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In England the 2014 Children and Families Act introduced wide ranging changes to the assessment of and provision for children and young people with special educational needs and disabilities (SEND). Guidance underpinning implementation was then published in the Code of Practice. Our study focuses on a key component of that legislation, known as the 'local offer', which requires local authorities to establish and maintain, clear, comprehensive, accessible and up to date information for children and young people with SEND, and their families, about available SEND provision. Local authorities are expected to involve children and young people and their families in co‐designing and reviewing their local offer, alongside other key stakeholders, to ensure provision is responsive to local needs and aspirations. To support our assessment of local offers we first established six categories based on the criteria in the Code of Practice about expected availability of SEND‐related information (e.g. financial support, health service information, accessibility information). We used these categories to evaluate the relevant local offer websites of all 151 English local authorities with legal responsibilities for SEND assessment and provision. We further assessed whether each local offer website included three common website accessibility functions. Our findings demonstrate variation in the availability of information at local authority level, therefore limiting the ability of some young people and families to make informed decisions about the support available to them. This provides further evidence to support growing concerns about 'postcode lottery' inequities for families and their children with SEND. [ABSTRACT FROM AUTHOR]

The World Health Organisation has called for global action to reduce child stunting by 40% by 2025. One third of the world's stunted children live in India, and children belonging to rural indigenous communities are the worst affected. We sought to identify the strongest determinants of stunting among indigenous children in rural Jharkhand and Odisha, India, to highlight key areas for intervention. We analysed data from 1227 children aged 6–23.99 months and their mothers, collected in 2010 from 18 clusters of villages with a high proportion of people from indigenous groups in three districts. We measured height and weight of mothers and children, and captured data on various basic, underlying and immediate determinants of undernutrition. We used Generalised Estimating Equations to identify individual determinants associated with children's height‐for‐age z‐score (HAZ; p < 0.10); we included these in a multivariable model to identify the strongest HAZ determinants using backwards stepwise methods. In the adjusted model, the strongest protective factors for linear growth included cooking outdoors rather than indoors (HAZ +0.66), birth spacing ≥24 months (HAZ +0.40), and handwashing with a cleansing agent (HAZ +0.32). The strongest risk factors were later birth order (HAZ −0.38) and repeated diarrhoeal infection (HAZ −0.23). Our results suggest multiple risk factors for linear growth faltering in indigenous communities in Jharkhand and Odisha. Interventions that could improve children's growth include reducing exposure to indoor air pollution, increasing access to family planning, reducing diarrhoeal infections, improving handwashing practices, increasing access to income and strengthening health and sanitation infrastructure. [ABSTRACT FROM AUTHOR]