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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:
Avantiagain · 09/06/2025 19:05

"Paid For by the Local Authority or anyone else, it’s still a non-education public service that the local authority is only providing to those that go to state schools."

Occupational therapy is considered educational provision in many cases. Likewise Speech and Language Therapy.

Catpuss66 · 09/06/2025 19:03

Not sure if this has already been answered, is this applicable to home schooled children? Are they not entitled as they don’t go to state schools?

godmum56 · 09/06/2025 19:03

FoodAppropriation · 09/06/2025 19:01

I wish we could pin some posts under the OP

excellent idea....except how are you going to get the people who kneejerk to the chainjerk posts misunderstand to read the pinned post?

KeepDancing1 · 09/06/2025 19:02

Really helpful Twitter thread here explaining the situation, which was created by the Children and Families Act 2014 (when Cameron was PM):
https://x.com/monkemma/status/1931657489272971546?s=46&t=agd2fYHaobfu454D6v_seg

FoodAppropriation · 09/06/2025 19:01

ButterBites · 09/06/2025 15:31

The headline is misleading. It’s not about the NHS refusing treatment solely because he goes to a private school. It’s a service offered by the local authority for children in their schools. If a child is not in a state school, then they can’t access the service funded by the local authority. You can’t pick and choose which service you want to benefit from.

I wish we could pin some posts under the OP

godmum56 · 09/06/2025 18:58

JIMER202 · 09/06/2025 18:56

The issue is the OTs cannot provide that service AT the private school. Privately funded OTs would be able to. The mothers best bet is requesting her child be seen in clinic or at home but something like hypermobility falls so so low on the priority list for funded services the waitlist would be astronomical.

oh goodness someone who knows what they are talking about. I have said this several times already

godmum56 · 09/06/2025 18:57

TheDisillusionedAnarchist · 09/06/2025 18:48

It seems to vary a lot by area. Where we are in Wales, my son (home educated) gets NHS SALT and NHS OT and currently weekly private OT funded by the council in his IDP. I know home educators in England who can get no community NHS SALT or OT and the fight for an ECHP is long.

Health services should be provided by the health service. If a child needs SALT or OT or physio then the NHS should provide that via their community services. If the LA wish to pay to commission services so children in state schools can have quicker access then that is great but it should be separate to the NHS service.

it is. They do.

JIMER202 · 09/06/2025 18:56

Dwimmer · 09/06/2025 17:13

OT is a health service so if a child requires OT is should be provided regardless of schooling.

The issue is the OTs cannot provide that service AT the private school. Privately funded OTs would be able to. The mothers best bet is requesting her child be seen in clinic or at home but something like hypermobility falls so so low on the priority list for funded services the waitlist would be astronomical.

Hoppinggreen · 09/06/2025 18:52

Findra · 09/06/2025 15:39

If my child needed SALT how would they access it without me paying though?

You probably couldn't and that is awful but it bears no relation to this case

JIMER202 · 09/06/2025 18:51

Private schools can either be fantastic for children with additional needs, or (more typically) really awful. They do not have to meet the needs of the children in the same way. I know of private schools that have OT provision, but it is parent self funded! Of course children in state schools get access to state funded OT but it’s EXTREMELY hard to fit the NHS criteria to actually get it. And so most actually just don’t. It’s only the ones with the highest level of need.

TheDisillusionedAnarchist · 09/06/2025 18:48

It seems to vary a lot by area. Where we are in Wales, my son (home educated) gets NHS SALT and NHS OT and currently weekly private OT funded by the council in his IDP. I know home educators in England who can get no community NHS SALT or OT and the fight for an ECHP is long.

Health services should be provided by the health service. If a child needs SALT or OT or physio then the NHS should provide that via their community services. If the LA wish to pay to commission services so children in state schools can have quicker access then that is great but it should be separate to the NHS service.

GoodBones85 · 09/06/2025 18:48

MrsTerryPratchett · 09/06/2025 15:23

“Occupational therapy services are available to all school-age children who have an Education, Health and Care Plan (EHCP) either through the NHS or the local authority. For children without an EHCP, advice may be available through existing NHS services provided in state school.”

There's some nuance to this.

I knew there would be. Thankyou for clarifying it in the first post so I didn’t have to read the full thread 😂

Hotflushesandchilblains · 09/06/2025 18:46

This would be in the Standard, run by George 'austerity' Osbourne who, with his sidekick David Cameron sent us hurtling down the path the the massive shit hole we are in? Who admitted that austerity was more of a philosophical aim than actual need? Yes, would not believe them if they told me it was Monday today.

PilotFish · 09/06/2025 18:38

Today’s friendly reminder that newspapers (of all ilks) twist stories to fit their narrative and people should read the facts before becoming outraged…

SpidersAreShitheads · 09/06/2025 18:32

Good god.

This thread is like cancel the cheque all over again.

ScholesPanda · 09/06/2025 18:32

I was going to use the example of a school library and say "you wouldn't expect the LEA to provide the school library at a private school." But apparently there is a PP who does expect that.

You pays your money, you takes your choice- there are often little extras not included in school fees that you have to pay for. You've opted out of LEA services, so I don't see why anyone would think they can opt back to little bits that suit them.

JustSawJohnny · 09/06/2025 18:24

It's OT, FFS. Hardly emergency brain surgery 🙄

Soontobe60 · 09/06/2025 18:21

Findra · 09/06/2025 15:39

If my child needed SALT how would they access it without me paying though?

You can be referred to SALT via your GP and if takennon caseload would be seen in clinic. We gave children with EHCPs in school who have a termly visit funded via their EHCP

feelingbleh · 09/06/2025 18:14

LBFseBrom · 09/06/2025 17:54

I think it's outrageous. Presumably the parents pay tax, contribute to the NHS so the family is entitled to treatment the same as anyone else.

I can't believe how outraged you became from reading a title and believing it this is how misinformation gets spread around

Kirbert2 · 09/06/2025 18:08

Dwimmer · 09/06/2025 18:05

No, they have opted out of the LEA providing education for their child.

The services also can include OT, physio etc but only at state schools which they have opted out of.

Her son can still have OT, it will just have to be a different way because they have opted out of it.

Dwimmer · 09/06/2025 18:05

Jasp3ru · 09/06/2025 18:05

Which they can access via their GP

Library services?

Horserider5678 · 09/06/2025 18:05

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.

No the child hasn’t!. OT is only available in schools to children that have EHCP’s which this child doesn’t. He was referred to the school service which won’t see him without one! With the correct referral he will be seen! This is the most badly reported story as it’s only half a story but don’t let that spoil your narrative!

Dwimmer · 09/06/2025 18:05

Kirbert2 · 09/06/2025 17:59

They need to go through the NHS such as a referral from their GP as they have opted out of their LA providing anything for their child and they can't have it both ways.

No, they have opted out of the LEA providing education for their child.

Jasp3ru · 09/06/2025 18:05

Dwimmer · 09/06/2025 18:04

The LEA is not responsible for privately educated pupils, hence they have to pay.

LEAs are not responsible for the education of privately or home educated pupils. They are still responsible for the children in other respects including child protection, providing young carer services to any young carers in private school, immunisations, public health services, library services…. And the NHS have a duty towards all children.

Which they can access via their GP

Dwimmer · 09/06/2025 18:04

The LEA is not responsible for privately educated pupils, hence they have to pay.

LEAs are not responsible for the education of privately or home educated pupils. They are still responsible for the children in other respects including child protection, providing young carer services to any young carers in private school, immunisations, public health services, library services…. And the NHS have a duty towards all children.