Tag: Postcode Lottery

‘A Lost Generation’

Call for greater resourcing as spending to support vulnerable children in Scotland is slashed by just under a third

  • Spending cut of £1,708 per pupil from 2013/14 for those identified with additional support needs (ASN) – 30.1 per cent cut over a decade
  • Number of pupils identified with ASN has almost doubled (97 per cent increase) over the same period
  • Postcode lottery in spending across local authorities for those with ASN

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has warned of a potential lost generation of children and young people with ASN, such as autism, dyslexia and mental health problems, and called for greater resourcing to support this group.

The call comes as new figures contained in a parliamentary answer to the Cabinet Secretary for Education and Skills, Jenny Gilruth MSP, reveal that average additional support for learning (ASL) spend per pupil has slumped by just under a third (30.1 per cent) over the last decade.[1] This comes against a perfect storm of escalating numbers of pupils with ASN and cuts in support.

The SCSC is calling on the Scottish Government to work with local authorities to increase funding to support the needs of vulnerable children and young people, including greater provision of specialist ASN teachers, educational psychologists, behaviour support staff and classroom assistants.

The figures highlight that average spending per pupil on ASL by local authorities in Scotland (primary, secondary and special education) has fallen from £5,558 in financial year 2013/14 1 to £3,850 in 2023/24 [2] (based on 2023/4 prices). This amounts to an overall cut in spending of £1,708 per pupil, representing a 30.1 per cent drop.

This fall is against the backdrop of a 97 per cent increase between 2013 and 2023 in the number of pupils identified with ASN, from 131,593 to 259,036, amounting to 127,443 individuals. Those with ASNrepresent more than a third of all pupils (36.7 per cent).3

There is a wide variation in spending on pupils who need additional support, ranging from £2,624 per pupil in the Scottish Borders to £7,470 in North Lanarkshire, highlighting a postcode lottery in spending across local authorities.  

A recent report from Audit Scotland has called on the Scottish Government and local authorities to fundamentally rethink how they plan, fund and staff additional support for learning as part of core school education in Scotland.

A spokesperson for the SCSC commented: “It is devastating to note cuts in spending supporting those with ASN, and we would urge the Scottish Government and local authorities to increase resourcing to support the greater provision of the likes of specialist teachers, educational psychologists and classroom assistants.

“We are facing a lost generation of children with ASN, and they must get the care and support they need, when they need it, especially given the impacts of the Covid-19 and cost-of-living crisis and the escalating mental health emergency. This is also key if we are to deliver genuine inclusion in the classroom and close the educational attainment gap.

“Our schools are also witnessing dramatic increases in classroom disruption, impacting on pupils and teachers alike. This is in part due to increased levels of social, emotional and behavioural difficulties post-lockdown, and we must ensure the necessary resourcing is delivered to address this.

“The Scottish Government and local authorities must work together to provide adequately resourced support across Scotland for those children and young people with ASN, who represent some of the most vulnerable individuals in our society. “

This Morning: Christmas carols at Drylaw Neighbourhood Centre

Come along for a very festive morning with Christmas Carols and mince pies at the Centre!

We would love to see you for our last Tea & Toast and Golden Hour of the year! 🎅

A huge thank you to EVOC and The Postcode Lottery who have funded all of these sessions this year.

Liver disease diagnosis in Scotland ‘is a postcode lottery’

New research published today in a leading GP journal shows that large parts of Scotland do not have an effective way of identifying people with liver disease, resulting in late diagnosis.

The research, produced from a survey undertaken by the British Liver Trust, used a Freedom of Information request, and shows for the first time how many areas across the country have little or no formal structures in place for detecting and managing liver disease and liver cancer.

The mapped survey results (see below) also show huge swathes of the UK (marked in red) do not have any effective patient pathway in place. This is in sharp contrast to other chronic conditions such as diabetes and heart disease, where patients receive standardised care.

Figure 1 Areas in red have no pathway in place. Amber denotes areas with a partial pathway or pathway in development. Green areas have a full pathway in place. Areas in black did not respond.

Three quarters of people in the UK are currently diagnosed when it is too late for effective intervention or treatment and one in four people diagnosed late in hospital sadly die within a couple of months.

The charity is now calling for earlier detection of liver disease and better patient care across all regions of the UK to be prioritized, and is working to influence healthcare commissioners.

Dr Helen Jarvis, Clinical Advisor for the British Liver Trust and lead author of the research, says: “Anyone who has liver disease, or is at risk of getting it, should get the medical care and advice they need no matter where in the country they live. 

“The publication of this new data shows that, unfortunately, in the UK this is not yet the case. There are pockets of good practice, but there are also many areas that do not have a consistent approach to testing for and diagnosing liver disease. It shouldn’t be a postcode lottery.

“GPs and other healthcare professionals in primary care are doing a fantastic job under a lot of pressure, but in many areas, they’re working within a system that doesn’t allow them to detect and treat liver disease effectively. 

“Unfortunately, many GPs also report a lack confidence and knowledge when it comes to managing the condition. Sadly, this means that in many cases, people with liver disease are diagnosed far too late when treatment options are limited. This had led to thousands of avoidable deaths.

“The liver is an incredibly resilient organ, but only up to a point. Symptoms of liver disease often only appear once damage has progressed and the liver is starting to fail. However, 90% of liver disease is preventable and, in many cases, it’s reversable if caught in time. That’s why early detection and prevention are key.”

Pamela Healy OBE, Chief Executive of the British Liver Trust, said: “Shockingly, deaths due to liver disease have more than doubled in the last 20 years and the condition is expected to overtake heart disease as the biggest cause of premature death in the UK in the next few years.

“Obesity, alcohol and viral hepatitis are the three main risk factors for preventable liver disease.

“We need to take urgent action to stop this silent killer in its tracks. Although the results of our research are very concerning, we do know that there are areas of good practice and that the changes we’re calling for are entirely possible and will save many lives. 

“We now need to take what’s working well in those areas with good liver patient care and apply them in others so that every person with liver disease gets the best possible care, no matter where in the UK they live.”