Select committee: Health and Social Care Committee

Recommendation 2

Fifth Report - The treatment of autistic people and people with learning disabilities Published 13 Jul 2021 Paragraph 24 Addressed to Department of Health and Social Care

Health and Social Care Committee Treatment of autistic people and individuals with learning disabilities All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗

Recommendation (the committee's words)

We recommend that the Department of Health & Social Care provides us with a complete assessment of the cost of providing community support for all autistic people and people with learning disabilities currently in inpatient units. Alongside this, an assessment should also be made of the cost of providing community support for all autistic people and people with learning disabilities funded by both the NHS and local authorities. Once the costs of moving care and support to the community for these individuals currently detained in inpatient units are identified, we expect the Government to provide investment which matches these costs, including initial funding for double running if needed. This may require financial transfers from the NHS to local authorities in the short term, to ensure continuity of support. We expect this information by the end of 2021 and the new system to be up and running by the end of the 2022–2023 financial year.

From: Health and Social Care Committee, Fifth Report - The treatment of autistic people and people with learning disabilities (HC 21), paragraph 24, 13 July 2021

Government response

The government responded to the whole report on 27 July 2022 (deadline 13 September 2021).

Summary written by Accountability Index from the government's response. It is not the government's own words.

The government's response welcomes the Committee's report and sets out its position recommendation by recommendation, accepting some in full, some "in principle" or "in part", and not accepting others, alongside the Building the Right Support action plan and the draft Mental Health Bill.

On costs, it accepts the recommendation for a complete assessment "in principle" while noting "the practical challenges in providing a complete assessment of costs"; a task and finish group is to develop "targeted solutions" on funding and financial oversight.
It does not accept a ban on long-term admissions or the Trieste model: "we do not intend to implement the Trieste model of care" and does not agree admissions "should be banned altogether", pointing to Mental Health Act reforms.
On weekly reviews and compensation, it accepts recommendation 4 "in part": it does "not intend to implement weekly formal reviews" or to introduce compensation under the Mental Health Act, but proposes additional review points and Tribunal referrals.
On closing Assessment and Treatment Units, it accepts "in principle" that care must be person-centred but does "not accept" closing all mental health inpatient units within two years, and expects to keep some capacity, including forensic.

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