Overview of the provision in Scotland of early learning and childcare for children with profound and multiple learning disabilities with life-limiting or life-threating conditions
- Area of Work: The ALLIANCE
- Type: News Item
- Published: 29th March 2023

A new report highlights widespread failings, as children with highly complex disabilities cannot access their right to nursery placements.
Every 3 and 4 year old in Scotland has a legal right to 1140 hours of free nursery or alternative early learning and childcare. However, the report highlights that children with highly complex disabilities and intensive health care needs, who would hugely benefit from inclusive play, communication and learning are often not able to access this entitlement and are missing out on potentially life long benefits, while their parents are experiencing mental health problems, isolation and are unable to work.
70% of parents of children with highly complex disability and intensive health needs surveyed said they could not access a nursery placement for their child when they asked for it, and 79% said that the process of securing nursery provision for their child or the limitations of the provision that was provided meant that they had to give up work; prevented them from working; or required them to reduce their working hours.
The Scottish Centre for Children with Motor Impairments and Indigo Childcare Group have released a new report into the provision of Early Learning and Childcare for children with highly complex disabilities and intensive health care needs. They say that although the Scottish Government’s flagship policy of access to free nursery care for 3 and 4 year olds is working well for most families in Scotland, significant
challenges remain in ensuring that those with complex needs can access their entitlement. Bob Fraser CEO of the Scottish Centre for Children with Motor Impairments said “We are talking about around 230 children in Scotland with the most complex needs who have very rare conditions or multiple conditions where the science tells us that they would particularly benefit developmentally from nursery. However, parents tell us they can’t access their entitlement to reliable nursery placements that consistently meet their child needs when they want it and where they want it, if they can access a placement at all.”
Although this report focuses on children with profound and multiple learning disabilities with a life-limiting or life-threatening condition, the challenges faced by these children and families in accessing Early Learning and Childcare are also faced by many other families affected by childhood disability.
End of page.
End of page.
You may also like:
Participate in a study into family or carer outcomes after critical illness (FOCUS), led by the University of Cambridge.
Continue readingLast call to nominate for the Frontline Awards 2026.
Continue readingRead our published response on the voting experiences of people who are Deaf, Deafblind, or who have Visual Impairments.
Continue readingComplete this consultation if you access optometry services, support people to access eye care services, or are an eye care professional.
Continue readingFirst FIFA tournament to have sign language interpretation broadcasts for all matches.
Continue readingThe annual survey by Carers UK helps to shape campaigns and policy work, based on the experiences of unpaid carers.
Continue readingThe Self Management Fund has awarded new grants to 23 organisations across Scotland
Continue readingTheresa Campbell, MSc Psychology student, is investigating the impact of deprivation following cancer treatment.
Continue readingLived experience participation in local decision making affected: "It's draining, I have a chronic condition, hence why I'm going to stop"
Continue readingThe Practice Learning Review Consultation will remain open until 23 July 2026
Continue readingRead our updated members handbook to discover the benefits of your ALLIANCE membership.
Continue readingThe MyCare app is available in the App Store and Play Store.
Continue readingMulti-year funding was at the centre of the Scottish Parliament debate on a Third Sector Partnership Agreement
Continue readingApply for this highly regarded leadership development offer from Leading to Change and PSD Scotland.
Continue readingThe Self Management Programme is changing to focus on the Fund, share learning, and support better health and wellbeing in Scotland.
Continue readingTogethers' new training and consultancy offers are now live.
Continue readingThe ALLIANCE joins 54 signatories in calling for accessible news and equal access to information for all.
Continue readingRead the full response to the Equality and Human Rights Commission’s (EHRC) Code of Practice
Continue readingA new app from the Scottish Association for Supported Employment (SUSE) for helping people stay well in work
Continue readingFree self management and wellbeing resource for everyone helping young people with their wellbeing.
Continue readingThe date for this year's DiGiTal Get Together has been announced
Continue readingWe have published our conference report from our annual conference Hope to Action as we look to the future and the work still to be done.
Continue readingNew guidance supports Audiology services to design and develop clinical peer review schemes to support quality assurance.
Continue readingRegister for this paid Advisory Panel opportunity
Continue readingTake a short survey to share your experiences
Continue reading