Contents

Ministerial foreword

How the review was done

Chapter 1 Understanding the issues
Who are people with learning disabilities?
How many people in Scotland have a learning disability?
Who provides support?
Where does the money go?
Putting people first
Seven principles

Chapter 2 The way ahead
Partnership in practice
Co-ordinating local areas
A personal life plan
A change fund
Direct payments
A Scottish Consortium for Learning Disability
Scottish service network for autistic spectrum disorders

Chapter 3 Better choices, stronger voices
Information for people, professionals and planners
Communication
Advocacy

Chapter 4 A full life - where you live
Where we are now
Where we want to be
How do we get there
People already living in the community
Providing services in the community instead of long-stay hospitals
Healthcare for people leaving long-stay hospitals
Making sure there is quality for people living in care homes

Chapter 5 A full life - what you do
Day opportunities - Where we are now
The future scope of day services
New opportunities for lifelong learning and development
Developing employment opportunities
Enough money to join in?
Leisure and recreation
Transport
The importance of short breaks — where we are now
A structured approach to planning short breaks
Public attitudes

Chapter 6 Working well together
Where we are now
Vulnerability and risk
Handling transitions better
The role of primary and general healthcare
People with learning disabilities and other problems

Chapter 7 Summary

Appendix 1 List of recommendations
Appendix 2 National implementation plan
Appendix 3 Definitions
Appendix 4 The cost of care packages
Appendix 5 What will progress look like
Appendix 6 The legal background
Appendix 7 Who was involved in the review
Appendix 8 Glossary

Textual References