An update on learning disability services in England


Royal College of Nursing publication report about the care and support for people with learning disabilities, autism or both, and their families, including recommendations to address the issues highlighted.

The report highlights the disconnect between workforce planning and service design, and the reduction and devaluing of the learning disability workforce. It presents data to show that there is still a 'revolving door' with people with learning disabilities, autism or both, continuing to be admitted into inpatient services, often due to the inability to access the right care and support to help people live independently.

It also looks at the current state of the workforce in terms of staffing levels, numbers, skill mix and projections for the future workforce.


A number of recommendations are presented in relation to workforce and service development to address the issues raised in the report. These include:

  • a long-term workforce strategy that connects workforce planning to the transformation and delivery of services for children and adults with learning disabilities, autism or both
  • ensuring that quality community services are commissioned to support the appropriate transition of people from inpatient care to living more independently in the community
  • establishing long-term commissioning arrangements of community services to protect children and adults who rely on vital services in the community
  • for positive behaviour support to be embedded across organisations and training

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    • nhsi
    • 9 May '17

    resource was opened for discussion.

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