Inspectors found that health professionals in Merton lack training in helping young people through education, health and care (EHC) plans, including assessing, planning and reviewing their support.
The joint inspection by Ofsted and the Care Quality Commission was also critical of the ineffective partnership between education and care services provided by Merton Council and health support through NHS Merton's clinical commission group (CCG).
Leaders' strategic decisions have not ensured that the area is "far enough on" with implementing improvements in SEND support, states an inspectors' letter published this week.
A failure to oversee the quality of EHC plans is a particular concern raised, in particular the poor contribution from health professionals.
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