Community Care: Learning Disability

Care services for people with learning disabilities and challenging behaviour was published for the Public Accounts Select Committee in 2015, under a previous administration. The Government is committed to reducing the number of people with a learning disability and autistic people in mental health inpatient settings and ensuring they receive the right support in the community which aligns with the recommendations set out in the report.

Our 10-Year Health Plan sets out to make three big shifts towards more preventative, digitally-enabled care, with more holistic, on-going support in the community to tackle health inequalities, including for disabled people. Our 2025 Mental Health Act will limit the scope to detain people with a learning disability and autistic people so that they can only be detained for treatment in a mental health hospital if they have a co-occurring mental disorder that requires hospital treatment. The act will also introduce measures to improve community support for people with a learning disability and autistic people by putting Care (Education) and Treatment Reviews and Dynamic Support Registers on a statutory footing and placing certain duties on integrated care boards and local authorities when exercising existing commissioning duties.

The NHS Medium Term Planning Framework 2026/27 to 2028/9 maintains a focus on improving mental health and learning disability care with an explicit objective to deliver a minimum 10% reduction in the use of mental health inpatient care for people with a learning disability and autistic people year-on-year.