they can’t take their radio needs of these learners have not been aids hearing technology home from met during the pandemic, except for school at this time, even though this through the additional efforts of families could support home learning. who have the resources to do this. Sense reported that, for many children Changes to routines with complex disabilities, remote solutions were not appropriate and Both Ambitious about Autism and the the impact of this was increased social National Autistic Society highlighted the isolation for those young people. impact that the sudden changes caused Furthermore, many of the educational by the pandemic had on children and resources and specialist support children young people with autism. The National with MSI need cannot be replicated Autistic Society described the impact as in the home. Accessible resources like “disproportionate and devastating” due Braille, Easy Read and Picture Exchange to the intense anxiety that is felt around Communication (PEC) symbol systems unexpected change. aren’t affordable or available to families at home to continue learning and Social aspects of school outcomes. (Sense) 14 | Forgotten. Left-behind. Overlooked.
Dr Shepherd and Dr Hancock of the Other activities around University of Sussex found in their education survey of 502 carers that social aspects of education (interactions Adoption UK reported that Covid-19 and communication) were the most restrictions have impacted the type of affected by the learning at home during activities that were allowed in schools, lockdown. Things like taking turns, which has resulted in an increase in sharing, group activities and diverse challenging behaviour. They give the conversations were not possible at example of one child in a specialist home. secondary social, emotional and mental health (SEMH) setting, whose parent Royal College of Nursing highlighted said their behaviour had become more the key role that being in school plays in challenging as the schooling is now more helping young people with SEND learn “sedentary” and “academic” than before social skills, self-value and confidence. lockdown. They will likely be unable to use technology to get in touch with friends and have limited social opportunities as Communication between a result. schools and parents Regional variations Let Us Communicate spoke in an oral evidence session about the need for The differences in the experience of better communication with parents: young people with SEND between “we’re often left in the dark”. regions and areas was cited as a concern by several contributors. National Deaf Adoption UK reported that where Children’s Society noted that online communications between the setting learning materials, transition support, and home were frequent and effective early intervention support and recovery during the lockdown, the transition back plans were available but “not consistently to the setting has been more effectively across England”. In particular, there were managed and better supported. gaps around the support for language and communication. Government guidance Sense also spoke of a lack of consistency, Numerous contributors to this inquiry with many Local Authority Sensory cited the guidance produced by Services sending equipment such as government on SEND provision as an radio aids home to children who were issue, both in terms of its content as well shielding. They raised a concern that as the manner and timing in which it insurance coverage may be a barrier to was produced. A recurring theme is that this equipment being taken home. They SEND pupils and their needs have been described a “postcode lottery” of SEND an “afterthought”5 . provision and urged the government to revise its approach to local solutions The changing guidance from and create a guidance framework for government has had an impact on risk assessment that is appropriate, young people with SEND, their families, particularly for young people who are and schools, particularly where routine shielding. is needed to support the young person. Ambitious about Autism said 5 Submissions from RCOT, PLASN and NAHT APPG for SEND Report Spring 2021 | 15
“ We’ve gone from 24/7 residential Monday to Friday term-time and PA support at “ weekends and holidays, to absolutely nothing and home full-time. I’m a single parent and feeling the strain physically, emotionally, and financially. Nothing is being done to support us. 16 | “Forgotten, APPG for SEND left-behind, Report Spring overlooked” 2021
communicating clearly with children and their parents has been difficult NAHT cited the example that school with the complexity and ever-changing transport guidance, required by pupils nature of Government guidance. They and parents/families prior to the also highlight that this guidance has summer recess in order to establish been focussed on mainstream schools expectations for successful September and colleges. They said many parents 2020 educational transitions, was and children have felt “forgotten and not published until August - well left-behind” in decision-making about after the end of the summer term - education. creating wholly avoidable problems for local authorities and providers in National Deaf Children’s Society pointed communicating arrangements with out that the Department for Education families. failed to consult with organisations representing children with sensory The content of DfE guidance is also an impairments when seeking out feedback issue, suggested NAHT. Speaking