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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:
Dwimmer · 10/06/2025 08:35

drspouse · 10/06/2025 08:28

As my DS OT said, occupational therapy is provided in this case to enable school children to carry out their occupation i.e. school work.

Other OTs are employed by occupational health services. Should those who don't work for that company also be able to access them?

It is still a health service. Would you say anti-epileptic medication was not a health provision because taking it enables a child to carry out their school work?

Councils (who are the local education authority) have responsibilities to all children. They are still required to provide services to children whose parents have opted out of one specific aspect of council provision (education). Just because a child has gone to private education or home education does not mean a council can choose to withdraw social work protection, carer services, library services, refuse collection, access to leisure centres, etc.

pinkpopcorn123 · 10/06/2025 08:32

drspouse · 10/06/2025 08:26

Neither of those are educational.

It’s all public money

randomchap · 10/06/2025 08:31

The Daily Mail twisting facts to suit their agenda? Shocked.

Fucking rag that it is.

drspouse · 10/06/2025 08:28

Dwimmer · 10/06/2025 08:23

Occupational Therapy is a health service. Occupational therapists are Allied Health Professionals not teachers.

As my DS OT said, occupational therapy is provided in this case to enable school children to carry out their occupation i.e. school work.

Other OTs are employed by occupational health services. Should those who don't work for that company also be able to access them?

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.

drspouse · 10/06/2025 08:26

pinkpopcorn123 · 10/06/2025 06:55

Here’s the scenario. You have a knee replacement privately. You then have pneumonia requiring hospital admission as a post operative complication. Are you no longer eligible for the NHS as you’ve used private services? where are you going to draw the line?

Neither of those are educational.

Dwimmer · 10/06/2025 08:23

stichguru · 10/06/2025 00:06

I agree that is 100% true but 100% irrelevant, since no-where in this situation are any health service being provided to anyone. They are all education services, not funded through health in any way, which is why the are available to those who are funded to be educated by the state and not be those who are not.

Occupational Therapy is a health service. Occupational therapists are Allied Health Professionals not teachers.

Supima · 10/06/2025 07:49

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).

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.

JustHereForthePIP · 10/06/2025 07:48

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).

As a lot of people have said, it depends on how the service is commissioned and paid for. Vaccination isn't paid for by the school. In-school OT, SALT and Ed Psych services are paid for by the school.

Private schools can commission services for the pupils there. They can commission them from the NHS. But these services have to be paid for from the school budget.

I'm not saying I agree with this, but the children aren't being denied NHS services that the parents have "paid for". It's a school-based service paid for by a school they do not attend. E.g. I can't expect my child to access services in an out of county school that they don't attend. They aren't entitled to those services even if the service is provided by the NHS. My child isn't the responsibility of that LEA. It's the same for independent schools. The pupils there are not the responsibility of the LEA if they aren't enrolled in a state school.

Findra · 10/06/2025 07:36

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).

But that’s immunisations which it suits wider society for private school kids to have so it’s provided.

Findra · 10/06/2025 07:35

Kirbert2 · 09/06/2025 23:43

and someone with more resources than the average family who has no other choice wants to stretch it even more using funding they opted out of.

Now that's unfair.

Edited

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

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).

Jasp3ru · 10/06/2025 07:22

And if said private schools don’t it can be accessed by the child’s GP.

Jasp3ru · 10/06/2025 07:19

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.

But state schools buy into the service, private schools would need to do the same.

pinkpopcorn123 · 10/06/2025 07:11

godmum56 · 10/06/2025 00:53

Ecelt on this thread, actually people are saying exactly that these ser ices, funded by the LEA should be available to non LEA funded school attenders

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.

pinkpopcorn123 · 10/06/2025 06:55

godmum56 · 10/06/2025 00:53

Ecelt on this thread, actually people are saying exactly that these ser ices, funded by the LEA should be available to non LEA funded school attenders

Here’s the scenario. You have a knee replacement privately. You then have pneumonia requiring hospital admission as a post operative complication. Are you no longer eligible for the NHS as you’ve used private services? where are you going to draw the line?

pinkpopcorn123 · 10/06/2025 06:51

Kirbert2 · 09/06/2025 23:04

That isn't really anything alike. Not unless they moved from the public sector knowing the deal was coming and then cried it was unfair, I suppose.

Not to mention the enormous privilege that private school is which the vast majority of children will never benefit from, now that's unfair. I can't believe the hypocrisy to be honest.

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.

godmum56 · 10/06/2025 00:53

TheDisillusionedAnarchist · 09/06/2025 23:46

In some areas but not all. There are areas with no community SALT or OT at all for children over 5, where home ed kids can’t access these services via GP or school nurse. An ECHP is the only way to access them,

Nobody is asking for them to be provided in the non state education setting, they would simply like them provided at all.

