Speeches by Craft.

“I am trying to get to the heart of whether you see that guidance being implemented when it comes to the wraparound care side of it. We obviously have data on the use of prescribing, but not necessarily on that holistic side. It sounds like at the moment you do not have data on whether that guidance is being adhered to.”

“The others have summed up basically what I would say. However, I think the work that we have done on the Committee has really shone a light on how we are on the precipice of quite a crisis regarding this issue. We can move the debate forward a bit by shining a light and seeing what comes up.”

“I thank the hon. Member for her chairship of the Health and Social Care Committee during this inquiry. As someone who has bipolar disorder, it was a really difficult experience to sit through at times, as I watched witness after witness after witness speak to what is very much my own experience. I have called myself lu…”

“It would be really helpful to have an illustrative example of that. Before I hand back to the Chair, I am trying to get to the heart of what bit of what health is supposed to provide it would be useful to have on a statutory footing. Is it about the commissioning of services? Is it about early intervention and what is …”

“Have you got an example of that?”

“Good morning. I would like to move on to what the proposed reforms in the schools White Paper might mean for that missing “H”. How confident are you? Do you think that the new tiered model proposed in the White Paper—universal, targeted, targeted plus and specialist—and the introduction of individual support plans that…”

“Are you able to get an accurate idea of the level of resource, or do you need more data and help? What do you need to understand it?”

“To circle back to accountability, is there an opportunity, when we see the forthcoming SEND legislation, which will probably be in the next parliamentary Session, to bake more accountability into the system when it comes to healthcare needs?”

“What I am driving at is that, in the White Paper, you have a model where you are looking at trying to avoid EHCPs, which is very much what you are speaking to—not having that demand at the higher end of the system. It sets out that people whose children are on an individual support plan, or are going through the four n…”

“Ingrid and Dawn, you are both DCOs for SEND. Our documents do not list that you are from ICBs, but that is who you work for. Do you have the capability or capacity to commission what is set out in the SEND White Paper? We heard in the first panel that a lot of specialists and paediatric therapists are used for a large …”

“I am picking up from you that you do not feel that there is enough join-up between health and education in the publication of the White Paper and the proposals that have been put forward. Is that fair to say?”

“It is interesting, because the direction of travel in the White Paper is to address needs at the earliest opportunity, with early intervention and with Experts at Hand, which is very much delivered by the health service. What I am hearing from you is that you are asking for a national framework—something that sets the …”

“I noticed that social, emotional and mental health were not explicitly mentioned in the areas of development, so I can see the concern.”

“Do the other panellists think that health is potentially missing from the White Paper in terms of how you are going to drive that direction of travel?”

“I just wanted to pick up on something. The SEND White Paper contains a joint foreword by the Secretaries of State for Health and Education, and I noticed that they said, “We will join services up, wrapping health and care around our nurseries, schools and colleges” and so on. What seems to be coming from you quite loud…”

“Do you think that continuing care funding is sufficient to meet need at the moment for children with the most complex needs, or should it be expanded?”

“Do you think that there is enough health input from DHSC, for example, in the design of the new support packages? I know they have not been unveiled yet and they are very high level, but do you think that input is coming through? I think five to seven areas of development have been published.”

“Coming back to continuing care, I know of several cases where people would think, “This is a child with significant and the most complex of the complex needs,” to use your phrase, but they cannot access that fund. It speaks to a broader point: these parents are not able to co-ordinate their child’s medical care or get …”

“You mentioned continuing care. I think only 10% of the most complex and serious cases that apply for it—these are children with life-limiting conditions—actually get it. Does that not speak to a wider issue in the system that even though there are supposedly funding streams that should be helping, the access and the ab…”

“To pick up on that, I think there are potential equity issues, if you have clusters of schools in, say, higher-income areas, which are going to be much more able to commission those services than ones in low-income areas. Is that fair to say as well?”