JSNA Health and Wellbeing Profile 2021/22 - Bristol City Council

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JSNA Health and Wellbeing Profile 2021/22 - Bristol City Council
JSNA Health and Wellbeing Profile 2021/22
Special Educational Needsi and Disability ii (SEND)

Summary points
•      There are just over 11,750 pupils in Bristol schools with Special Educational Needs (SEN),
       which is 16.9% of all pupils.
•      Hartcliffe and Withywood has the highest rate of school pupils with SEN in Bristol (234.5 per
       1,000) and Cotham has the lowest (95.6 per 1,000)
•      Approximately 4.1% of Bristol’s child population have a “limiting long-term illness or
       disability”, higher than the national average of 3.8%.

Numbers of children and young people with SEN in Bristol schools
As at January 2021, there were 69,412 children on roll in Bristol schools 1.
   • 11,758 (16.9%) pupils with special educational needs (SEN)
          o 9,541 (13.7%) are receiving SEN support
          o 2,217 (3.2%) have an Education, Health and Care Plan (EHCP)

       •   582 pupils with an EHCP are female (26.9%) and 1,580 are male (73.1%).

                                                                                Source: School Census Jan 2021

       •   4,736 pupils with SEN support are at a primary school (12.9% of all primary pupils) and
           3,378 are at secondary schools (incl. All-throughs) in Bristol (14.4% of secondary pupils).
       •   1,126 pupils with an EHCP are attending a special school(99% of all pupils in special
           schools), 460 are at secondary school, (incl. All-throughs) which is 2% of all pupils in
           secondary school and 534 are at primary schools (1.5% of all pupils at primary). 13
           pupils with an EHCP are attending nursery and 31 a pupil referral unit
       •   The proportion of children with an EHCP in primary schools has increased in the last
           year to be greater than the proportion in secondary schools.

1
    All Bristol schools including academies and independent schools
JSNA Health and Wellbeing Profile 2021/22                                                                       Theme: SEND

                                                                                                                                   Source:
                                                                                                                                   School
                                                                                                                                   Census
                                                                                                                                   Jan
                                                                                                                                   2021

    Number of Pupils with SEN by Ward
    Local school census data for pupils with SEN shows a wide variation across Bristol, ranging
    from a rate of 95.6 pupils with SEN per 1,000 pupils in Cotham to a rate of 234.5 per 1,000
    pupils in Hartcliffe and Withywood.

                          School pupils with Special Educational
                                       Needs (SEN)
                                    Rate per 1,000 pupils

          Avonmouth &         Henbury &
           Lawrence            Brentry
            Weston
                                             Southmead

                                                          Horfield
                                   Westbury
                                   on Trym &                    Lockleaze                  Frome
                                   Henleaze                                                 Vale
                                                      Bishopston
                                                       & Ashley
                                                         Down
                          Stoke                                           Eastville
                                                Redland
                                                                                                  Hillfields
                                                            Ashley
                                       Clifton
                                               Cotham                      Easton
                                       Down                                        St       St George
                                                                                 George       Central
       96 to 129                   Clifton
                                                                                  West
                                                     Central                              St George
       130 to 164                                               Lawrence
                                                                   Hill
                                                                                           Troopers
                                      Hotwells &                                              Hill
       165 to 199                    Harbourside
       200 to 235                            Southville                   Brislington
                                                          Windmill           West
                                                            Hill                    Brislington
                                  Bedminster
                                                                                        East
                                                                 Knowle

                                                    Filwood
                              Bishopsworth
School Census - January
                                                                              Stockwood
2021                                                       Hengrove &
                                                           Whitchurch
                                     Hartcliffe &             Park
                                     Withywood
                                                                           OS da ta © Crown copyright & da tabase
                                                                           ri ghts 2013 Ordnance Survey 100023406

    www.bristol.gov.uk/jsna                                                                                                       Page | 2
JSNA Health and Wellbeing Profile 2021/22                               Theme: SEND

Ethnicity
The proportion of the population who are not ‘White British’ increased from 12% (2001) to 22%
(2011)2. The latest school census data (Jan 2021) details ethnicity amongst SEN support and
EHCPs. Black Caribbean pupils in Bristol are more likely to have an EHCP than other ethnic
groups (5.9%). Travellers of Irish heritage, Black Caribbean and Gypsy Roma pupils are
significantly more likely to receive SEN support in school (22%, 21.9% and 21.8% respectively)

                                                                              Source: School census Jan 2021

Primary Need of children with SEN3
Using January 2021 school census data the two biggest categories of SEN primary need can be
identified. Amongst school age children in Bristol, these are ‘Speech, Language and
Communication’ and ‘Social, Emotional & Mental Health’ difficulties. For children with an EHCP
the largest category of need is ‘Autistic Spectrum Disorder’ (33% of children with an EHCP).

