Sefton Council and local clinical commissioning groups (CCG) in Merseyside have failed to make progress in any of the five significant areas of weakness which inspectors required it to focus on in a written statement of action in December 2016.
During a return visit in April this year, Ofsted and the Care Quality Commission inspectors found joint commissioning in the borough to be "defective" and that the area had failed to ensure sufficient services are available for children with SEND.
A number of education, health and care plans sampled by inspectors were also of a "disconcertingly poor standard", and all were out of date.
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