Committee publication · Correspondence · 2 September 2025

Letter from Joint Unions on Solving the SEND Crisis, dated 28.05.25

From: Education Committee

Inquiry: Solving the SEND Crisis

Summary

Joint unions (GMB, NAHT, UNISON, Unite) write to the Education Committee chair regarding the SEND crisis inquiry's oral evidence session of 29 April 2025. They highlight that while healthcare provision in schools was discussed, critical legal gaps remain unaddressed: neither the DfE, DHSC, nor NHS England has established a legal basis for delegating clinical NHS tasks to school staff at organisational or individual level, creating potential liability and compliance risks.

Key findings

  • No legal basis has been provided by DfE, DHSC, or NHS England for delegating clinical NHS healthcare tasks to school support staff at organisation or individual level
  • Unions acknowledge limited legal exceptions exist for therapy interventions in EHC plans deemed special educational provision, but these are exceptional rather than routine
  • Healthcare delivery by untrained school staff to children with medical conditions lacks clear legal foundation and represents the norm rather than exception
  • Oral evidence session on 29 April addressed healthcare provision in schools but failed to resolve underlying legal and liability issues

Tone

Adversarial

Topics

special-educational-needshealth-care-provisioneducation-policylegal-compliance

Key actors

Helen Hayes MP, Education Select Committee, Department for Education (DfE), Department of Health and Social Care (DHSC), NHS England, GMB, NAHT, UNISON, Unite, Royal College of Nursing (RCN)

Notable line

Neither the DfE, DHSC or NHS England have provided a legal basis for the delegation of clinical tasks from the NHS to schools at an organisation or individual level.

Key Quotes

Neither the DfE, DHSC or NHS England have provided a legal basis for the delegation of clinical tasks from the NHS to schools at an organisation or individual level.
Joint Unions (GMB, NAHT, UNISON, Unite) · Identifying the core legal gap in healthcare delegation to schools
… in the context of children with health needs and medical conditions, these instances would be the exception rather than the rule
Joint Unions (GMB, NAHT, UNISON, Unite) · Distinguishing between rare lawful exceptions and the broader unlawful practice
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Source · parliament.uk record ↗

Letter from Joint Unions on Solving the SEND Crisis, dated 28.05.25 | Beyond The Vote | Beyond The Vote