Baroness Fox of Buckley (Non-Afl)

My Lords, this group of amendments is important because I think we have a crisis in SEND provision. I am particularly attracted to Amendment 498, on the SEND provision review, in the names of the noble Lords, Lord Holmes of Richmond and Lord Watson of Invergowrie, and the noble Baroness, Lady Grey-Thompson. Also, on Amendment 502V in the name of the noble Baroness, Lady Grey-Thompson, on the need for more transparency and reporting on SEND funding in state-funded schools, that seems a key and obvious demand, because the SEND issue is having a huge financial impact on schools and education in general. But for me, as well as that, the issue of SEND provision is important because it potentially shapes how young people see themselves, and in some instances they are being encouraged to develop a habit of dependence and pathologising their own everyday experiences. One in five children in the UK are now identified as having SEND needs, and the number of education, health and care plans for those with the most severe needs has increased by 83% from 2015-16 to 2023-24. The number of 11 to 15 year-olds receiving disability living allowance for which the main condition determining eligibility is a learning disability such as ADHD increased by 70% between 2018 and 2024. So something peculiar seems to be going on and, as part of explaining what is happening here, we need to acknowledge that there is a widening social definition of mental health and neurodiversity—an issue I will raise briefly again in the next group. Informally, if you go into any school and talk to pupils of all ages, as I do—obviously, as teachers do and those who are familiar with young people—young people regularly describe themselves these days through the prism of a range of mental health acronyms or their particular divergence from the neurotypical norm. They use the language of medical textbooks and psychiatry with ease. Meanwhile, teachers too think in terms of these labels—I am sure that we are all watching “Educating Yorkshire” on Channel 4; it is great viewing—and, almost inevitably, if there is a behavioural issue, staff suggest testing the pupil for ADHD as both an explanation and a solution. So investigating what is going on here is essential, and that is why I am interested in the review. In that context, I hope that the tablers of the amendment and the Minister get the opportunity to read—if they have not read it already—a new Policy Exchange report entitled Out of Control: Addressing the Rise in Psychiatric and Neurodevelopmental Disorders amongst Children and Young People. I do not always agree with Policy Exchange, but I found this report fascinating. One issue it identifies is a bug in the system of support. It argues that it is “designed to meet the needs of a small number of specialised cases, rather than the sizeable” numbers that it is now expected to support. Even more troublingly, it says: “These systems of support can also incentivise diagnosis-seeking behaviour … which has squeezed support for those with the most severe needs”. Those kinds of issues were touched on by the noble Lord, Lord Gove, in an earlier group. So, to return to spending, spending on EHCPs for those with SEND has ballooned, but funding per head has fallen by nearly a third since 2015-16. So I hope that the tablers of the amendments and the Minister will consider the risks of overdiagnosis in relation to SEND but also how current support may inadvertently encourage an escalation in perceived need, rather than target the support where it is absolutely needed the most, as has been vividly described by some of the speakers on this group.