Related Experiment Video
Updated: Mar 24, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
Examining local level variation in Special Educational Needs and Disabilities (SEND) service provision and associated
Jennifer Clare Saxton1, Ariadna Albajara Saenz1, Owen Williams1
1University of Cambridge, Cambridge, UK.
Abstract:
The Special Educational Needs and Disabilities (SEND) system in England was reformed in 2014, including the introduction of child-centred legally binding education, health and care plans (EHCPs) and expectations for improved multi-agency working coordinated by local authorities (LAs). Since then, service-user satisfaction has declined, and children's outcomes have not improved. Critics cite local variation in SEND provision and limited accountability for implementation failures as contributing factors. This scoping review summarises peer-reviewed and grey literature as well as open-access data sources reporting LA and multi-academy trust (MAT) level variation in SEND provision to identify key reasons for local variation SEND services, and data sources that could be used to better monitor local public bodies. We identified and graded 120 articles/reports (18 peer-reviewed, 102 grey) and 8 open-access data sources. The literature investigated nine topic areas; most studies were low quality. Eight open-access data sources included information about SEND prevalence, demand and provision complaints. Our review highlights that LAs were underprepared and under-resourced to implement the reforms. The administration involved in EHCPs contribute to variation in multiple ways. Greater standardisation and guidance for professionals could reduce variation. Existing data sources could be better used to improve monitoring and accountability for local provision, which should include MATs given their potential to influence SEND provision. Low-quality studies dominated the grey literature. More rigorous methods and reporting standards could also improve decision-making and service planning.
Related Concept Videos
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Learning Disabilities
Dyslexia
Dyslexia is a...
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities

