Schools White Paper: Every Child Achieving and Thriving

Baroness Maclean of Redditch Excerpts

Tuesday 24th February 2026 Lords Chamber

[Baroness Maclean of Redditch (Con)]

My Lords, I know from my work as an MP how sensitive this issue is and how important it is to families. I used to represent a constituency that the Minister will know very well.

There are concerns that we should not ignore. A number of eminent clinicians and psychiatrists are now raising concerns that the expansion of diagnostic labels to conditions such as autism and ADHD is causing children with the most severe and complex needs to be overlooked. Given that one in three EHCPs is now given for autism and that the number of children overall with SEN is rising, does the Minister think there is any validity in these concerns? If she does, will she look at it? What is the response? Will the Fonagy review look at this issue specifically as well?

[Baroness Smith of Malvern (Lab)]

The noble Baroness is right that I know that constituency very well, having proudly represented it for 13 years—although I am afraid that the history of Worcestershire’s approach to special educational needs has not always been as effective as we would want it to be. There is a challenge to be made to local authorities to ensure that they are stepping up to the mark, given the considerable additional investment that we are putting into the system.

On the point about diagnostic labels, the important thing is that we should not be waiting for a child to receive a label to determine whether they have needs that need to be met, both through more inclusive mainstream teaching and through additional support being provided within schools. Even when we get to the specialist provision packages, they will be determined not by labels but by the needs that children have in order to make progress.

On the point about overdiagnosis, we need to be careful. The Secretary of State has been clear about that. He has commissioned further research into the nature of the diagnosis, particularly in the areas of mental health and other learning difficulties. That is an appropriate thing to have done.