The key difference is that medical care in the UK is already means-blind and centrally funded through the NHS, which is structured specifically to provide universal healthcare without charging at the point of need. It’s a foundational principle of our health system—and for good reason.
EHCPs, however, sit within local authority education budgets, not the NHS. They’re funded from a limited pot of money that was never designed to absorb the rising costs we’re now seeing—particularly when some EHCP placements cost more than private school fees. Unlike healthcare, where services are clinically assessed and standardised, EHCPs can vary widely based on parental advocacy, legal pressure, or school capacity—not just need.
This makes the system more vulnerable to inequality, overextension, and ultimately collapse.
So it’s not about picking on SEN families—it’s about recognising that this specific part of the welfare system is financially unsustainable and lacks the safeguards that prevent overuse in healthcare. Asking those who can afford to contribute toward EHCP-related costs—especially for non-essential extras—is about creating resilience in the system, not penalising disability.
If the NHS were funded like the EHCP system is now, we’d likely be having the same conversation about means-testing for certain services. The problem is structural—and that’s why education funding needs its own honest, pragmatic solution.