2 Bristol City Council, The Population of Bristol,
https://www.bristol.gov.uk/documents/20182/33904/Population+of+Bristol+June+2018/53020277-05de-a153-2052-
aa080338bb57
3
  Data does not include independent schools

www.bristol.gov.uk/jsna                                                                             Page | 3
JSNA Health and Wellbeing Profile 2021/22                                               Theme: SEND

                                                                       EHCP               SEN Support            Total SEND
                         Primary Need
                                                                  Count      %          Count      %          Count        %
Autistic Spectrum Disorder                                         711      33%          667      8%           1378       13%
Hearing Impairment                                                  79      4%           134      2%           213        2%
Moderate Learning Difficulty                                       144      7%           1145     14%          1289       12%
Multi-Sensory Impairment                                            7       0%            15      0%            22        0%
‘SEN support’ but no specialist assessment of type of need          0       0%           278      3%           278        3%
Other difficulty/disability                                         59      3%           364      4%           423        4%
Physical Disability                                                 83      4%           204      2%           287        3%
Profound & Multiple Learning Difficulty                             87      4%            13      0%           100        1%
Social, Emotional and Mental Health                                489      23%         1924      23%          2413       23%
Speech, Language and Communication                                 261      12%         2359      28%          2620       25%
Severe Learning Difficulty                                         140      6%            22      0%           162        2%
Specific Learning Difficulty                                        72      3%          1227      15%          1299       12%
Visual Impairment                                                   32      1%            63      1%            95        1%
Total                                                             2164     100%         8415     100%         10579      100%
Source: School Census Jan 2021

Social care (as of June 2021)4
  • 21.7% (142 out of 665) of children in care have an EHCP.
  • 18.3% (89 out of 776) of current care leavers have an EHCP.
  • 12.8% (153 out of 1195) of children in need have an EHCP
  • 6.9% (12 out of 173) of children subject to a child protection plan have an EHCP

Number of disabled children and young people
While many children with a special educational need may also have a disability, a proportion will
have either SEN or a disability.

According to the Census 2011, 3,250
children (under 16) in Bristol have a
“limiting long-term illness or disability” 5.
This is 4.1% of the local child population,
higher than the national average 3.8%. Of
these, 1,300 children (1.7% of Bristol
children) have their daily activities limited a
lot and 2,000 children (2.5%) limited a little.
Across Bristol (Fig 5.6.3b), the Census
data highlights the variation from 2.7% in
North and West (inner) to 4.6% in South
and 4.8% in North and West (outer).                          CHILDREN WITH LONG-TERM HEALTH PROBLEM OR DISABILITY BY CLINICAL
                                                             COMMISSIONING GROUP SUB-LOCALITY. SOURCE: ONS CENSUS 2011.

4
 Source: Bristol City Council Local data
5Source: ONS Census 2011 (children under 16). The next update to these data will be in 2021 which is due to be
published in 2022.

www.bristol.gov.uk/jsna                                                                                                  Page | 4
JSNA Health and Wellbeing Profile 2021/22                                            Theme: SEND

Education, Health and Care (EHC)
plans iii maintained by Bristol Local
Authority
In January 2021, 3,124 0-25 year olds
had an EHC plan maintained by Bristol
City Council. This is a 16% increase on
the previous year compared to 10%
nationally and 6% for statistical
neighbours (average).

This includes all children and young
people with an EHC Plan from Bristol
City Council regardless of where they
attend school.
                              Source: SEN2 Jan 2021

                                                                               Children aged 11 to 15 years old
                                                                               account for the largest proportion
                                                                               of children and young people with
                                                                               EHC plans (34.9% locally and
                                                                               35.2% nationally) as at January
                                                                               2021. Between Jan 2020 and Jan
                                                                               2021 the proportion of EHC plans
                                                                               for 5-10 year olds in Bristol has
                                                                               increased from 24.4% to 29.2% but
                                                                               remains slightly below the national
                                                                               average (33%). The proportion of
                                                                               20 – 25 year olds with an EHC
                                                                               plan in Bristol has reduced from
                                                                               last year to 8.8% but also remains
                                                                               above the national average (6.9%)
Source: SEN2 Jan 2021

EHC Needs Assessments iv
•     728 requests for an EHC needs assessment were received in the 2020 calendar year. This
      is a 16% increase on the previous year. Nationally the number of requests has decreased in the
      last year by 7.7%.
•     In 2020, 21.9% 6 of EHC plans were finalised within the statutory 20 week timescale

6
    DfE Key performance measure – excludes plans issued after a mediation and/or tribunal and any exception cases

www.bristol.gov.uk/jsna                                                                                             Page | 5
JSNA Health and Wellbeing Profile 2021/22                                                    Theme: SEND

         Source: SEN2 Jan 2021

• The number of mediations lodged decreased significantly between 2019 and 2020 from 59
    to 27.
• The number of tribunal appeals lodged has increased slightly from 38 in 2019 to 44 in 2020.

                                                                                                             Source: BCC SEND team

However, whilst there has been an increase in the number of appeals lodged in 2020 compared
to 2019, there has also been a significant rise in the number of requests for needs assessments
and the number of plans maintained by Bristol City Council. This increase results in a rise in the
number of opportunities for tribunals to be lodged. When the number of appeals is considered
against the number of appealable decisions the rate of appeal 7 has decreased from 1.6% in
2019 to 1.4% in 2020.

