This short report sets out some of the specific ways in which the Covid-19 pandemic has impacted low-income families who have children with additional needs. Drawing on participatory research with Covid Realities participants, combined with survey data from the Disabled Children’s Partnership, the report sets out two participant-led policy recommendations: better support for parent carers, including respite care; and better mental health support for children with additional needs and their parent carers. Noting the additional challenges wrought by the current cost-of-living crisis, the report calls for a more caring and compassionate social security system for some of the most vulnerable children and families in our society.