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Mr Ward's school, Parkview in Lisburn, has 223 pupils from 3-19 with severe learning difficulties and currently has a school nurse.

That would create a poverty premium for those who wanted to use cash to budget, as well as for vulnerable groups such as people with learning difficulties and the elderly.

During my visit I watched as a young child with learning difficulties was gently coached to walk around a therapy room.

The teaching assistant, who lives with his parents near Truro, Cornwall, is about to start a new job as a support worker for people with learning difficulties.

It is a post-primary school for pupils with moderate learning difficulties with additional special educational needs, and Dr Atkinson is worried about how some of her leavers will find their future.