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    Location, location, location: A

    postcode lottery?

    A report into the social care ordinary residence landscape

    in England: October 2013

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    Contents

    Page

    3 Foreword

    4 What is Ordinary Residence?

    5 Executive summary

    7 Key findings

    8 Recommendations

    9 Overview of findingsMethodology and responsesEngland overview by regionBackground from current literatureAnalysis

    12 The human costs of ordinary residency disputes

    14 Conclusions

    15 Appendix A questions asked and response rates

    16 About Linkage Community Trust

    16 Further reading

    17 References

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    Foreword

    The issue of ordinary residence is a much-debated area in health and social care. Lack of

    clear guidelines has left much of this matter subject to the interpretation of local authorities

    and health organisations and practice varies significantly up and down the country.

    Recently the Local Government Association published a report called Winterbourne View

    joint improvement programme: Stocktake of progress report September 20131 which

    revealed the challenges local government face with regard to ordinary residence. The report

    highlighted the need for developments to be made locally to find a resolution to continuing

    difficulties in relation to Ordinary Residence.

    The Stocktake also revealed that local authorities want support with ordinary residence

    matters:

    Eighty-six specific requests for support are identifiedthe largest number of

    requests (distinct from general support needs) are regarding Ordinary Residence andassociated financial risks

    Despite the uncertainty around ordinary residence, the Stocktake is clear in its expectations

    of local authorities, stating In the meantime, it is expected that authorities will work together

    to resolve any outstanding uncertainties and that this should not be a reason for individuals

    remaining stuck in inappropriate situations.

    This report by Linkage Community Trust is the result of a Freedom of Information Act

    request which was made in April 2013 to all 152 upper-tier local authorities, 1 Clinical

    Commissioning Group and 1 Health and Social Care NHS Trust in England.

    This report is the first survey of its type in the UK. It examines the current social care

    ordinary residence landscape in England and looks into the flow of people between different

    local authority areas.

    We aimed to determine the financial implications of ordinary residence transfers for local

    authorities and uncover the volume of people given the chance to exercise their right to

    choose where they would like to live.

    Linkage also heard from carers of service users who shed light on the human costs of

    ordinary residency disputes. Their stories show the devastating consequences of the current

    postcode lottery of care and support and demonstrate how local authority decisions canimpact so significantly on the lives of vulnerable adults with learning disabilities.

    We did this because:

    It is important that people can choose where they want to live;

    It is important the people are able to exercise individual choice and control over what

    type of accommodation they live in;

    The right to exercise choice and control underpins the emerging cross-government

    disability strategy Fulfilling Potential.

    1Local Government Association (2013) Winterbourne View joint improvement programme: Stocktake of

    progress report September 2013, England

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    In this report we call on the Government to make it easier for people to exercise their

    right to live where they want to and to give clear and undisputable guidelines to local

    authorities on who is responsible for funding, and a clear funding transfer process to

    ensure that people are able to move seamlessly between local authority areas. This isin line with its welcome choice and personalisation agenda.

    The Care Bill, which is currently going through Parliament, provides a crucial

    opportunity to offer clarity around the matter of ordinary residency and put an end to

    the plethora of disputes currently blighting many peoples experience of social care

    and restricting their rights to choose where they want to live. This opportunity must

    be taken and we must ensure that the Bill and accompanying regulations and

    guidance clearly set out what is expected and are not left open to local interpretation.

    Only then can we take steps forward to make ordinary residence disputes a thing of

    the past.

    Ges Roulstone

    Chief Executive, Linkage Community Trust

    What is Ordinary Residence?

    Ordinary residence guidance is part of the 1948 National Assistance Act1. It was introducedto clarify the status of people placed in residential care outside their original area and aims toestablish which local authority has to fund their support2.

    Under the National Assistance Act, if a council places someone in residential care out of

    area, it remains financially responsible and that local authority continues to be deemed thepersons place of ordinary residence, for as long as the individual remains in residential care.

    Disputes lasting many months arise when someone decides to move from residential care

    into supported accommodation within the same local authority. The first authority argues that

    it is no longer responsible for funding, but the second authority (where the person actually

    lives) argues against funding someone not originally from the area2.

