A child cannot tell their story from inside a diagnosis. They can tell it from inside a relationship.

Wellbeing has become a product. It has a curriculum, a measurement framework, a suite of interventions, a budget line, and an Ofsted judgement attached to it. Schools are assessed on their wellbeing provision. Wellbeing leads are appointed. Wellbeing surveys are administered. The word appears so frequently in education documents that it has begun to lose the thing it was supposed to describe.

The distinction that matters is between wellbeing as a state that is produced by good conditions, and wellness as a quality of being that a person inhabits from the inside. Wellbeing is something the institution provides, or fails to provide. Wellness is something the person experiences. The two are not the same, and the confusion between them is producing a great deal of activity that changes very little.

A child who is told they are valued, assessed on their emotional literacy, referred to a programme, and surveyed about their feelings is receiving wellbeing provision. A child who comes to school and is known by a trusted adult, whose imagination is treated as evidence of capability, who experiences themselves as an author and not a problem, is experiencing wellness. The first is institutional. The second is human. They require completely different things from the adults around the child, and only one of them requires the child to be genuinely seen rather than processed.

The medicalisation of childhood has accelerated the confusion. When a child's distress is named, categorised, and referred, it becomes a wellbeing matter, handled by the appropriate professional. When a child's distress is heard directly by a trusted adult who responds with curiosity rather than procedure, something different happens. The child has been seen. That is not a programme. It cannot be fidelity-checked or Ofsted-inspected. It is what human development has always required. And it is what we risk losing entirely if we allow the apparatus of wellbeing provision to substitute for the experience of being genuinely known.

Children need to be seen, heard, and understood. Not medicalised. Not processed through a referral pathway. Met by a human being who is actually paying attention.