7
  The Department for Education (DfE) calculates appealable decisions using the SEN2 data. The Total Appealable Decisions figure is
calculated as the sum of the following: Number of initial requests for Education, Health and Care (EHC) assessments refused, Number of
assessments completed and a decision made not to issue an EHC plan, Number with an EHC plan as at January each year, Number of EHC
plans ceased because the special educational needs of the child or young person are being met without an EHC plan

www.bristol.gov.uk/jsna                                                                                                        Page | 6
JSNA Health and Wellbeing Profile 2021/22                         Theme: SEND

                                                                                            Source: DfE
                                                                                      Tribunal statistics

Education
In 2019 (this is the latest available data due to Covid-19 causing exams to be cancelled):

•   30% of children receiving SEN support achieved a good level of development at Early Years
    Foundation Stage, compared to the England average of 29%.
•   4% of children with an EHCP achieved a good level of development at Early Years
    Foundation Stage, compared to the England average of 5%.
•   26% of pupils receiving SEN support achieved the expected standard in reading, writing and
    maths combined in Key Stage 2 (KS2), just above the England average of 25%.
•   6% of children with EHCPs achieved the expected standard in reading, writing and maths
    combined in KS2, compared to 9% for England.
•   The average attainment 8 score for pupils with SEN support was 33.0 (32.6 nationally).
•   The average score was 11.1 for pupils with an EHCP at Attainment 8, below the England
    average of 13.7.
•   11% of 19 year olds with an EHCP are qualified to Level 2, including English and maths and
    10% are qualified to Level 3.
•   The rate of fixed term exclusions for children with an EHCP was 23.6 (16.1 nationally). For
    pupils with SEN support, the Bristol fixed term exclusion rate was 21.6 (15.6 nationally).
•   In 2018/19, absence rates for children and young people with an EHCP in Bristol was
    12.8%, compared to the England average of 8.7%.
•   Absence rates for children and young people at SEN Support level in Bristol was 7.1%,
    compared to the England average of 6.5%.
•   87% of KS4 pupils with an EHCP remained in education and employment (90% nationally).
•   89% of KS4 pupils with SEN support remained in education and employment, in line with the
    national average

Further data / links
    •   Bristol’s SEND Local Offer – www.Bristol.gov.uk/web/bristol-local-offer
    •   Special educational needs in England: January 2021 - GOV.UK (www.gov.uk)
    •   Education, health and care plans: England 2021 - GOV.UK (www.gov.uk)
    •   Summary of Education, Health and Care Plans — Open Data Bristol

www.bristol.gov.uk/jsna                                                                      Page | 7
JSNA Health and Wellbeing Profile 2021/22                                    Theme: SEND

Covid-19 impact:
It should be noted this chapter covers the global pandemic period. In this time there was
significant disruption to the education system including periods of absence from school for all
children and young people. Requests for education, health and care needs assessments have
risen significantly throughout this time. This is likely related to the impact of Covid-19 on pupils
and their families and the interruption to schooling. Work is ongoing to further understand the
impact of Covid-19 in this area.

Date updated: July 2021

Endnotes: Definitions
i
 Special educational needs (SEN)i
A child or young person has special educational needs (SEN) if he or she has a learning difficulty or
disability which calls for special educational provision to be made for him or her. A child or young person
is considered to have a learning difficulty if he or she has a significantly greater difficulty in learning than
the majority of others of the same age. A child or young person has a learning disability if they have a
disability which prevents or hinders them from making use of facilities of a kind generally provided for
others of the same age in mainstream schools or mainstream post-16 institutions.

 Disability
ii

A person has a disability if she or he has a physical or mental impairment that has a substantial, long
term adverse effect on his or her ability to carry out normal day-to-day activities.

Statutory guidance and the SEND Code of Practice provide additional information to help with the
interpretation and application of these definitions. The statutory definitions of special educational needs
(SEN) and disability which are described above are found in Section 20 of the Children and Families Act
2014 and section 6 of the Equality Act 2010.

 Education health and care plan (EHCP)
iii

An EHC plan is a legal document that describes a child or young person's special educational, health
and social care needs. It explains the extra help that will be given to meet those needs and how that help
will support the child or young person to achieve what they want to in their life.
iv
  Education, health and care needs assessment (EHCNA)
The majority of children and young people with SEN or disabilities will have their needs met within local
mainstream early years settings, schools or colleges. Some children and young people may require an
EHC needs assessment in order for the local authority to decide whether it is necessary for it to make
provision in accordance with an EHC plan. The assessment seeks to establish and record the views,
interests and aspirations of the parents and child or young person to provide a full description of the child
or young person’s special educational needs, and any health and social care needs. It establishes
outcomes across education, health and social care based on the child or young person’s identified needs
and aspirations. It specifies the provision required and how education, health and care services will work
together to meet the child or young person’s needs and support the achievement of the agreed
outcomes.

www.bristol.gov.uk/jsna                                                                                  Page | 8
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