The only major review of the education welfare service (EWS) took place in 1973 when the role and responsibilities of the service were very different from those of today. Recent legislative changes, the influence of the Children Act 2004 and revised public needs of the service, including new multidisciplinary and interdisciplinary frameworks, suggest that an up-to-date review would be timely. It may also help to professionalise the service in a number of different ways, something which is long overdue. This paper provides both the rationale and evidence for making the case for a major review of the EWS based on a reading of all key relevant documents and participation in a range of local and national evaluations on the role of the EWS in England and Wales. The major issues which need to be reviewed are identified and a way forward is suggested. (Contains 7 tables.)