    2VODG (2013) Ordinary Residence, extraordinary mess: a briefing from the Voluntary Organisations Disability

    Group (VODG), England

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    Executive summary

    Linkage Community Trust submitted a Freedom of Information Act request to all 152 upper-

    tier local authorities, 1 Clinical Commissioning Group and 1 Health and Social Care NHS

    Trust in England in order to assess the ordinary residence landscape in social care. With a

    total of74.67% of authorities approached offering a full or partial response, we can beassured that this report provides a comprehensive overview of the situation in England.

    There are several common scenarios where ordinary residency rules are particularly

    disputed. These are:

    When a person is placed in residential care or college out of county, the authority in

    which they lived prior to that placement remains responsible for funding their care.

    However, if the person moves out of residential care or college into their own

    accommodation, the responsibility for funding transfers to the new local authority.

    If the out of county residential care home a person was funded to reside in by theauthority prior to that placement de-registers, then the responsibility for funding the

    subsequent care required, whether that is the sending or receiving authority, is

    regularly contested.

    In addition, problems of equivalence of care packages are closely linked to ordinary

    residence issues:

    When a person living with support in the community decides they want to move to

    another area there are often arguments between the local authorities in the current

    and new area over who will pay for the support if the move takes place. This often

    results in people being left in limbo over whether they are able to exercise their rightto choose where they live for fear that support will not be available or will be reduced

    or retracted once the move takes place.

    Even when a person who is placed out of area has made the move from residential

    care into supported living and the second authority agrees to pay, the persons care

    package is often drastically reduced.

    The Department of Health updated guidance on ordinary residence in April 20133 which

    includes the following key principles:

    Where two or more local authorities fall into dispute over a persons ordinary residence:

    The key priority of local authorities should be the well-being of people who use services.

    The provision of accommodation and/or services must not be delayed or otherwiseadversely affected because of uncertainty over which local authority is responsible.

    The well-being of people is paramount in all cases of dispute.

    3Department of Health (2013) Ordinary Residence: Guidance on the Identification of the Ordinary Residence of

    People in Need of Community Care Services, England.

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    In particular, where a person is suffering from a terminal illness local authorities shouldensure the assessed care and support is provided speedily to the individual, pending theresolution of any dispute.

    One local authority must accept responsibility on a without prejudice basis, in accordance

    with the directions issued by the Secretary of State, for the provision of social care servicesuntil the dispute is resolved.

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    Key findings

    Our findings showed that:

    Funding responsibility isnt always transferred to a receiving local authority when a

    person moves into their area in a community setting. This is contrary to Departmentof Health guidance which states that, unless the person is in a residential care

    placement arranged by their original local authority, they have chosen to settle in the

    new area and, as such, are ordinarily resident in that area. As a result, the new local

    authority should have funding responsibility transferred to them.

    More positively, local authorities have been acting upon Health Minister Norman

    Lambs direction to move service users out of assessment and treatment centres and

    into community settings by 1 June 2013. This is supported by the high numbers of

    people who have moved from residential care into supported living and tenanted

    accommodation across the country.

    On average, 4 regions had more adults with learning disabilities moving into their

    area under the ordinary residency criteria rather than leaving their area. Interestingly,

    the same number of regions had more adults with learning disabilities leaving their

    area under ordinary residency rules than moving into their area. 2 regions, the East

    Midlands and West Midlands, had the same number of adults with learning

    disabilities migrating into and out of their area on average.

    It is interesting to note that the areas where people tend to move to under ordinary

    residency rules are mainly coastal, rural areas and the areas where people tend to

    leave under this criteria are, in the main, more urban and industrial locations.

    A further interesting comparison to make is whether more authorities in the region, on

    average, incurred higher costs or made more savings as a result of these migrations

    under ordinary residency criteria. One would assume that high volumes of service

    users migrating into a region would result in that area incurring higher costs and that

    high numbers of service users migrating out of a region would generate more

    savings, but this is not immediately apparent when comparing the responses for each

    area. This could be due to the variations in levels of need and associated costs of

    care packages and could also mask individual authorities in each region which vary

    significantly in terms of their ordinary residency activity in comparison to theirregional counterparts.

