The latest government plans for reforming the SEND system in England contain few surprises, and many of the ‘big ticket’ initiatives are already being road-tested so that when they are extended across the country in 2014 teething problems will have been overcome. In this regard, one of the biggest challenges to be addressed, and in a relatively short period of time, is in the area of ‘new accountability’. New legislation designed to ‘bite’ on education, health and care services - so that support for children, young people and families is integrated, personalised, effective, and available when it is needed – is critical to successful reform.