How we help Get support Education, Health and Care plans Appealing to the SEND Tribunal What can you do if the LA and/or CCG say they will not follow the recommendations issued at the end of the appeal? You can complain to the Local Government and Social Care Ombudsman (in relation to social care) or the Parliamentary and Health Service Ombudsman (in relation to health provision), or seek a judicial review of the decision. You will need to instruct a legal representative if you want to start judicial review proceedings.