Special Educational Needs and Disabilities: Specialist Workforce

John McDonnell Excerpts

Wednesday 22nd March 2023 Westminster Hall

[John McDonnell (Hayes and Harlington) (Lab)]

I declare an interest, Mr Sharma—my wife is Dr Cynthia Pinto, chair of the committee on the Division of Educational and Child Psychology, and she is active in the Association of Educational Psychologists, so you can imagine what our breakfast conversations are like. I welcome the Minister, who has had responsibility for disabilities in the past, which gives her an understanding of some of the issues we face. She has also been a Parliamentary Private Secretary in the Treasury, so she knows where the money is buried, which is extremely helpful. I thank Professor Vivian Hill from the Institute of Education at University College London, who has provided a number of us with briefings on educational psychology.

I want to draw attention to the issues facing educational psychologists. The chief inspector of education identified that the demand and need for educational psychology services from schools and families, to support early intervention and preventive work, has significantly increased. The inspector’s report also identified that there is a huge geographical variation—to which my hon. Friend the Member for Swansea West (Geraint Davies) referred—in access to EPs, and noted that 60% of local authority EHCP assessments are not being completed within the 20-week timeframe as required.

Alternative provision has been mentioned. The Ofsted report last November identified that more children are being referred to alternative provision, but often because of the lack of access to specialist services in mainstream schools. Let us look at the stats on the increased numbers of education, health and care plans being issued. During 2021, 93,000 initial requests were made for assessment for EHCP—up from 76,000 in 2020. It is the highest number since data was first collected in 2016. His Majesty’s chief inspector of education reported that 1.5 million pupils were identified with SEND in 2022—an increase of 71% on the previous year; I found that staggering. The number of EHCPs has also grown by 51% since 2014-15. I think we are all experiencing that in our constituencies, as we receive representations from parents struggling to gain access to the planning processes.

Also interesting—I wonder whether others have experienced this—is the significant increase in the number of SEND tribunals, which becomes incredibly expensive for the local authorities. This is worrying. It is interesting that Professor Hill has identified this from the various statistics that have been brought out, and it was raised in a debate in the main Chamber a couple of months ago about the unmet mental health needs of children and young people. A record number of children and young people are being referred to NHS services for mental health difficulties. In the previous debate on this issue, MP after MP reported the issues and demand on CAMHS that are overwhelming it; that is increasingly worrying.

An increased number of children and young people are being permanently suspended or excluded from school. Some Members might have listened to the reports this morning about the number of “ghost” children, who are no longer in school. The figure of 20% was absolutely staggering. Covid has obviously had an impact, and there is a continuing impact on mental health, but local authorities struggle to maintain levels of support services for families in particular.

I also found interesting the evidence that local authorities struggle to recruit educational psychologists. The recent local government ombudsman report shows that 70% of local authorities are now struggling to recruit EPs. The Government have recognised that; it is one issue that is being addressed in the future of our workforce plan for skilled workers and the recruitment of staff. It has also been recognised that the recruitment of staff from overseas can assist us during this period while we struggle to recruit.

Many local authorities are now relying on locum cover from private providers but, as hon. Members will appreciate, that can be extremely expensive compared with direct investment. Educational psychologists have raised with the Government the issue of adequate funding of the services overall, which my hon. Friend the Member for Swansea West mentioned. Specifically for EPs, the Government responded in December with £21 million in additional funding, which was welcome. That will be for intakes from 2024, but the problem is that the core funding is inadequate—it has not been increased since 2020.

Let us look at the figures put out by the British Psychological Society, of which the Division of Educational and Child Psychology is a part. The announcement of £21 million for 400 additional educational psychologists is definitely a step in the right direction, but the BPS says that it really does not go far enough to close the workforce gap. The figure that I find shocking is that we are now at the stage where in 2017 there were about 3,000 educational psychologists working in England; on average, that is the equivalent of one educational psychologist for every 3,500 children and young people between the ages of five and 19. Again, there was one for every 5,000 for those between the ages of nought and 25 —the plan period. Therefore, the demand is for a greater increase of investment in educational psychologists to increase the numbers because of the increasing demands.