    It is recognised that some areas are more affected by ordinary residence transfers than

    others. Some local authorities may be faced with a high level of people moving into their

    area who require support which is not evenly balanced with an equivalent level of people

    transferring out of their area. In these cases, if the receiving local authority becomes

    responsible for funding all incoming residents, their budgets will be stretched

    disproportionately compared to those authorities who send a lot of people out of area and

    dont have a lot of people entering their area.

    A breakdown of findings is available as a separate document to this report.

    http://www.linkage.org.uk/foi-report/location-location-location-a-postcode-lottery-report-b.pdfhttp://www.linkage.org.uk/foi-report/location-location-location-a-postcode-lottery-report-b.pdfhttp://www.linkage.org.uk/foi-report/location-location-location-a-postcode-lottery-report-b.pdf
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    Recommendations

    The Care Bill provides a crucial opportunity to clarify matters of ordinary residence and to

    achieve more consistency and portability of care.

    1. We support the move to implement a national eligibility threshold for social care toiron out regional discrepancies. Currently eligibility thresholds are set locally, with

    many authorities tightening the criteria as a result of increasing budget pressures.

    Current studies have shown that in 20134:- the vast majority, 130, had a threshold at substantial;- only three councils provided social care to people falling in to all the bands;-16 provided care to those with moderate needs and above; and-three councils only provided care for those with critical needs.

    A national eligibility threshold would increase the portability of personal budgets

    between local authority areas, with people being more reassured that they will able toaccess the support they are eligible for wherever they choose to live. We would

    further suggest that funding should be attached to the person, rather than the place

    to ensure true portability of care. There is still a risk however, of variations between

    local authorities on what they include in a personal budget and how they operate,

    which could affect the level of care a person receives.

    It is imperative that this threshold is set at a level equivalent to the current

    moderatelevel to ensure that vulnerable people with very real care needs dont slip

    through the net. A level higher than this would only reinforce the problematic crisis-

    driven approach we face at the moment, whereas a moderate level would promote a

    more preventative style of care, which has been proven in several national reports to

    be more cost-effective in the long run.

    2. Regulations and accompanying guidance should also clearly set out what is

    expected of local authorities to minimise variations in interpretation.

    Clearer guidance on ordinary residence and funding responsibility should also be

    produced in order to decrease perverse incentives for local authorities to move

    people out of their area. It would close the

    loopholes that local authorities sometimes try

    to use to avoid assuming financial

    responsibility. It would also promote personal

    independence as service users are often

    fearful of moving out of residential care into

    more independent accommodation in case

    the local authorities dispute, reduce, or end

    the support they receive.

    4https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-

    help-under-new-plans

    https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-plans
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    Overview of findings

    Methodology and responses

    Linkage Community Trust submitted a Freedom of Information Act request to all 152 upper-

    tier local authorities, 1 Clinical Commissioning Group and 1 Health and Social Care NHSTrust in England on 23 April 2013. 54 full responses and 61 partial responses were

    received, which offered us an interesting insight into the current situation in England.

    With a total of74.67% of authorities approached offering a full or partial response, we can be

    assured that this report provides a comprehensive overview of the situation in England.

    The questions asked centred on several key areas including incoming and outgoing

    migrations, transfers of funding, impacts of reassessments and moves from residential care

    into supported living or tenanted accommodation.

    England Overview by Region

    EastMidlands

    EastofEngland

    InnerLondonBoroughs

    N

    orthEast

    No

    rthWest

    OuterLondonBoroughs

    SouthEast

    SouthWest

    WestMidlands

    Yorkshireand

    Humber

    MoreadultswithLDleaving

    thearea

    MoreadultswithLDmoving

    intothearea

    On average, did the region have more service users migrating into

    their area than leaving the area?

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    This graph shows that:

    On average, 4 regions had more adults with learning disabilities moving into their

    area under the ordinary residency criteria rather than leaving their area. Interestingly,

    the same number of regions had more adults with learning disabilities leaving their

    area under ordinary residency rules than moving into their area.

