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NHS refusing treatment to child who attends private school.

313 replies

floralcarpets · 09/06/2025 15:21

https://www.standard.co.uk/news/london/boy-denied-treatment-nhs-hospital-private-school-kingston-richmond-b1231805.html

AIBU to think this is disgraceful? The mum is likely paying loads of tax which goes towards the NHS and pays for state schools, yet her child is this treatment which they sound like they desperately need.

Outrage as boy, 8, refused NHS treatment 'for going to private school'

Mother blames Labour's VAT raid on private school fees for emboldening the NHS to deny her son help with his crippling joint condition

https://www.standard.co.uk/news/london/boy-denied-treatment-nhs-hospital-private-school-kingston-richmond-b1231805.html

OP posts:
SarfLondonLad · 10/06/2025 11:04

It is nothing of the sort. Still, what can you expect if you get your news from the Evening Standard.

stichguru · 10/06/2025 10:54

pinkpopcorn123 · 10/06/2025 07:11

I think they should be available to all pupils as they are a tax paid for service, not directly accessible for schools without referral to a specialist setting. Therefore they are not part of the standard service, I would expect from a private school.

What you are basically saying is if you go to a market with lots of individual stall holders you should be able to chose one stall holder to pay £59 to and then take items from any stall you like up to the value of £50.

Kirbert2 · 10/06/2025 10:28

Dwimmer · 10/06/2025 10:26

Can they though? I suspect not.

Private schools can pay for it. It's just optional for them and some will refuse to.

Dwimmer · 10/06/2025 10:26

Kirbert2 · 10/06/2025 10:25

Which private schools can also commission. Nothing is stopping them.

Can they though? I suspect not.

Kirbert2 · 10/06/2025 10:25

Dwimmer · 10/06/2025 10:22

If an NHS service is commissioned by the council then it is still an NHS service.

Which private schools can also commission. Nothing is stopping them.

Dwimmer · 10/06/2025 10:22

godmum56 · 10/06/2025 10:06

its not an NHS service. Its a service purchased by the Council/LEA. The NHS do provide services to other comissioners. The income made in this way goes back into local NHS services.

If an NHS service is commissioned by the council then it is still an NHS service.

Kirbert2 · 10/06/2025 10:15

godmum56 · 10/06/2025 10:08

As a retired OT can I correct you? This aspect of Occupational Therapy can be placed under the umbrella of education. Occupational Therapy as a profession does all sorts of things in all sorts of places.

Sorry, I was meaning more in reference to this aspect. I know that as a profession, it can be much wider than that.

It's also the case with my son. His school adaptations happened when OT and Physio assessed his school when he was discharged from hospital.

We've had a lot of input from OT. Along with Physio, they are slowly but surely giving my son his life back due to complications from an illness leaving him disabled and in need of major rehab. Thanks for all that you've done, it really makes such a difference and they are so undervalued.

godmum56 · 10/06/2025 10:08

Kirbert2 · 10/06/2025 09:27

OT is classed as education, especially if it is to help a child attend school and advise any adaptations if necessary.

As a retired OT can I correct you? This aspect of Occupational Therapy can be placed under the umbrella of education. Occupational Therapy as a profession does all sorts of things in all sorts of places.

godmum56 · 10/06/2025 10:06

Findra · 10/06/2025 09:23

Yea and what we are saying is NHS services shouldn’t be ringfenced depending on the type of school you go to. That’s crazy. One id healthcare, one id education. Two totally different services.

its not an NHS service. Its a service purchased by the Council/LEA. The NHS do provide services to other comissioners. The income made in this way goes back into local NHS services.

NeverDropYourMooncup · 10/06/2025 10:04

Dwimmer · 10/06/2025 09:00

Education funding is not ring-fenced and is part of the general council allocation. It is not based on children attending state schools.

It has to be - otherwise they wouldn't be able to differentiate between the amounts paid to the LA for maintained schools to top slice and the General Allocation Grant paid to academies for each child on roll with them.

Kirbert2 · 10/06/2025 09:27

Findra · 10/06/2025 09:23

Yea and what we are saying is NHS services shouldn’t be ringfenced depending on the type of school you go to. That’s crazy. One id healthcare, one id education. Two totally different services.