about on draft guidance. the updated guidance provided at the start of November 2020, NAHT said: PLASN contended that decision making ”there was a sense that, once again, it appeared to be centred around the was broadly mainstream predicated needs of pupils in mainstream schools guidance that did not adequately and reported a consensus amongst their consider special school and specialist members that clearer, setting-specific setting needs in catering for pupils with guidance was needed: “special schools SEND.” needed to be prioritised by the UK Government rather than treated as an NAHT said the consequences of delayed after-thought.” guidance suggests to SEND children, their families and schools that they IPSEA highlighted that the concerns are “an afterthought”. It also delays of parents of children and young the ability of settings to meet their people who live with someone whose pupils’ needs and puts the schools and health is at a high risk if they contract children at a disadvantage compared to Covid-19 regarding their return to mainstream schools when purchasing educational settings were not addressed. finite resources such as PPE. Department for Education guidance on how settings should approach situations The Royal College of Occupational like this was initially unclear and not Therapists (RCOT) referred to the updated in a timely manner. (IPSEA) inconsistencies between guidance from the DfE and NHS England which The timing of SEND specific guidance has caused problems for allied health was also reported as an issue by NAHT. professionals employed by the NHS but 86% of respondents to an NAHT survey also working in schools. RCOT said it in June 20206 did not agree that has been “confusing and, in some cases Department for Education guidance had conflicting”. Timing is again raised by been published in a timely manner and RCOT, who said occupational therapists 73% of respondents felt that the delays have been required to read and interpret in producing appropriate DfE guidance information from both the DfE and NHS had affected their setting’s ability to and implement guidance often with little make effective planning decisions. notice. 6 NAHT survey of over 570 SEND school leaders, June 2020 APPG for SEND Report Spring 2021 | 17
Sense described the guidance around and Health Care (EHC) Plan, they were PPE for personal care support as deemed to have met this duty if they “insufficient”, which has resulted in many had used “reasonable endeavours” to young people with complex needs who secure the provision. This temporary require such care being unable to return amendment was in place between 1 May to school. They commented that it had and 31 July 2020. taken the DfE and Public Health England “a significant proportion of time” to National Deaf Children’s Society review the guidance. expressed a concern that some families were being given messages implying An oral submission from Great Minds that their EHC plan can be ‘ignored’. Together, a multidisciplinary wraparound team supporting families, schools and Sense reported that this change had services, described the guidance as a significant impact on many of the “chaotic and not sustainable for our planning processes required to support schools’ professionals or parents and an effective transition back to school for carers”. children and young people with SEND. Government guidance recommended Sense described the short and long the use of class or year group bubbles term impact of this amendment as to help prevent the spread of Covid-19. ‘significant’ for young people with SEND However, as Pan London Autism School and their families. They were left without Network (PLASN) identified, this simply vital care and support, and home did not take into account the unique learning tasks were not differentiated or context of special schools, where pupils accessible for their needs. Furthermore, from different classes will be mixing on Sense reported the impact it has had school transport. on the schools, local authorities and clinical commissioning groups to plan Special Needs Jungle said that a large appropriately for these children to return number of parents who commented to school safely. Many of the children during their June 2020 survey believed that Sense supports have not had all the that government had “abandoned or support they are entitled to in their plan neglected” children and young people reinstated, even beyond the temporary with SEND when responding to the suspension. pandemic. National Autistic Society also expressed Coronavirus Act and concern over the long-lasting effects of this temporary suspension. ‘reasonable endeavours’ Both National Autistic Society and IPSEA The emergency powers provided to the reported that some local authorities were government by the Coronavirus Act retrospectively applying the Amendment 2020 “watered down” the legislative Regulations to decisions and steps they entitlements to support for children had been legally required to take before and young people with SEND. Section the amendment came into force on 1 42 of the Children and Family Act 2014 May. The Amendment Regulation caused was amended so that rather than local delays to the EHC plans and meant that authorities having a duty to deliver young people were unable to participate the special educational and healthcare fully in decisions about their transitions provision set out in a child’s Education to different phases and schools. (IPSEA) 18 | Forgotten. Left-behind. Overlooked.