    2 regions, the East Midlands and West Midlands, had the same number of adults

    with learning disabilities migrating into and out of their area on average.

    Background from current literature

    It is interesting to note that the areas where people tend to move to under ordinary residency

    rules are mainly coastal, rural areas and the areas where people tend to leave under this

    criteria are, in the main, more urban and industrial locations. This could be due to historical

    practice in which there was pressure from local communities wanting learning-disabled

    people to be placed away from population centres5

    The report, Out-of-borough placements for people with learning disabilities , also argues that

    The proportion of out-of-borough services purchased appears to be related to the volume of

    local accommodation and the competence of local services in managing complex needs.

    Political and economic factors influence both of these factors (Ryan, 1998). It is noticeable

    that exporting boroughs tend to include city areas where house prices are high. This makes

    the acquisition of special needs housing expensive and may lead to greater resistance from

    local pressure groups and politicians who fear a negative effect on house prices. Such areas

    may espouse the older belief that rural quietness far from the hurly-burly of modern urban

    living is beneficial for disabled people. The importing boroughs are mainly the Shires, ruralareas where large properties are less expensive and there is less likelihood of local

    opposition being organised. Many of the long-stay hospitals were situated away from

    population centres, and skilled staff were concentrated in these areas. With the closure of

    these hospitals, many staff left to run residential homes and services in the same area6.

    The Centre for Social Justice also released a report called Turning the Tidewhich suggests

    that seaside towns are becoming dumping grounds for vulnerable people.

    The report suggests that The stagnation that a depleted economy and a low-skills base has

    meant that the price of property has plummeted as demand has fallen. Buildings formerly

    used as tourist accommodation and small businesses, such as bed and breakfasts, havebeen turned into extremely cheap housing. This has served to turn some seaside towns into

    veritable dumping grounds for groups such as care leavers, people with substance abuse

    problems, those with mental health issues and ex-offenders, for whom placing authorities

    can easily find low-cost accommodation. As this happens, towns develop a high density of

    need that places greater and greater strain on public services and risks increasing the

    vulnerability of these already vulnerable groups7

    It could be argued that this is also applicable to vulnerable adults with learning disabilities.

    5

    http://apt.rcpsych.org/content/10/2/116.full6http://apt.rcpsych.org/content/10/2/116.full

    7http://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdf

    http://apt.rcpsych.org/content/10/2/116.full#ref-26http://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.full#ref-26
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    Analysis

    A further interesting comparison to make is whether more authorities in the region, on

    average, incurred higher costs or made more savings as a result of these migrations under

    ordinary residency criteria.

    There doesnt appear to be any direct correlation between the numbers of adults with

    learning disabilities migrating into or out of an area in comparison to the savings or costs

    generated.

    One would assume that high volumes of service users migrating into a region would result in

    that area incurring higher costs and that high numbers of service users migrating out of a

    region would generate more savings but this is not immediately apparent when comparingthe averages for each area. This could be due to the variations in needs and associated

    costs of care packages and could also mask individual authorities in each region which vary

    significantly in terms of their ordinary residency activity in comparison to their regional

    counterparts.

    EastMidlands

    EastofEngland

    InnerLondonBoroughs

    NorthEast

    NorthWest

    OuterLondonBoroughs

    SouthEast

    SouthWest

    WestMidlands

    YorkshireandHumber

    Incurredmorecosts

    Mademoresavings

    On average, did the region incur higher costs or make higher savings

    from ordinary residence migrations?

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    The human costs of ordinary residency disputes

    Negative impact on health condition

    Sophies* ordinary residence dispute has been resolved and she is now under Local

    Authority X as her funding authority. However, a combination of factors means that her care

    package is significantly reduced:

    Firstly, prior to the changes Sophie was receiving 3 days employment support, where she

    was able to engage with others and keep active which benefitted her health. When Local

    Authority X assessed her, they decided that this aspect of her care package was not needed

    and she lost the funding for it.

