The Government is seeking views on their green paper about the changes they want to make to the special educational needs and disabilities (SEND) and alternative provision (AP) system in England.

The Government commissioned the SEND Review in September 2019 as a response to the widespread recognition that the system was failing to deliver improved outcomes for children and young people and that parental and provider confidence was in decline. The SEND review green paper sets out the Government’s proposals for a system that offers children and young people the opportunity to thrive, with access to the right support, in the right place, and at the right time, so they can fulfil their potential and lead happy, healthy and productive adult lives.

The SEND Review highlights key areas for the case for change:

  • Children and Young People with SEND and those in alternative provision have consistently poorer outcomes than their peers
  • Experiences of the SEND and AP provision system are negative
  • The SEND and AP system is financially unsustainable
  • There is too much inconsistency across the SEND system in how and where needs are assessed and met
  • A vicious circle is driving these challenges

The Government has opened a consultation to improve outcomes for children and young people in England with SEND and those in alternative provision.

To achieve this ambition, the Government wants to work with and hear from:

  • children and young people
  • parents and carers
  • those who advocate and work with the SEND sector
  • local and national system leaders

We have 13 weeks to get this right, so please consider the proposals set out in the Government’s  green paper and respond to their consultation.

Together, we can ensure that every child and young person with SEND and those in alternative provision can thrive and be well prepared for adult life.

iHV is collating a response to this consultation – please contact us (via email to [email protected] by 10 June 2022) if you have comments that you would like us to consider as part of our submission.

This consultation closes at 11:45pm on 1 July 2022.
If you have comments that you would like iHV to consider as part of our submission, please send via email to [email protected] by 10 June 2022

  • A separate summary covering the SEND and AP green paper and responding to the consultation is also available.
  • A British Sign Language (BSL) version and an easy-read version of the green paper will be available in early April.
  • If you would like a Braille or audio version of the green paper or an accessible format that is not listed, email [email protected].


iHV is delighted to publish its response to the Prevention Green Paper: Advancing our health: prevention in the 2020s.

We have provided a response to the online consultation. In addition, we have made some further points which we believe will strengthen the positive proposals in the Green Paper to give every child the best start in life – and sent via letter to the Secretary of State for Health & Social Care, Rt Hon Matt Hancock MP.

Overall, we welcome the government’s commitments outlined in the Green Paper. In particular, its desire to put prevention at the centre of all decision-making, with a focus on the importance of investing in our health throughout life – starting in the early years.

Investing in the earliest years saves money in the long run and, more importantly, ensures that every child is supported to achieve the best start in life with foundations for good health throughout the life-course. As inevitable from a Green Paper, it lacks the detail needed to determine whether the ambitions will be supported by a real funding uplift and the workforce support required to implement the recommendations in full. We are hopeful that this will be addressed in the stated commitment that national and local government will work together to ensure the plans succeed.

In light of the publication of the Government’s green paper on Transforming Children and Young People’s Mental Health Provision (in February 2018), iHV is delighted at the decision of the House of Commons Select Committees on Health and Education who have agreed to launch a joint inquiry to scrutinise the proposed scope and implementation of the green paper. Key recommendations include: considering the role of health visitors and children’s centres in promoting emotional wellbeing in the early years.

Institute of Health Visiting raises their concerns that the Green paper proposals for Transforming Children and Young People’s Mental Health Provision are a missed opportunity to reduce the number of children and young people ever experiencing mental illness.

In a letter to Secretary of State Jeremy Hunt MP, the Institute sets out the evidence for the green paper to address the opportunities for building emotional resilience in childhood from pregnancy onwards, and reducing the incidence of mental illness in childhood.  It also highlights the critical contribution of the health visiting service to early intervention, through full delivery of the Healthy Child Programme as a gateway to appropriate levels of support for children and, where needed, specialist services.