During a visit in November, Ofsted and health watchdog the Care Quality Commission found that senior leaders have been too slow to implement disability and SEN reforms and parents are often unclear about what support is available to them.
"A lack of strategic direction, frequent staff changes and changes to the roles and responsibilities of senior leaders have reduced the capacity of the local area to deliver the statutory reforms effectively," the letter states.
"Joint commissioning between healthcare services and the local authority was not established soon enough and is underdeveloped.
"As a result, inequalities in the quality of services and the provision for children and young people who have SEN and/or disabilities remain.
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