Blanket policies of Covid, meaning I couldn’t attend the meetings that normally would happen so Polly Sweeney, a lawyer specialising in I had a few that were online.” education, community care, healthcare and medical treatment, told the inquiry Polly Sweeney also reported a backlog via oral evidence that she was seeing of EHC plan assessments and decisions too many cases where schools are during oral evidence to the inquiry. She applying blanket policies which are claimed that one local authority was still having discriminatory effects. She gave dealing with assessments from 11 months an example of generic letters being earlier, emphasising that EHC plans were sent for children to sign up to Covid-19 “vital” in ensuring educational transitions behavioural policies that young people can be supported and successful. She with SEND would not be able to adhere noted that delays and backlogs were a to. problem before the pandemic, but the relaxation of timescales would inevitably make the backlog worse. She said that Delays in the EHCP process the guidance from government about how to deal with this backlog was not 1Voice reported that the Covid-19 sufficient despite it being an inevitable pandemic has caused delays to EHC plan consequence. processes which have had a detrimental effect on children’s education, including The need for early intervention was also delays in finalising college places leading highlighted by Down Syndrome charity in one case to a young person becoming Making Chromosomes Count. They NEET (Not in Education, Employment or described the information provided to Training). families who have a child with Down Syndrome as “sparse”, with many National Deaf Children’s Society raised families not realising they can apply concerns about the cancellation of for EHC plan assessment before pre- routine audiology appointments, which school age. Making Chromosomes Count can delay diagnosis and intervention, also contended that many families are which will impact on language and “actively discouraged” from applying, communication development later in with local authorities claiming that the life. They said that there needs to be child is too young. an urgent action plan to address this backlog and emergency funding should be provided. Transitions Dinah, a deaf young person, told the The inability of young people with SEND inquiry in oral evidence of her experience to visit new settings due to their closures of applying for an EHC plan. She impacted heavily on their transitions. described is as “a stressful, draining Royal College of Occupational Therapists and time-consuming process”. She said this was particularly difficult for highlighted the problems with not being young people with physical and sensory able to have face-to-face meetings needs, and those who find change during the process: “It felt as if a bunch difficult. The consequence has been of strangers were deciding my future a delay in implementing tools and based on what they knew about me on a strategies to support their needs, and piece of paper. The application process taking longer to settle in. was made a bit more difficult because APPG for SEND Report Spring 2021 | 19
Adoption UK reported that, due to the them. pandemic, barriers have been created to effective transitions in education for Transitions post-16 young people with SEND. Some were transitioning with no plan in place, and Sense highlighted the case of one young vital information had not been shared, person they were supporting, who was in meaning that, in some cases, EHC Plans the middle of transition to college, which were not in place. had the added issue of moving between local authorities for provision. Support A parent of an AAC user told the inquiry had been available at his current school via oral evidence how the change in staff but had been stopped at the last minute. teams impacts her daughter: “Her TA’s, Covid-19 had caused delays in sending they’re not being trained yet to properly the required paperwork and preparing support her. And this just exacerbates for transition, which had resulted in the a problem that happens anyway with new college being no longer able to transition for children like my daughter, support him. Sense expressed concern where each year when you change over for the long-term impact on this young to a new staff team, it’s almost like they person if the situation could not be go back to square one, re-training all the resolved. TAs, unless you’re lucky enough to have continuity, which is quite rare. When it’s Children’s Services Development left to September that child is constantly Group (CSDG), a coalition of leading losing probably about half a term every independent providers of care and year. Obviously as you say Covid has specialist education services, reported been a huge impact, but it does happen issues with transitions planning during again and again anyway.” the pandemic for young people scheduled to leave their specialist In oral evidence to the inquiry, Let Us provision, which created delays in their Communicate spoke of young people move into adult services. They told being “lost in the system” and “still how their members had experienced waiting in transition”. This was due to pressure from local authorities to extend ECH Plans not being drafted in time and placements for young people up to age not able to progress because in-person 21, without recourse to the resources assessments were not possible. This required or consideration as to whether resulted in some children not moving on this would really be in the best interests to their secondary school placements in of the young person. A consequence September. of this approach is that it creates placement blockages, limiting future Royal College of Nursing described access to specialist education and care how the transition from primary to placements for younger children. secondary school will have been negatively impacted by not being able to In 2020, CSDG published its report have transition days and typical end of ‘Destination Unknown: improving school/leaving activities. Similarly, they transitions for care leavers and young say if young people are leaving school people with SEND’7. This found that a for adult services or employment then lack of consistent and effective transition the lack of transition is going to make support for young people when they this life event a lot more difficult for reach 18 and leave care and specialist 7 Destination Unknown: improving transitions for care leavers and young people with SEND http://www.csdg.org. uk/2020/02/26/destination-unknown-improving-transitions-for-care-leavers-and-young-people-with-send/ (accessed March 20 | Forgotten. Left-behind. Overlooked.
