Abstract

A draft national framework designed to improve the care of people with learning disabilities, shifting services away from hospital care and towards community-based settings. The document outlines a service model designed to ensure a degree of national consistency, while giving commissioners the flexibility to design services that best fit the needs of their local population. It sets out to provide clarity on ‘what good looks like’ for health, social care and housing services for people with a learning disability and/or autism and a mental illness or behaviour that challenges. It focuses on services and packages of care and support funded by the NHS and local government, as well as NHS/local government interfaces with other services (e.g. education), but not those services funded by other public sector agencies themselves (e.g. schools). The model comprises nine principles that should underpin the design of good services, and these are: planned, proactive and coordinated care; service users’ choice and control over their care; support in the community; service users’ choice over where they live; fulfilling and purposeful everyday life; good care from mainstream NHS services; access to specialist health and social care support in the community; access to services aimed at preventing or reducing anti-social or offending behaviour; and access to high-quality hospital treatment.