    This happened at the same time as Supporting People funds were being transferred to the

    housing related support. As a result, Sophies hours were reduced for this also, as themaximum providers were able to claim for this was 8 hours per week. Prior to this Sophie

    had been in receipt of 24 hours care per week.

    Lastly, Local Authority X has assessed her as not requiring adult social care funding, which

    meant that Sophies care package did not include on-going medication and health

    requirements. We were able to request a re-assessment and received a further 7 hours per

    week to cover these needs.

    During this period of change Sophies diabetes got worse as we were supporting her for less

    hours to supervise menu, food intake and shopping. Sophie cannot afford to purchase these

    services from her own budget and with the reduced support she does struggle to becomeinvolved in appropriate and meaningful activities.

    This example highlights the on-going struggle that people can be faced with through

    ordinary residency disputes. Even though this local authority has agreed to pay, the problem

    is that the new care package is insufficient.

    *Name changed to protect identity

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    Negative impact on health and well-being

    Gemma* was an ordinary residency case which Local Authority Y needed to assess and

    take on the funding for.

    After the assessment Local Authority Y decided that Gemma would not receive funding forher employment services and her support hours were reduced.

    It took some time for Gemma to stop attending her employment services after many

    attempts by staff to try and discuss and explain the outcome of the assessment. Gemma did

    stop attending, but displayed distressing behaviours including pulling her hair out, not taking

    care of herself, over sleeping, not engaging with support and her obsessive behaviours

    increased. We sought medical advice about her behaviour / symptoms and response to no

    longer attending employment services.

    Gemmas GP wrote a letter to evidence that this was directly linked to her current situation

    and lack of stimulation and activity. It gave Gemma little opportunity to engage with others asher support hours were reduced and staff were attending for less hours per week.

    *Name changed to protect identity

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    Conclusions

    1. Unless further clarity is provided on the circumstances when funding should or

    should not follow the service user if they move out of county, we are facing a

    postcode lottery of care and support for adults with learning disabilities.

    Service users want to know that there will be consistency in their supportpackage once they move without having to worry about which local authority

    will assume financial responsibility.

    The findings clearly evidence that the rules around ordinary residence criteria

    are being subject to local interpretation with no consistent approach being

    taken nationally.

    The Government need to ensure that scope for variation in understanding is

    minimised. A clear and consistent process must be set out in legislation,

    regulations and guidance to avoid the uncertainty and disputes many

    vulnerable people find themselves embroiled in when moving to a new area or

    moving to a different type of provision within that area.

    2. An encouraging trend is that there appears to be a move towards transferring adults

    with learning disabilities from residential care into supported living within the same

    authority.

    As we are uncertain as to how many learning disabled adults each local

    authority supports, it is difficult to ascertain an accurate percentage of how

    many service users are taking steps towards more independent living.

    However, we are pleased that there seems to be gathering momentum in this

    area, given the direction from Norman Lamb, Health Minister, to encourage

    local authorities to move service users out of assessment and treatment

    centres and into community settings by 1 June 2013.

    3. In contrast, our findings indicate a low number of learning disabled adults who have

    moved from residential care into supported living or tenanted accommodation, who

    were previously funded by other local authorities. This poses a number of questions.

    As it is not clear whether all of the adults with learning disabilities who made this

    move were ordinarily resident in that area prior to the move, it is difficult to draw any

    clear conclusions. One could make several assumptions including:

    that people moved back to their original local authority once leaving a

    residential care placement

    that the funding origin of the service user is not clear in local authority records

    that the majority of people who moved from residential care into supported

    living or tenanted accommodation were ordinarily resident in that area

    that the local authority which received the resident from out of county blocked

    a move into supported living or tenanted accommodation in a dispute over

    funding responsibility

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    Appendix A questions asked and response rates

    This request comprised several key questions in terms of the ordinary residence activities of

    local authorities. We asked:

    1. How many learning disabled adults have become your authoritys responsibility under

    ordinary residency rules in the last 2 years, by year? What has the total cost been to your

    authority of that migration?

    2. How many learning disabled adults have ceased to be your authoritys responsibility under

    ordinary residency rules in the last 2 years, by year? What has the total saving been to your

    authority of that migration?