education is resulting in unacceptable following the first lockdown caused life outcomes. CSDG’s own members anxiety and concern for many young have experienced instances where people with SEND and their families. support is removed at inappropriate Ambitious about Autism said, via oral times, making it very difficult for a young evidence to the group, that 70% of person to complete their education or autistic children and young people and be appropriately supported to live as their parents and carers have lost sleep independently as possible in an adult worrying about their return to education social care setting. and just over half weren’t confident that the support would be in place to IPSEA told how intended educational meet their needs when they return to transitions were disrupted by local education. authorities and settings’ responses to the pandemic, leaving children and young The provision required by young people people without suitable placements for with SEND was often not in place for longer. their return to school in September 2020. IPSEA described it as “lacking” “My disabled son has missed out on and reported that they had spoken his final year at school. This has had a to parents who said there was “no negative effect on his mental well-being. reintegration plan” and that support He has had no transition into college, and specified in the EHC plan would not be I’m worried how he is going to cope”. provided, including 1:1 support. (Parent via Family Fund submission) Polly Sweeney also spoke of cases where Career Connects found that some young the provision outlined in EHC Plans was people who were offered apprenticeship not being delivered on the return to opportunities and supported internship school, particularly 1:1 assistance and placements were told they were no therapeutic support. She also highlighted longer available due to the Covid-19 that there was a lack of targeted catch- pandemic. Therefore, they have been left up, which many pupils with SEND would without a post-16 option. This has meant need if they had been unable to access that those young people have suffered online learning while at home. setbacks and this has again affected their mental health and wellbeing. “Going back to college, they didn’t have the ability to support me, so I couldn’t go National Deaf Children’s Society reported back. If I had an Education Health Care how the Treasury had announced Plan they would have put things in place” a package of measures to support – a young person with cerebral palsy and young jobseekers which include a new learning difficulties via oral evidence. Kickstart scheme for work placements, an expansion of traineeships and more In written evidence, IPSEA gave an careers advisors. They emphasised the example of a child who was meant to importance that deaf children were reintegrate into secondary school after considered in such initiatives. being home-educated for a few years. They needed the special educational provision in their EHC plan to be Return to school post-first implemented to facilitate a successful lockdown transition. This did not happen “due to Covid restrictions at school”. They The prospect of a return to school needed a toilet pass but were told APPG for SEND Report Spring 2021 | 21
“ We have been very isolated. The initial lockdown was very confusing to our “ children and now restrictions have been eased and they are expected to return to school without any support regarding transition etc. Their worlds were already very confusing before coronavirus and are even more so now. 22 | “Forgotten, left-behind, overlooked”
they could not have one due to current example of one pupil whose anxiety and circumstances. school refusal started getting worse again because of this. External specialists on school sites Alternative support for transitions Covid-19 restrictions and risk assessments preventing external visitors Many mainstream and specialist schools into school is an issue which has been did their best to support and aid cited by several organisations and transitions between settings during the individuals who contributed. pandemic, with many offering virtual tours and support in lieu of the children Sense found that whilst some children and young people being able to visit are now back at school, many settings and spend time there. However, as with were not allowing external professionals online learning, there were accessibility back in, resulting in children not having issues for children and young people access to important therapies. Sense with SEND. also gave an example of a school refusing to allow a specialist technician Royal College of Occupational Therapists on site to fix a radio aid. They noted that reported that some young people with there was guidance which said this was SEND found virtual tours stressful and unacceptable but that there was little may not have been able to generalize accountability. information they