Ten years after an original survey, this article reports findings from a 2017 survey of secondary school staff involved in school-based management of GCSE examination access arrangements. A total of 263 respondents, including specialist assessors and SENCos, explained their views on the manageability and fairness of processes for GCSE examination access arrangements. While the perceived fairness of GCSE access arrangements has increased, a majority of respondents do not consider current processes to be manageable at the school level or equally fair to students. However, almost two-thirds of respondents would support some extension of access arrangements or use of technological assistance on the basis of student need. The researchers recommend promotion of partnership between the qualifications regulator, awarding bodies and schools; enhanced shared understanding of the purpose, place and limitations of access arrangements; and use of a school-based protocol to manage roles and resource requirements for the organization of access arrangements.