I will raise one issue that is specific to my own patch, but which may be reflected in other constituencies. I have 2,400 refugees—asylum seekers—in hotels in my constituency, including many children, who go into local schools. I have toured the hotels and done advice surgeries in them, and what has been reported back from the schools and from the discussions I am having with families is that a number of those children, who are largely from war zones, are suffering from post-traumatic stress disorder. That is placing an increased burden on individual schools. The teachers welcome rising to that challenge, but they need additional resources.

I would welcome a discussion with the Government—maybe all MPs have this situation in their constituencies—about what additional resources could be targeted at particular areas so that they can overcome this period, which I am sure will be temporary, but requires resources at the moment. The message is clear from the DECP and others: additional resources need to be specifically targeted at the recruitment and training of educational psychologists to meet this growing demand and, exactly as the hon. Member for Hastings and Rye (Sally-Ann Hart) said, to give children the life chances that they desperately need.

[Mr Virendra Sharma (in the Chair)]

Looking at the time and the Front Bench, I would appreciate it if Members would stick to four minutes.

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[The Parliamentary Under-Secretary of State for Education (Claire Coutinho)]

It is a pleasure to serve under your chairmanship, Mr Sharma. First, I congratulate the hon. Member for Swansea West (Geraint Davies) on securing a debate on this incredibly important subject. It is wonderful to see so many people in agreement about what is needed, and to have seen the expertise on show today. I hope people can see from our SEND and alternative provision improvement plan the seriousness of the Government in trying to respond to the needs of children with special educational needs and disabilities across the country.

The hon. Member rightly talked about the importance of early language, which we know feeds into children’s overall learning and literacy. He talked about the importance of education and health working together, and I am pleased to say that we jointly published that report, and that the Department of Health is very much working hand in glove with us on the plans. He also spoke about the importance of all-teacher training, which is crucial, early identification and getting a diagnosis, and recruitment and retention. I confirm that I would be delighted to meet with him, and we will talk about dates. I shall touch on some of those subjects in my speech.

I have had the privilege to meet some of the galaxy of professionals, as the hon. Gentleman said, who support children and young people with SEND. Whether they are in early years, schools, colleges, health and care settings, or specialist and alternative provision, those are some of the best visits that I do; it is a joy to meet a group of people who are so dedicated, skilled and passionate about meeting the needs of their children and young people. Hon. Members mentioned investment in the specialist workforce a number of times, and I am keen to engage with all the charities and organisations that have expertise in this issue as we take our plans forward to the next stage.

The SEND and alternative provision improvement plan is meant to support the entitlement set out in 2014 through a much clearer local and national focus on the strategy for how we can plan to meet those needs, whether that is through best practice guides for teachers or local inclusion plans, which mean that each area will have to assess and work out how to meet those needs. The funding has increased by more than 50% over the last few years. The idea is that all those parts of the system will be looked at and will hopefully work better together to meet rising need, improve access and build confidence in the system. A number of Members talked about the fact that there is not enough alternative provision, that there is not enough early years support or that there is something specific in their area such that needs are not being met. I hope that the whole system change that we have set out will go a long way to addressing those issues.

Through our consultation process, we heard too many stories from families who are frustrated by the system and battling to access specialist support. We also heard that reform is not possible without a strong, capable workforce with a specialist skillset. I want to assure everyone that we have taken those comments on board and are working hard to make the reforms a reality.