were given to a “real- life context”. Some young people were Schools being closed meant that unable to access virtual tours due to occupational therapists could not review lack of access to the internet, limited accessibility and classroom settings technical skills within their household ahead of transitions in September. and anxiety about using unfamiliar “Even when schools reopened to more technology. The transitions of young students from June 2020, many were people were affected by not having the reluctant to receive visitors including face-to-face meetings, as it was more occupational therapists.” The result of difficult for occupational therapists this is that children returned to school to build up a relationship with young in September without the equipment people during virtual visits and to or support they required being in place. identify students/families who would (RCOT) benefit from additional support. A parent of a child who uses AAC A parent via oral submission spoke of told the inquiry via oral evidence that how her daughter could not go and visit “none of those staff have been able to university as a result of lockdown: “She be properly trained in using her AAC had to move into accommodation having because as well as other complications, not been able to see it - we did see a they haven’t wanted external therapists virtual tour, fortunately there was one to go in. And so her TAs are not being online - but it’s not quite the same as trained yet to properly support her.” getting a feel for it as well.” IPSEA highlighted that parents were also There were some positives to a virtual not allowed on site to help their children transition identified by Essex Family transition back to school. They cite the Forum. They spoke of students from the APPG for SEND Report Spring 2021 | 23
Multi-Schools Council who said they had as caring for a child or young person felt very well supported by transition with SEND in England, found: from primary to secondary school. A benefit included that virtual tours were • 75% of respondents said that their available to watch - and, if desired, re- child had not had a risk assessment, watch - from home with family and or they did not know if one had been friends. conducted. • Of the parents whose children had A head teacher of a special school in undergone a risk assessment, only 9% London gave oral evidence as to the way said they had been fully involved. his school had adapted their transition • Even if they knew a risk assessment process and identified some positives: had taken place, most parents were “Because I couldn’t risk Covid mixing - not involved at all. we’re a Covid-secure school - we invited • In their comments a number families in on the Saturday and, to be of parents indicated that a risk honest, it was so good because we could assessment had been used to actively actually focus our time on the families.” dissuade them from sending their He spoke about how they had arranged child in or to prevent their child’s for autistic young people to have special attendance. visits where they focussed on important things to make them feel settled, such Children and young people with as where to go and where to hang their education, health and care (EHC) plans coat. were at home experiencing the above difficulties because their setting refused Masks attendance. (Special Needs Jungle) For children who had been able to be IPSEA were also told of settings refusing in school or return to school, Sense attendance based on risk assessments reported that the wearing of masks with little or no input from parents. had made it difficult for some children Settings were also unlawfully excluding to participate. Children who rely on children in response to a perceived lipreading have had their ability to inability to meet their needs “attempting understand their teachers and other to rely on Covid-19 as a reason to justify pupils affected. this”. IPSEA also reported parents’ concerns that risk assessments were A deaf young person told the inquiry done without their knowledge and many during oral evidence that: “Socially it were not aware of the requirements for can be quite isolating with the whole them to be done. Furthermore, they cite masks thing because at the moment my several examples where local authorities school has rules that in communal places have acted unlawfully in putting EHC everyone needs to wear masks… I’m Plan assessments on hold due to the quite heavily reliant on lipreading.” pandemic. Sense also report that risk assessments Risk assessments and refusing were also often conducted without attendance input from families and they were used “sporadically”. Had there been A survey by Special Needs Jungle, some opportunity to discuss and work conducted in June 2020, of more than together, then perhaps those children 1,000 families who identified themselves could have returned to school rather 24 | Forgotten. Left-behind. Overlooked.
