Conclusion 1

Health inequalities continue to be significant among people with learning disabilities and autism, including an unacceptable level of premature and avoidable deaths compared to the general population. Although some measures are now in place to monitor mortality, such as the annual Learning Disability and Mortality Review (LeDeR), and mandatory training on learning disability and autism, it is clear that more effort is required to improve health outcomes. Significant progress has been made in rolling out part one of the Oliver McGowan Mandatory Training on Learning Disability and Autism but the number of staff who have completed part two is low and availability is constrained while training capacity increases.