New Evidence: What Makes Communication Support Work for Adults with Learning Disabilities?

Good communication underpins choice, relationships and wellbeing, yet the evidence for what actually works in long-term care has been thin. A new King’s College London blog by research assistant Emily Urwin sets out early findings from the Improving Communication with Adults with Learning Disabilities (ICALD) programme, and it’s worth ten minutes of your time.

The team ran a realist review of the evidence, checked against the experience of people with learning disabilities, carers and professionals, then built on it through workshops, focus groups and interviews to map a Theory of Change for improving practice.

 

Key takeaways:

  • Communication works best when staff hold genuine regard for a person’s ability to communicate and take time to know them beyond task-focused care.
  • It should support enjoyment and shared experience, not just meeting wants and needs.
  • Documentation only helps when it’s kept current and actually used day to day.
  • Training that includes adults with mild to moderate learning disabilities as contributors makes a real difference.
  • Organisations need to treat communication as a human right, backed by leadership and ongoing support.

The findings have already shaped a new workforce development programme for social care staff, now heading into real-world testing. The team has also produced a set of short animations illustrating each element of good communication support, a useful resource for training sessions. View the animations.

Read the original blog: What does good communication look like for adults with learning disabilities living in social care?

More on the project: Improving Communication with Adults with Learning Disabilities

New RCN Publication – Safety, Equity and Expertise: A UK review of Learning Disability Nursing

The Royal College of Nursing’s latest UK-wide review of Learning Disability Nursing delivers a stark reality check: Learning Disability Nursing is not just important — it is safety‑critical. And right now, it’s under threat.

Why this matters now

People with Learning Disabilities continue to experience profound health inequalities, including avoidable deaths and poorer access to care.

Learning disability nurses (RNLDs) are the professionals working to close that gap — ensuring reasonable adjustments, preventing harm, and advocating for safe, person-centred care across complex systems.

Without them, systems fail.

The headline: essential, but invisible

Learning disability nursing is a safety‑critical profession, not an optional extra — yet its contribution is consistently misunderstood, undervalued and under-recognised.

Key pressure points identified within the review:

  1. A shrinking workforce – numbers are declining while demand is rising.
  2. A fragile education pipeline – fewer students and reduced placement opportunities.
  3. Risky early careers – new nurses often work with high responsibility and limited support.
  4. A visibility crisis – the role is poorly understood across systems.

What’s at stake?

When Learning Disability nursing expertise is missing, risks increase — including avoidable harm, poor communication and premature death.

The call to action:

– Recognise and protect Learning Disability nursing as a safety‑critical role within the nursing profession.

– Improve workforce visibility and data

– Stabilise education and expand placements

– Strengthen early career support

– Make the impact of RNLDs visible and valued

The bottom line: Learning disability nursing is essential to safer, fairer care. The question is not whether it matters — but whether we act. In the South East of England, the challenges identified in this RCN review are not abstract — they are being felt now.

As systems continue to shift toward community-based and integrated models of care, the demand for Learning Disability Nursing expertise is rising faster than supply — increasing risk for people with Learning Disabilities and the teams supporting them. This national review provides not just evidence, but a clear mandate for local action: to strengthen education pathways, invest in early career support, and ensure RNLD expertise is visible, valued and sustainably embedded across South East services. 

One way in which we are trying to tackle these issues, is through the continued development of the South East RNLD Workforce & Education Community of Practice, which is strongly supported by the KSS LD CoP.

For more information on this, please visit our Learning Disability Nursing page: Learning Disability Nursing – Kent, Surrey & Sussex Learning Disability Community of Practice

You can also access the full RCN publication here:   

https://www.rcn.org.uk/-/media/Royal-College-Of-Nursing/Documents/Publications/2026/June/012-541.pdf

Join Us in Medway: A Learning Event for Everyone Working with People with Learning Disabilities & Autistic People

The Kent and Medway Learning Disability and Autism Community of Practice is hosting a free, face-to-face learning event at the Medway Campus of Canterbury Christ Church University. It runs from 1pm to 4pm. Places are limited.

This is not a conference. It is a participatory, hands-on space built around what staff across Kent and Medway have told us they actually want: space to think together, practical tools, real examples from lived experience, and connection with others doing similar work. Whether learning disability and autism is your whole role or part of it, you are warmly invited.

Step-free access is in place, refreshments are available throughout the day, and attendance counts towards your CPD log.

Places will go quickly. To book or for further information, contact r.germaine@nhs.net.

Learning Disability and Autism: Working Together to Improve Practice
16 July 2026 | 13:00 to 16:00 | Medway Campus, Canterbury Christ Church University
Free to attend | Limited places

Forward Together Project in Kent and Medway

Yesterday, we hosted Taylor Anderson and Polly Somervell from the Challenging Behaviour Foundation’s Forward Together project. Their presentation to our Kent, Surrey, Sussex LD Community of Practice demonstrated how regional networks can drive real change for people with learning disabilities and behaviours that challenge.

Watch the YouTube film and view the slides to see how they’re bringing family carers and professionals together, with 115 members already in Kent and Medway tackling transition, early years, older carers, and crisis support.

 

Their “End the Cliff Edge” campaign for named transition coordinators deserves your attention.

Get involved: forwardtogether@thecbf.org.uk

Nursing Placement Strategy Launch Event: Social Care as a Nursing Placement of Choice – 17 July 2025

Skills for Care in partnership with the Council of Deans Health and Buckinghamshire New University are launching the first ever placement strategy for social care nursing.

Join this launch event to learn more about the strategy and how social care can become a placement of choice for all student nurses and nursing associates. You’ll hear from a variety of key speakers, panel discussions on how social care in the nursing curriculum and in practice learning, can support employability for future nursing graduates plus opportunities to participate in Q&A sessions. Nursing