"6. [A] is dependent on the support of adults to assist in the management of his self-care, physical and medical needs"
"6 ... In the short term, he is likely to require adult assistance for managing his toileting and hygiene needs..."
"…the School is confident that it can meet his intellectual and physical needs without further adaptations to the school buildings." 4. This statement was erroneous for a combination of reasons (as found by SENDIST which sat on12 April 2005 , and whose decision gives rise to this appeal): the understatement by Ms K of the frequency of, and difficulty of coping with, episodes of incontinence; glossing over the difficulties by the local education authority; and naivety on the part of the school. The SSEN was not amended so as to require the resourcing of additional hours of special support assistance, even though the school did not have the specialist resource base designed to meet the needs of children with physical disability identified within the local education authority’s proposed placement. 5. The apportionment of responsibility for this state of affairs occupied much of the hearing before SENDIST. It was largely a distraction from the central issues. 6. A joined the School in September 2002. When he had an involuntary bowel movement a learning support assistant, initially (Mr. C), cleaned him up and changed him. Mrs B took over that role in September 2003; but Mrs E, by then a Special Educational Needs Coordinator, took it upon herself to clean and change him for much of the time. To do so, she had to lift the bottom half of his body. Mrs L, the School Principal, became concerned about the frequency of bowel accidents and the facilities to deal with them. 7. On8 October 2003 , following such an accident, she sent A home and wrote to Ms K as follows: "[A] has had yet another bowel accident this morning and we have neither the facilities nor the staff to deal with it appropriately. When we first accepted [A] it was on the understanding that these accidents were very infrequent. Our experience of last year showed us that these accidents were more frequent than anticipated. There are, also, issues of Health and Safety for our staff and pupils. [A] is now a maturing young man for whom this will become increasingly problematic."
"... in order to satisfy Health and Safety legislation and to make appropriate provision for [A], it would be essential to provide a considerable number of auxiliary aids and services and to make physical alteration to the building."
"... it is my view that the present placement cannot be sustained on Health and Safety grounds. It is only the total dedication of a member of staff beyond the requirements of her job that have made it possible for the placement to continue thus far." (my emphasis) 8. Mrs L therefore instructed staff not to lift A, but Mrs E continued to clean and change him whenever he had a bowel accident. She told SENDIST that she allowed her heart to rule her head. On30 April 2004 , she sustained a serious and disabling injury to her back when lifting him. She ruptured a disc in the upper spine and damaged the nerves. After Mrs E’s injury Mrs L repeated her instruction to Mrs B and other members of staff not to risk injury by lifting A. Mrs L also promptly sought the assistance of the local education authority. 9. On 10 May she asked for two people to lift and change A and repeated her request on 12 May. She sought an amendment to the SSEN. The LEA decided not to reassess and allocated no additional funding. As a result when A had a bowel accident on 15, 22 June and on 2 September, no member of staff cleaned him up and changed him and he was sent home in the care of an uncle”. "6. [A] is dependent on the support of adults to assist in the management of his self-care, physical and medical needs"
"The potentially large intermediate area of provision which is capable of ranking as educational or non-educational is not made the subject of any statutory prescription precisely because it is for the local education authority, and if necessary SENDIST, to exercise a case-by-case judgment. …Whether a form of help needed by the child falls within this description is a question primarily for the LEA and secondarily for the SENDIST's expert judgment. If, but only if, SENDIST has gone wrong in law will the High Court overset its judgment." 20. In that case the decision of SENDIST that speech and language therapy, occupational therapy and physiotherapy could be classed as educational was upheld as disclosing no error of law. In this case SENDIST has made no decision on this issue largely because it was not invited to by either side. I have been urged to remit the case to SENDIST for reconsideration on this and other issues. I would do so if persuaded that there was a reasonable possibility that a Tribunal accurately directing itself as to the law could properly conclude that the cleaning and changing of A was an educational or associated service. I do not believe that it could. "
"Even if we are wrong about that, we accept that the school was justified in not cleaning [A] (particularly in view of the lifting required) because of the health and safety issues."