than “blanket decisions” being made attested that there were several factors about their needs. (Sense via oral affecting whether children could return evidence) to school, such as the school refusing them attendance, the pupil’s anxiety, The lack of a proper framework for illegal exclusion, and no suitable space in completing the risk assessments meant school for a medical device. “I’m almost that there was regional interpretation certain that nobody knows this actual and variation. Sense expressed concerns exact figure at all, as was the case even that risk assessments were being used prior to the recent pandemic”. (Emma as a means of keeping children with Mander, Great Minds Together, via oral additional needs at home, rather than evidence) making reasonable adjustments at school, which has meant some children Sense were concerned about the impact being unable to return. that not being at school would have on the young person’s support plan, as Aerosol Generating Procedures assessments would be missed if they were at home. This has particularly Royal College of Nursing highlighted an impacted young people who were area of risk in specialist school settings transitioning to new settings, as they where children in schools require aerosol were not able to start in September as generating procedures (AGPs) such as planned due to the required support not oral suction, tracheal suction or long being in place. term ventilation. These pupils are only able to access school if the school Children who are shielding environment has adequate provision, the staff have been ‘FIT’ tested, and the risk Sense also raised concerns about assessment supports their safety and children who were having to shield at that of their fellow class members. RCN home because of complex medical members reported that the guidance needs and being extremely clinically from Public Health England was very vulnerable. They are missing out on difficult for the school to adhere to. important therapies, but also achieving (RCN) person-centred outcomes, such as learning independent living skills, if they Sense also expressed concern for pupils are having to shield for a long period of who require AGPs, describing their time, Sense contended that they must be return to school as “challenging”, with given the support to continue achieving many unable to return in September and those outcomes at home. missing further learning. Sense contends that the “watering down” of rights and Sense also raised an issue about the entitlements to support under Section guidance on shielding not appropriately 42 of the Children and Families Act, have recognising the needs of those children led to a lack of forward planning in terms who were required to shield. Many of identifying spaces to carry out AGPs families have received no risk assessment in schools. or alternative support from their local authority throughout the Spring Pupils unable to return to lockdown. school In oral evidence, Great Minds Together APPG for SEND Report Spring 2021 | 25
Funding settings due to the exceptional costs they are incurring as a result of the The issue of funding was raised by the pandemic. However, they assert that this Local Government Association (LGA) will likely be even more acute in SEND in both their written and oral evidence. and alternative provision settings. This They said that councils are continuing may lead to schools not being able to to report the pressures on the High maintain acceptable levels of safety. Needs funding block as “one of the most serious financial challenges” they “This does not appear to be due to any face. They expressed concern that local lack of will or commitment from pupils, authorities would be unable to meet parents/families nor schools/settings - their statutory duties to support children more frequently it appears to be due to a with SEND without additional funding deficit in each sector related to capacity, being made available. inadequate resource, a paucity of mechanisms for effective collaboration “If councils do not receive enough and limited understanding between funding to cover the high cost of SEND sectors as to what is required for all they will not have the resources to our pupils to maintain their wellbeing, allocate extra funding to highly inclusive engagement, progress and learning – schools that take higher than average this has become particularly clear during numbers of pupils with additional needs”. Covid-19 (NAHT)” (LGA, oral submission) Local councils Children’s Services Development Group (CSDG) noticed that the pandemic Local Government Association (LGA) resulted in commissioning decisions reported a positive relationship between being made on the basis of short- schools and local authorities which has term funding concerns. They gave the flourished during Covid-19. They provide example of placements being ended the example of councils supporting sooner than planned “to mitigate funding schools to interpret the guidance from obligations for young people with the DfE, and that it is important that the SEND”. This meant that children had to positive relationships continue. return home unexpectedly which meant there wasn’t time for a transition to be LGA also referenced the government’s planned and support put in place. SEND review and, from that, there needs to be a clear accountability network CSDG also explained that High Needs created and flexibility around funding. funding has been a developing problem They said that the pandemic has shown over many years and is something the challenges that councils, schools and that has been “exacerbated” by the health care providers currently have in pandemic. This has led to regional fulfilling their duties to support children variations based on access to services, with SEND. available funding and “placement decisions typically now being based on Agencies working together short-term cost considerations, rather than the full needs of the child”. Parents painted a picture of the difficulties they encounter when trying NAHT referenced the funding issues to achieve the support their children’s that are being faced by all education needs. One parent, in oral evidence, 26 | Forgotten. Left-behind. Overlooked.
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