    3. How many other local authorities transferred funding responsibility under the ordinary

    residence criteria to your authority in the last 2 years?

    4. Of those, how many service users have been assessed as requiring reduced support in

    comparison to their previous funding authoritys assessment?

    5. How many people have moved from residential care into supported living or tenanted

    accommodation within your area?

    6. Of those, how many were previously funded by out of county local authorities?

    We continued to accept responses until 11 July 2013 to ensure we gathered as full a picture

    as possible.

    By 11 July 2013 we had:

    54 complete responses. This equates to 35.06%

    61 partial responses This includes those unable to provide information to some

    questions, those only able to provide estimates or those who had not responded to

    requests for clarification to their responses by 11 July 2013. This equates to 39.61%.

    35 refusals / unable to provide information (2 of these referred us to alternative

    organisations to source this information, namely a Health and Social Care NHS Trust

    and a Clinical Commissioning Group). This equates to 22.73%.

    4 no returns. This equates to 2.6%.

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    About Linkage Community Trust

    Linkage Community Trust is a national charity based in Lincolnshire, which delivers high-

    quality specialist education, care and employment support services for learning disabled

    people. Its 36-year history has established Linkage as a major provider in delivering flexible

    services, which promote personal autonomy, independence and achievement. The aim is toensure that learning disabled people have the same rights and opportunities for inclusion,

    fulfilment and feeling valued in society as everyone else.

    Linkage College is the longest-established specialist further education college of its type in

    the country. It accommodates both residential and day students at our Lincolnshire and

    North East Lincolnshire campuses, aged primarily between 16 and 25. Linkage Care

    Services offer residential care, supported accommodation and respite care facilities in more

    than 70 properties across the county and beyond. Our Employment Services work in

    partnership with more than 140 employers to support learning disabled people into

    meaningful and sustainable work.

    Linkage Community Trust is a registered charity no. 504913, Company Limited by

    Guarantee No. 01240377.

    Further reading

    Local Government Association (2013) Winterbourne View joint improvement programme:

    Stocktake of progress report September 2013, England

    http://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLE

    VODG (2007) No place like home, England

    www.vodg.org.uk/uploads/VODG-no-place-like-home.pdf

    VODG (2010) Not in my backyard, England

    http://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdf

    VODG (2013) Ordinary Residence, extraordinary mess: a briefing from the Voluntary

    Organisations Disability Group (VODG), England

    http://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-

    as-usual.html

    http://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.vodg.org.uk/uploads/VODG-no-place-like-home.pdfhttp://www.vodg.org.uk/uploads/VODG-no-place-like-home.pdfhttp://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdfhttp://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdfhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdfhttp://www.vodg.org.uk/uploads/VODG-no-place-like-home.pdfhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLE
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    References

    Local Government Association (2013) Winterbourne View joint improvement programme:

    Stocktake of progress report September 2013, England

    Department of Health (2013) Ordinary Residence: Guidance on the Identification of the

    Ordinary Residence of People in Need of Community Care Services, England.

    VODG (2013) Ordinary Residence, extraordinary mess: a briefing from the Voluntary

    Organisations Disability Group (VODG), England

    https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-plans

    http://apt.rcpsych.org/content/10/2/116.full

    http://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-

    Tide.pdf

    Sources of information:

    Barking and Dagenham London Borough Council

    Barnet London Borough Council

    Barnsley Metropolitan Borough Council

    Bath and North East Somerset Council

    Bedford Council

    Bexley Council

    Birmingham City Council

    Blackburn with Darwen Borough Council

    Blackpool CouncilBolton Council

    Borough of Poole

    Bournemouth Borough Council

    Bracknell Forest Borough Council

    Bradford Metropolitan District Council

    Brent Council

    Brighton and Hove City Council

    Bristol City Council

    Bromley London Borough Council

    Buckinghamshire County CouncilBury Metropolitan Borough Council

    https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttp://apt.rcpsych.org/content/10/2/116.fullhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://apt.rcpsych.org/content/10/2/116.fullhttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-plans
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    Calderdale Metropolitan Borough Council

