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Special educational needs and disabilities (SEND) - health and care

Health and care services in North Yorkshire are provided by a number of different services as well as the county council itself.

Health services are often commissioned on a locality basis, although some are delivered by a single health provider across the whole county. Each commissioned service will have its own:

  • agreed eligibility criteria (who can access the service)
  • agreed referral criteria (how to access the service)

A health services glossary has been developed to provide some general information on the types of health care provision for children and young people with special educational needs and disabilities in North Yorkshire. This glossary is linked to the local offer's interactive map, which will let you see where your local services are. pdf icon You can access the health services glossary here [35kb]. Please also see the important referral information below.

If you have any questions regarding any of the health services mapped in the local offer, and whether your child might benefit from referral, please discuss these with your GP or any of the existing health professionals involved with the care of your child.


During the time when you are meeting (and are involved) with health care professionals, they may suggest and organise a referral. This might be in relation to your child's health needs and/or in relation to any outcomes which may have been discussed at family meetings.

For the majority of services you will require a referral from a health professional and an appointment. To avoid any unnecessary travel, please do not opportunistically attend any of the service venues listed, unless the service description explicitly advises otherwise.

Hospice care

Children's hospices provide specialist respite and terminal care for children suffering from life limiting conditions in a home-to-home environment.

More information about hospice care is available here.

Personal health budgets

Personal health budgets are the allocation of NHS funding to support a person's health and wellbeing needs. A budget can be spent on anything that is set out in a support plan and agreed with the local NHS team. It can be held by the individual, a third party or a statutory body. Patients or service users, after an assessment, are able to personally control and use for the services they choose to support their health needs.

The essential parts of a personal health budget

The person with the personal health budget (or their representative) will:

  • Be able to choose the health and wellbeing outcomes they want to achieve, in agreement with a healthcare professional;
  • Know how much money they have for their health care and support;
  • Be enabled to create their own care plan, with support if they want it;
  • Be able to choose how their budget is held and managed, including the right to ask for a direct payment; and
  • Be able to spend the money in ways and at times that make sense to them, as agreed in their plan.

From April 2014, anyone eligible for continuing healthcare funding, including children, will have the right to ask for a personal health budget. From October 2014 anyone eligible for continuing healthcare will have a right to receive a personal health budget.

Children and young people eligible for continuing healthcare funding may include those with needs arising from:

  • disability;
  • illness or life limiting conditions;
  • accident; or
  • palliative care.

Continuing care can be considered only if the needs of the child or young person can not be met from existing universal and specialist services.

For more information about personal health budgets contact your NHS continuing care team on 0300 303 8294.

For information about personal health budgets in the Airedale, Wharfedale and Craven areas, contact the continuing healthcare team (single point of access) on 01274 423003.

Further information on personal health budgets in your area

Further information about personal health budgets in your local area can be found as follows.

Airedale, Wharfedale and Craven
Via the continuing healthcare team (single point of access) - 01274 423003

Hambleton, Richmondshire and Whitby
Via the CCG website here.

Harrogate and Rural District
Via the CCG website here.

Scarborough and Ryedale
Via the CCG website here.

Vale of York
Via the CCG website here.

Children and young people's emotional and mental health

Information about supporting and promoting good emotional and mental health in North Yorkshire can be found in the pdf icon Children and young people's emotional and mental health strategy 2014-17 [9Mb].

Useful links

The following links may also provide useful information on health provision:

Clinical commissioning groups organise the local delivery of certain NHS services in England. The following groups operate within the North Yorkshire area:

NHS Airedale, Wharfedale and Craven CCG
Chief Operating Officer: Sue Pitkethly

NHS Cumbria CCG
Clinical Lead: Dr Hugh Reeve
Accountable Officer: Nigel Maguire

NHS Hambleton, Richmondshire and Whitby CCG
Clinical Lead: Dr Vicky Pleydell
Accountable Officer: Dr Vicky Pleydell

NHS Harrogate and Rural District CCG
Clinical Lead: Dr Alistair Ingram
Accountable Officer: Amanda Bloor

NHS Scarborough and Ryedale CCG
Clinical Lead: Dr Phil Garnett
Accountable Officer: Mr Simon Cox

NHS Vale of York CCG
Clinical Lead: Dr Mark Hayes
Accountable Officer: Dr Mark Hayes

National health websites

This page was last updated on 23 August 2016