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<p>Under the Care Act 2014 local authorities have a statutory duty to assess the care
and support needs of an adult where it appears they have a need for support. This
includes providing support in the community to people with learning disabilities and
autism. In 2017/18, the total number of working age adults receiving long term social
care support was 253,810. Of these around 45% have a primary reason for support given
as learning disability. We have given local authorities access to up to £9.4 billion
more dedicated funding for social care over the three years from 2017/18, including
the Local Government Finance settlement announcement of a further £150 million for
social care. This is supplemented by National Health Service expenditure for example
on the development of community support for people with learning disability and autism
which has supported a net reduction of around 19% in the number of people with learning
disabilities and/or autism who were inpatients in mental health hospitals from a March
2015 baseline of 2,880.</p><p> </p><p>Progress in delivering Building the Right Support
is monitored through the Assuring Transformation Dataset with published monthly reports
setting out the number of inpatients and the number who have left hospital to live
in the community.</p><p> </p><p>NHS England and NHS Digital are developing a reasonable
adjustment flag on patients’ summary care records, which can be shared between services,
information on the support needs and associated reasonable adjustments for a patient
with learning disability or autism.</p><p> </p><p>We have not estimated the number
of people with a learning disability or autism living in the community who have a
local care and support navigator or key worker. The Department has commissioned the
Institute of Public Care to review best practice in care co-ordination for people
with a learning disability and long-term conditions who need healthcare services.</p>
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