Should the NHS pay more to support children with SEND?

The new index of deprivation, published today by the government, contains an important message about affluent areas such as Oxfordshire.  English indices of deprivation 2025: statistical release – GOV.UK

Oxfordshire ranks highly on three of the four areas I looked at, and especially so on Health and Employment, where the lowest rankings are 65/296 in health and 36/296 in employment, and the highest 8/296 in health and 4/296 in employment.

District CouncilEducationHealthCrimeEmployment
South Oxfordshire258288287292
Vale of White Horse235284283275
West Oxfordshire233279285263
Cherwell155252231260
City of Oxford156231123262
District CouncilEducationHealthCrimeEmployment
South Oxfordshire38894
Vale of White Horse61121321
West Oxfordshire63171133
Cherwell141446536
City of Oxford1406517334

However, the ranking for both Cherwell and City of Oxford districts for education, at 141 and 140/296 compare badly with the ranking elsewhere in the county. Overall, the education ranks are still the lowest ranking scores for all districts, except for the City of Oxford, where the ranking for crime is 173/296, over a hundred places lower than any other district in the county.

The comparison between the education rankings and the health rankings raises an interesting question. Why is education doing so badly in Oxfordshire, especially in the urban areas of Oxford and Banbury? It is difficult to blame the local authority, as all but one of the secondary schools and many primary schools are academies and part of MATs.

Perhaps the formula for education funding is so linked to the county’s rank across all indices that the current funding formula for schools cannot compensate for the needs of Oxfordshire children living in its most deprived communities.

It is clear that there are issues nationally with the formula for the High Needs Block that funds SEND, but again does Oxfordshire lose out more than other areas? After all, it schools are generally highly regarded by ofsted; it has two world class universities, and leading science and technology companies driving the economy.

On the SEND issues, one question is whether the NHS is pulling its weight on supporting children with SEND? Assuming that the overall ranking for the county is not going to see any government be more generous to Oxfordshire with regard to funding, however the present county may be configured post local government reorganisation, then there must be a strong case to require the NHS to spend more resources on supporting children with special needs even if its overall ranking slips a few places as a result. This would reduce the need for the county, and the schools within the county, having to prop up spending on SEND that should really come from the health budget.  

There is no doubt Oxfordshire is not a county with a high degree of deprivation, but what deprivation there is can be concentrated in a few wards in the urban areas abut also spread out across the rural parts of the county. The former is easy to identify, the latter more of a challenge. Both need more funding for education.