We are reporting on both of these improvement areas together because a lot of the work happening in our improvement services contributes to both these aims.
'Leaders across the partnership should address the variability in children and young people’s access to health services that exists in different areas within the local area so that all children and young people with SEND in Hertfordshire have an equal opportunity to access appropriate provision and support that meets their needs.'
We need to redesign the way we assess children and young people for autism and ADHD so it is less confusing and the process is the same across Hertfordshire. We will improve the support children and their families get while they wait for assessment and make sure everyone can find excellent support no matter which area they live in.
We also aim to more get young people aged 14+ with learning disabilities attending the annual health checks they are entitled to.
'Leaders should further address the gaps and delays in service provision to meet the full range of needs of children and young people with SEND. This includes services for autism, ADHD, mental health, audiology and speech and language.'
We will stop waiting times from getting any longer, and make sure services exist for the things our families need help with. Over time, we will make waiting times for services shorter, but within our 18 month plan, we will "stabilise" the waiting times. Some particular things that families need more help with, and faster, are:
- mental health
- speech and language
- ADHD and autism
- audiology (hearing).
We will also make sure that when families do have to wait, they know where to get support in the mean time.
We are also helping schools to use a new tool (called Valuing SEND), which helps education staff to identify a child's needs. This can be useful as evidence when getting the right support from colleagues in health and social care, and helps the school to provide the right support to the child.
Children waiting for speech and language (SaLT) assessments (June 2025)
Children waiting for speech and language assessments are now being seen much more quickly. We've reduced the number of children waiting longer than 6 weeks for their SaLT EHCP report from 535 in Sep 2023 down to 18 children in Jun 2025, a 97% reduction.
There has been an improvement in the number of speech and language therapist jobs filled over the last 12 months. In Jan 2024, 25.4% of posts were unfilled, but in Jan 2025, 4% are unfilled.
Faster hearing tests for babies
All newborn Auditory Brainstem Response tests are now being completed within the 4-week target, ensuring babies with hearing needs get early support.
Waiting lists for other paediatric audiology assessments have been reducing, but are still long, and we are working with National NHS colleagues to improve in this area.
Early support for neurodiversity extended (June 2025)
The Neurodiversity Support Hub has been highly successful in providing support to families and professionals (regardless of whether or not they have a diagnosis). A previous expansion of the service led to a 19% increase in usage. The service has therefore been extended for another 3 years.