    Cambridgeshire County Council

    Camden Council

    Central Bedfordshire Council

    Cheshire East Council

    Cheshire West and Chester Council

    City of London Corporation

    City of York Council

    Cornwall Council

    Council of the Isles of Scilly

    Coventry City Council

    Croydon Council

    Cumbria County Council

    Darlington Borough Council

    Derby City Council

    Derbyshire County Council

    Devon County Council

    Doncaster Metropolitan Borough Council

    Dorset County Council

    Dudley Metropolitan Borough Council

    Durham County Council

    Ealing Council

    East Riding of Yorkshire Council

    East Sussex County Council

    Enfield CouncilEssex County Council

    Gateshead Council

    Gloucestershire County Council

    Hackney London Borough Council

    Halton Borough Council

    Hammersmith and Fulham London Borough Council

    Hampshire County Council

    Haringey Council

    Harrow Council

    Hartlepool Borough CouncilHavering London Borough Council

    Herefordshire Council

    Hertfordshire County Council

    Hillingdon London Borough Council

    Hounslow London Borough Council

    Hull City Council

    Isle of Wight Council

    Islington Council

    Kensington and Chelsea Royal Borough Council

    Kent County CouncilKingston upon Thames Royal Borough Council

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    Kirklees Metropolitan Council

    Knowsley Metropolitan Borough Council

    Lambeth London Borough Council

    Lancashire County Council

    Leeds City Council

    Leicester City Council

    Leicestershire County Council

    Lewisham London Borough Council

    Lincolnshire County Council

    Liverpool City Council

    Luton Borough Council

    Manchester City Council

    Medway Council

    Merton London Borough Council

    Middlesbrough Council

    Milton Keynes Council

    Newcastle upon Tyne City Council

    Newham London Borough Council

    Norfolk County Council

    North East Lincolnshire Council

    North East Lincolnshire Clinical Commissioning Group

    North Lincolnshire Council

    North Somerset Council

    North Tyneside Council

    North Yorkshire County CouncilNorthamptonshire County Council

    Northumberland Council

    Nottingham City Council

    Nottinghamshire County Council

    Oldham Metropolitan Borough Council

    Oxfordshire County Council

    Peterborough City Council

    Plymouth City Council

    Portsmouth City Council

    Reading Borough CouncilRedbridge London Borough Council

    Redcar and Cleveland Borough Council

    Richmond upon Thames London Borough Council

    Rochdale Metropolitan Borough Council

    Rotherham Metropolitan Borough Council

    Royal Borough of Greenwich

    Rutland County Council

    Salford City Council

    Sandwell Metropolitan Borough Council

    Sefton Metropolitan Borough CouncilSheffield City Council

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    Shropshire Council

    Slough Borough Council

    Solihull Metropolitan Borough Council

    Somerset County Council

    South Gloucestershire Council

    South Tyneside Metropolitan Borough Council

    Southampton City Council

    Southend-on-Sea Borough Council

    Southwark Council

    St Helens Metropolitan Borough Council

    Staffordshire County Council

    Stockport Metropolitan Borough Council

    Stockton-On-Tees Borough Council

    Stoke-on-Trent City Council

    Suffolk County Council

    Sunderland City Council

    Surrey County Council

    Sutton London Borough Council

    Swindon Borough Council

    Tameside Metropolitan Borough Council

    Telford and Wrekin Council

    Thurrock Council

    Torbay CouncilTorbay and South Devon Health and Social Care NHS Trust

    Tower Hamlets Council

    Trafford Metropolitan Borough Council

    Wakefield Metropolitan District Council

    Walsall Metropolitan Borough Council

    Waltham Forest London Borough Council

    Wandsworth London Borough Council

    Warrington Council

    Warwickshire County Council

    West Berkshire Council

    West Sussex County Council

    Westminster City Council

    Wigan Metropolitan Borough Council

    Wiltshire Council

    Windsor and Maidenhead Royal Borough

    Wirral Metropolitan Borough Council

    Wokingham Borough Council

    Wolverhampton City Council

    Worcestershire County Council

    Written by Rebecca Smith

    Policy and Campaigns Officer, Linkage Community Trust

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