I want first to talk about the specialists who work so hard to provide extra support. They will be key to ensuring that we can do what we need to do for these young people. The right hon. Member for Hayes and Harlington (John McDonnell) rightly mentioned the importance of educational psychologists and children getting through the EHCP process. He mentioned that educational psychologists can provide professional advice to children and young people and drive better life outcomes. I completely agree with his emphasis on them. He is also right that I used to be a Treasury PPS; I had fewer opportunities to agree with him then, so it is nice to be able to do so today. We have announced an additional £21 million to train more educational psychologists. We increased the number of people coming through the system in 2020 and, because of the training time, some of those people are coming through now. He is right that this issue will be crucial in ensuring that we can meet needs.

It is also important—I will touch on this later—to improve broader teacher confidence. In the case of something such as speech and language support, if we had better confidence and evidence-based interventions in mainstream settings, we would have a reduced need for educational psychologists and EHCPs.

[John McDonnell]

All of us will assist the Minister through representations to the Treasury about the required early investment that eventually saves money further downstream. I am happy to engage in any lobbying of Treasury Ministers to get that message across, as some of them have not yet fully grasped it.

[Claire Coutinho]

I thank the right hon. Gentleman, but I would slightly disagree with him. When I was in the Treasury in 2019, I worked on the increase, which we are starting to see, in the high needs funding block, which has gone up by 50%. There is also the £2.6 billion that we are spending on specialist places and the £20 million, which I have mentioned, that we have set out for educational psychologists. We have backed a lot of reforms with funding over the past few years, but I will gladly work with him on anything in this area.

We have also committed to working with the Department of Health on a joint approach. The hon. Member for Swansea West talked about engaging with the specialist sector in health, and we are definitely planning to do that. We do not want to reinvent the wheel; we want to work with people who have expertise in this area.

Access to speech and language therapy has rightly been mentioned. I know the hon. Member for Swansea West has a deep expertise in that, and I am particularly passionate about it. In the improvement plan, we announced that we will partner with NHS England to include early language and support for every child pathfinders within our £70 million change programme. My hon. Friend the Member for North West Norfolk (James Wild) mentioned meeting to discuss that, and I would be delighted to do so. The plan for those pathfinders is that they will trial new ways of working to better identify and support children with speech and language communication needs. We are also looking at family hubs. We have support for Nuffield early language intervention in primary schools, and we are putting support in place with home learning environments. In 2020, there were 620 acceptances to speech and language therapy programmes in England. That was an increase of 28% from 2019. We are working with the NHS on a long-term plan, which will look at therapists, and we are also working on the steering group that we will set up this year.

On the mainstream workforce, my hon. Friend the Member for Wantage (David Johnston), whom I am meeting later today to discuss this issue, rightly said that inclusive schools make for an inclusive society. We will be looking at the initial teacher training framework and early career framework, but, importantly, we are setting out best practice guides, starting with autism, mental health and wellbeing and early language, to ensure that the wider workforce all have that specialist ability as well. It is really important to understand different conditions and what can be done.

Members have mentioned that we are introducing the new SENDCO NPQ, which will replace the existing qualification That will be Ofsted and Education Endowment Foundation assured. Members, including the hon. Member for York Central (Rachael Maskell), have mentioned teaching assistants. The Chair of the Education Committee, my hon. Friend the Member for Worcester (Mr Walker), mentioned his sister. Teaching assistants are vital. We are starting a research project to develop our evidence base on current school approaches, demand and best practice.

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[Geraint Davies]

I have a surprising amount of time, but I will not take all of it. First, I would like to thank everybody who took part in the debate, with consensus about this massively important issue, which affects 1.5 million people across Britain. We welcome the Minister’s sentiments. The point has been made that we need to speed up and deliver for the people who are seeing their children’s life chances ebbing away in many cases, as we speak.

[John McDonnell]

Since my hon. Friend has a couple of minutes, one issue raised by the Minister was the role of the voluntary sector. I know he was speaking on behalf of a coalition of groups, but one issue we have not examined is the funding of those individual organisations. Many of us have concerns about the drying-up of funding from local government to the voluntary sector. We might now need to put that back on the agenda in discussions with the Minister.