This conclusion presents some closing thoughts on the key concepts discussed in the preceding chapters of this book. The book addresses questions about the nature and existence of children with moderate learning difficulties, or whether they are a product or construction of the social and school system. It illustrates the degree of association between moderate learning difficulties and other areas of difficulties. The book discusses the historic question about the concept of intelligence and assumptions about its general, innate and testable characteristics. It focuses on the study of decision making about educationally sub-normal to a moderate degree, which treats the category as socially constructed rather than being an 'innate quality within the child'. The book deals with an account of the different areas identification, curriculum and location of provision in which difference dilemmas. It also focuses on perspectives on special provision in special and mainstream schools.