A report by Ofsted and health watchdog the Care Quality Commission details a raft of concerns about the quality of support for children with SEND in Durham.
It is one of two SEND inspection findings published this week, the other being a positive report on Hackney's services.
During Ofsted and CQC's visit to Durham, inspectors found that while children with SEND and their families are canvassed about how local services should be run there is no evidence that their views are taken into account.
Inspectors found that parents are dissatisfied with the quality of support and that across health, education and social care there is a lack of strategic planning on how support should be delivered.
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