4.5 Article

Special educational needs, social care and health

Journal

ARCHIVES OF DISEASE IN CHILDHOOD
Volume 106, Issue 1, Pages 83-85

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/archdischild-2019-317985

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Funding

  1. Medical Research Council through the UCL-Birkbeck doctoral training partnership [MR/R502248/1]
  2. National Institute for Health Research (NIHR) Children and Families Policy Research Unit
  3. ESRC [ES/L007517/1] Funding Source: UKRI
  4. MRC [1940099] Funding Source: UKRI

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The study found that a high proportion of children in care or in need during school years had received SEN provision, and a significant proportion of children who were neither in care nor in need had also received SEN provision. Healthcare, SEN provision, and social care services focus on the same population of children and better integration of these services could lead to synergies and cost-efficiencies.
Better understanding of the proportion of children who ever receive special educational needs (SEN) provision or social care services during school years is highly relevant for healthcare as reductions in one or more of these services could impact on healthcare. Using the National Pupil Database linked to the all-of-England children looked after return and children in need census, we estimated the cumulative incidence of SEN status among (1) children ever in care during school, (2) children in need but not care, and (3) neither. We observed a very high proportion of children who were in care or need during school years had SEN provision at some point (83% and 65%, respectively), and that a high proportion of children in neither of these groups did so, too (37%). Healthcare, SEN provision and social care services focus on a similar population of children. Better integration of these services could lead to synergies and cost-efficiencies and better support for these children and their families.

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