OT is classed as education, especially if it is to help a child attend school and advise any adaptations if necessary.

MrsBennetsPoorNerves · 10/06/2025 09:26

Findra · 10/06/2025 09:23

Yea and what we are saying is NHS services shouldn’t be ringfenced depending on the type of school you go to. That’s crazy. One id healthcare, one id education. Two totally different services.

But the service is commissioned by the state schools. If private school pupils need similar services, there is nothing to stop the private schools from commissioning those services as well.

MrsBennetsPoorNerves · 10/06/2025 09:24

If you choose to send your kid to a state school, then you get the support that is offered by that state school.

If you choose to send your child to a private school, then you get the support that is offered by that private school.

If you choose to home educate, then it's up to you to put in whatever support you're able to organise.

There will inevitably be pros and cons to each option. That's just life. Choices have consequences.

If local state schools have commissioned a service for their pupils, then it won't be available to non-pupils.

Findra · 10/06/2025 09:23

Kirbert2 · 10/06/2025 09:16

It's paid for by the LEA. Ring fenced for those who attend state school.

Private schools are free to pay for it themselves.

Yea and what we are saying is NHS services shouldn’t be ringfenced depending on the type of school you go to. That’s crazy. One id healthcare, one id education. Two totally different services.

Kirbert2 · 10/06/2025 09:19

BunnyEaster · 10/06/2025 08:52

I think this is it. It's rare / bordering impossible to got OT at school. You normally need it via a EHCP which in itself is like pulling teeth out. My dd has OT at state school via her EHCP. But it basically is the OT saying dd doesn't engage and never passing info onto me unless it's in a yearly report after the fact.

It not easy to access and open to all and fundamentally what they offer is normally very very weak. Like speech therapy. What your offered and what you need isn't the same. It's watered down to get you back off the books in my personal experience

He does have an EHCP. He had lots of OT input in hospital and a refferal was made to the community as part of his discharge plan and he's had OT input since he was discharged.

But as I said, his situation was pretty extreme. He had a cardiac arrest due to complications from an illness and basically had to start over again and re learn everything which is still a work in progress. That's also just the half of it really.

Kirbert2 · 10/06/2025 09:16

Findra · 10/06/2025 07:35

As we didn’t opt out of any NHS services whatsoever in choosing a private school!

It's paid for by the LEA. Ring fenced for those who attend state school.

Private schools are free to pay for it themselves.

Kirbert2 · 10/06/2025 09:12

pinkpopcorn123 · 10/06/2025 06:51

I don’t believe your hypocrisy. Two scenarios, one parent, millionaire, lives in a £2 million house, attends state school , ofsted outstanding, academically excellent, gets free school breakfast. Scenario 2, average wage, average house, child been failed by state school or local state school poor. No free school breakfast. Parents opt for private but it’s a struggle financially. Both children need OT and SALT input, one gets it for free, the other not and according to you the poorer family are hypocrites for asking for the same services as the richer family. OT and SALT services are in different circumstances provided within NHS hospitals. They are health related issues, the funding just happens to be via education. A cost cutting exercise from the Tory government no doubt.

How many millionaires would actually use state school? Not many. I also don't know any average wage earners who can afford private school and all that usually comes with it. Two unlikely scenarios.

Also, both would get it for free if the private school paid for the services but it is optional with private schools.

godmum56 · 10/06/2025 09:07

Dwimmer · 10/06/2025 09:00

Education funding is not ring-fenced and is part of the general council allocation. It is not based on children attending state schools.

no it isn't. A part of the NFF is definitely based on the number of children in state schools. This was published under the Conservative Government but ther process iand calculation is currently the same. https://assets.publishing.service.gov.uk/media/651d2587bef21800156ded01/Nationalfunding_formulaforschoolsandhighneeds2024to_2025.pdf

https://assets.publishing.service.gov.uk/media/651d2587bef21800156ded01/National_funding_formula_for__schools_and_high_needs_2024_to_2025.pdf

Dwimmer · 10/06/2025 09:00

NeverDropYourMooncup · 10/06/2025 08:56

It's paid per child attending a state funded school in the area, not on per child existing in the area - and even it were to be changed, it wouldn't make that much difference because nobody knows for sure how many children live in an area.

