SEND support in England: who does what and where to start
In England, support usually begins with the nursery, school or college. Your council and local NHS services become involved when a child needs help beyond what the setting can provide.

How support is organised in England
If your child is finding learning, attendance, communication, sensory demands or everyday school life difficult, you do not have to wait for an Education, Health and Care plan before asking for help. Schools and colleges can provide SEN support, agree adjustments and use an assess, plan, do, review cycle to understand what is helping.
The useful first question is not simply whether your child has a diagnosis. It is what they find difficult, what support has been tried and what difference that support made. Keeping a short record of examples, meetings and agreed actions makes later conversations clearer.
The education setting is usually responsible for day-to-day SEN support. The local council publishes a SEND Local Offer, carries out EHC needs assessments and has responsibilities across education and social care. Health support may come through a GP, community service, NHS trust or the local integrated care system, depending on the need and area.
Every local authority area also has an information, advice and support service for children and young people with SEND and their parents or carers. It is separate from the team making decisions about an EHC needs assessment and can help you understand processes, prepare for meetings and consider what to do when you disagree with a decision.
Provision varies between council and NHS areas. Use the national guidance here to understand the framework, then use your council's Local Offer and local service pages for the current route where you live.
Urgent help
Urgent health and mental health help in England
Use NHS 111 when you need urgent help but it is not a life-threatening emergency. Call 999 in an emergency.
Visit Urgent health and mental health help in EnglandNational organisations and independent advice
Department for Education SEND guidance
Use the national guidance to understand SEN support and EHC plans, then use your council’s Local Offer for local contacts.
Visit websiteInformation, Advice and Support Services Network
Find the impartial SEND advice service for your local authority area.
Visit websiteNHS England
Use current NHS guidance for urgent health or mental health help in England.
Visit websiteNational guidance and support
SEN support and EHC plan guidance
Department for Education SEND guidance
Official guidance explaining SEN support in education and when an EHC plan may be needed.
Who it is for: Children and young people in England who have or may have special educational needs.
How to access it: Begin with the education setting. Use the council route for an EHC needs assessment or Local Offer information.
Check current detailsFind your local SEND information, advice and support service
Information, Advice and Support Services Network
Find the impartial SEND advice service for your local authority area.
Who it is for: Children and young people with SEND and their parents or carers in England.
How to access it: Choose your local authority in the Council for Disabled Children directory and contact the listed service directly.
Check current detailsPractical next steps
Start with the person who can act now. In school, this is often the class teacher, form tutor or SENCO. Describe the barrier in concrete terms, ask what support will be put in place and agree when it will be reviewed.
If the setting cannot meet the need through SEN support, ask what evidence is being gathered and whether an EHC needs assessment should be considered. You can also contact your local information, advice and support service yourself. For health concerns, speak to the GP or the professional already involved and ask which local pathway applies.
Before a meeting, write down the two or three outcomes that matter most. Afterwards, confirm the decisions, named actions and review date in writing. This creates a useful record without turning family life into a filing exercise.
Related FamilyFX help
Sources and checking dates
Local services change. We check the sources below and review any substantive change before altering the page.
- Council for Disabled Children: find your local IAS service, checked 13 August 2026
- GOV.UK: children with special educational needs, checked 14 August 2026
- GOV.UK: England's traditional counties, checked 14 August 2026
- GOV.UK: special educational needs support, checked 14 August 2026
- NHS: when to use 111, checked 14 August 2026
