Thanks for all the replies.
I agree that where parents aren't able to make good decisions for their SN children, the state should obviously play a big part. That probably isn't true in most cases though - especially when the parents are as articulate and forthright as riven!
In general, I like having choices. I don't understand why people want everything decided for them. I like the fact that I can choose my GP. I like the fact that I can choose where I shop. I like the fact that because I am seriously annoyed with T-Mobile at the moment, I can switch over to another mobile network in 1 month when my contract runs out.
I like having choice in food, and think having more choice and competition HAS improved the quality and range of food. In my local Sainsburys there is now Indian food, Chinese food, Middle Eastern food, organic food. They sell fruits I hadn't even heard of 10 years ago. There are about 50 types of pasta. When I was growing up we couldn't get any of that stuff.
I don't necessarily agree with the idea that nappy prices will be necessarily be higher for individuals. Obviously this is true if they have to buy individually, but the NHS already negotiates prices for medicines, which are then paid for by hospitals when they use the drugs. Why can't it negotiate prices for wheelchairs, nappies, walking frames, and all sorts of other non-medicinal stuff in the same way? Then parents of SN children decide what to spend their direct payments on, whether bought from the NHS or privately?
Maybe if not parents of SN children themselves, then their GPs, or incontinence advisors, should decide how to spend their personal budget - but the decisions should be made as far 'down the chain' as possible. The further you get from the child, the more the number crunchers and bean counters will take over.
I think a lot of politicians' ideas are very badly researched. Though it probably sounds awful, I simply can't believe that with what they went through with Ivan, David Cameron doesn't understand the real problems with SN help. Just because he is rich doesn't mean he doesn't have to go through bureaucracy and paperwork!