Remember the stuff about 'Ghost children' post covid? That's because there is/are/were no complete records of children educated outside state schools.

Going by some of the posts here, I'm half expecting one of them to demand that their children are driven to school by people who have motorbility vehicles on the grounds the PIP is funded through taxation and it's not fair that somebody who has received money for mobility difficulties has then used it to lease a vehicle when the poor higher rate taxpayer's child has to make their own arrangements.

Education funding is not ring-fenced and is part of the general council allocation. It is not based on children attending state schools.

godmum56 · 10/06/2025 08:59

mrsnovella · 10/06/2025 07:25

It looks like a misleading headline and I haven’t read all the responses. However -

a) At my local hospital’s paediatric unit, they always ask where your child attends school. Mine are at a private school and I have detected some raised eyebrows at this. I had an awful experience with one particularly awful doctor who I had the misfortune to encounter as my eldest was being diagnosed with epilepsy, which was a terrifying time. She was awful for many reasons and one of them was her barking at me ‘well you can always leave and go private’ when I dared to question something she said.

b) forgive me if this has been addressed but I don’t think the NHS services in schools exist solely in state schools? The NHS nursing teams come into our school to administer injections (eg HPV).

things like vaccinations are NHS funded not LEA funded.

NeverDropYourMooncup · 10/06/2025 08:56

Dwimmer · 10/06/2025 08:27

The LEA has no budget for private school pupils. It loses an average of £6k for each child removed from an LEA controlled school.

It is exactly the opposite - if a child goes private the LEA saves ~£6k that it receives in funding that no longer needs to be spent on education.

It's paid per child attending a state funded school in the area, not on per child existing in the area - and even it were to be changed, it wouldn't make that much difference because nobody knows for sure how many children live in an area.

Remember the stuff about 'Ghost children' post covid? That's because there is/are/were no complete records of children educated outside state schools.

Going by some of the posts here, I'm half expecting one of them to demand that their children are driven to school by people who have motorbility vehicles on the grounds the PIP is funded through taxation and it's not fair that somebody who has received money for mobility difficulties has then used it to lease a vehicle when the poor higher rate taxpayer's child has to make their own arrangements.

Jasp3ru · 10/06/2025 08:53

Findra · 10/06/2025 08:37

Can I have a tax rebate for the tax I pay that goes towards providing OT, SALT etc in state schools so I can give it to my private school to commission these healthcare services? No I thought not. So these services should be provided free of charge to all pupil, obviously!

As they are -via the GP.

BunnyEaster · 10/06/2025 08:52

Kirbert2 · 09/06/2025 22:55

My son is in state and has OT. His situation was pretty extreme though and involves major rehab.

I think this is it. It's rare / bordering impossible to got OT at school. You normally need it via a EHCP which in itself is like pulling teeth out. My dd has OT at state school via her EHCP. But it basically is the OT saying dd doesn't engage and never passing info onto me unless it's in a yearly report after the fact.

It not easy to access and open to all and fundamentally what they offer is normally very very weak. Like speech therapy. What your offered and what you need isn't the same. It's watered down to get you back off the books in my personal experience

Dwimmer · 10/06/2025 08:41

The constant reference to ‘LEA’ is designed to confuse. The LEA is the council. When people say they are LEA commissioned services what they mean is they are COUNCIL commissioned services.

Findra · 10/06/2025 08:37

Supima · 10/06/2025 07:49

The NHS pays for vaccinations for all children. However this OT service is not paid for by the NHS but by the local education authority as a commissioned service for its own local authority schools. The LEA has no budget for private school pupils. It loses an average of £6k for each child removed from an LEA controlled school. As others have said, state educated kids can’t just rock up to the local private school to demand to use its facilities, and vice versa. To access NHS services, the child must go through their GP.

Can I have a tax rebate for the tax I pay that goes towards providing OT, SALT etc in state schools so I can give it to my private school to commission these healthcare services? No I thought not. So these services should be provided free of charge to all pupil, obviously!

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