Ecelt on this thread, actually people are saying exactly that these ser ices, funded by the LEA should be available to non LEA funded school attenders

stichguru · 10/06/2025 00:06

Findra · 09/06/2025 22:40

For the umpteenth time, the source of the funding is neither here nor there, it all ultimately comes from taxpayers funds. Health services should be provided to all equally, regardless of what pot the money may have come from.

I agree that is 100% true but 100% irrelevant, since no-where in this situation are any health service being provided to anyone. They are all education services, not funded through health in any way, which is why the are available to those who are funded to be educated by the state and not be those who are not.

pottylolly · 09/06/2025 23:54

It isn’t possible to obtain any of the services the woman in the article wants on the nhs unless a child goes to state school and even then equipment can be shared between many students.

However most good private schools do provided some limited funding / burseries for things like this for disabled without a plan but they need to be diagnosed first and it’s the diagnosis bit that currently is a problem in the UK. NHS or private you’re looking at a 3-5 year wait

stichguru · 09/06/2025 23:46

Findra · 09/06/2025 22:35

All state school funding and NHS funding is ultimately provided by the tax payer. If this taxpayer funded clinic is saying only certain taxpayers kids can access the service, that’s not fair. When you opt out of state school you don’t opt out of thevNHS. This clinic provider seems to think you do. I really can’t understand people not thinking this is wrong.

You have no idea how funding works. Firstly the service is provided by education therefore, it will be 0% NHS funded. The parents haven't opted out of the NHS, but not opting out of the NHS doesn't affect education funding.

The central government get all the tax payer's money. From this they allocate a budget for Education. A sizable proportion of this budget is then divided up to individual Local Authorities, based on the following criteria:

  1. A amount per child
  2. B amount per child with SEN
  3. C amount to cover the support for those children with EHCP plans.

The LA will then keep a little of this money to fund services it provides to support the work of all schools, for example that to cover funded transport, or to cover LA advisors to help schools, or clinics to support children with particular needs.

The larger amount will divided out to each school, allocated using the above criteria, A & B to form the each schools' general budget and C to enable schools to pay for particular support for their highest needs children.

This clinic, yes will be tax payer funded in that it will be funded by Government Money. However NO money will be there to fund it for this child because when the LA was funded for the services it needs to provide, this child was NOT counted in 1 or 2 or 3, because they are not in LA education.

Taxes, including those paid by the child's parents, will go partly into education funding, but the fact that these parents have removed their child from LA education will mean that the LA receives less funding than it would have done if their child wasn't removed. So yes while they still pay tax, removing their child means less money for the LA, which means less money for services for that LA. It makes sense that the child who's parents decision has meant less money is spent on education feel the pinch of less money being spent of education.

TheDisillusionedAnarchist · 09/06/2025 23:46

godmum56 · 09/06/2025 18:57

it is. They do.

In some areas but not all. There are areas with no community SALT or OT at all for children over 5, where home ed kids can’t access these services via GP or school nurse. An ECHP is the only way to access them,

Nobody is asking for them to be provided in the non state education setting, they would simply like them provided at all.

delightfuldweeb · 09/06/2025 23:44

SoSoLong · 09/06/2025 23:15

I've got zero problems with LEAs commissioning private providers, none whatsoever.

I've got a problem with LEAs gatekeeping access to already scarce NHS services. In this case, an entire OT department dedicated to only working with state school children. It's either NHS, and it should be equally accessible by all, or it's not NHS and it should be made clear that this is a private service receiving no public funding.

This isn’t true, though. The private schools could also pay to commission the services should they chose to. More money coming in wouid mean more OTs to allow them to serve all schools.

Kirbert2 · 09/06/2025 23:43

Nettleskeins · 09/06/2025 23:29

Ds's EHCP gave him on paper, loads of OT. It boiled down to one meeting every so often to advise him to make his own packed lunches (buttering bread and executive planning (hmm) and help out at a community allotment.
A lot of time was spent assessing his difficulties and motor function mind you.

We passed on the allotment as ds particularly detested the feeling of dry soil. Maybe it was a test to remind me I had solutions of my own.

Anyway I think OT services are stretched incredibly thinly and I suspect they wouldn't have given him more than bare minimum if they had seen this child.

and someone with more resources than the average family who has no other choice wants to stretch it even more using funding they opted out of.

Now that's unfair.

ghostyslovesheets · 09/06/2025 23:30

But if they went to their NHS GP and had a referral and waited it would be free - that’s how private healthcare works

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