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<p>‘Building the right support’, published in 2015 by NHS England, the Local Government
Association (LGA) and the Association of Directors of Adult Social Services (ADASS)
is the national plan in England for reducing the number of people with learning disabilities
or autistic people who are inpatients in mental health hospitals. It set out a clear
framework for commissioners to reduce inpatient capacity by developing more community
services for people with learning disabilities or autistic people with behaviour that
challenges. The expectation was for a reduction in inpatient numbers of between 35
and 50% by March 2019.</p><p>By the end of April 2019, inpatient numbers had reduced
by 22%. National Health Service planning guidance for 2019/20 requires a 35% reduction
in inpatients compared to 2015 no later than the end of 2019/20. The LGA and ADASS,
as key delivery partners of the Transforming Care programme, will continue to support
work to improve provision of suitable accommodation and services in the community
and the Department of Health and Social Care and the Department for Education will
remain accountable for ensuring that children and young people receive the support
they need.</p><p>The NHS Long Term Plan prioritises services for children and young
people, providing a clear focus on improving the health and wellbeing of children
and young people with learning disabilities and/or autism, as well as committing to
implementing ‘Building the right support’ in full, achieving at least a 50% reduction
in the number of people with a learning disability or autism who are inpatients, compared
to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific
commitments to achieve this by developing new models of care to provide care closer
to home and investing in intensive, crisis and forensic community support. By 2023/24
children and young people with a learning disability, autism or both with the most
complex needs will also have a designated keyworker. These will be initially provided
to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Local
health systems have been asked to develop plans for implementing the Long Term Plan’s
commitments. These plans will be brought together in a national implementation programme
for the Long Term Plan to 2023-24, and an NHS workforce implementation plan, by the
end of 2019.</p>
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