Published on 14 July, this guidance sets out the core components it expects local systems to deliver so that autistic people and people with a learning disability can live well in their communities. It covers three areas: Health & Wellbeing, Education & Training, Home & Living Well and sits ahead of expected changes to the Mental Health Act, which will place more emphasis on community-based support.
The guidance builds directly on two earlier documents: Building the Right Support (2015) and the 2017 Transforming Care Service Model. The underlying principles carry over largely unchanged: Support should be person-centred, co-produced with people who have lived experience, needs-led rather than diagnosis driven, and delivered in a joined-up way across health, education, housing and social care. What’s asked of local systems is to review their existing support offers, identify gaps against local population need, and align commissioning accordingly, using tools such as Joint Strategic Needs Assessment. NHS England has said further, more detailed service specifications will follow, covering accommodation-based alternatives to hospital, enhanced support for autistic adults, children and young people with a learning disability.
For context locally, this sits alongside the RCN’s recent UK wide review of learning disability nursing, shared on this site last month, which sets out current workforce pressures in the field, and the ongoing work of the South East RNLD Workforce & Education Community of Practice. Readers interested in how community-based delivery and workforce capacity relate to one another may want to look at both documents together. The full guidance is available here:
https://www.england.nhs.uk/long-read/supporting-autistic-people-and-people-with-a-learning-disability-to-live-well-in-their-communities/


