This guideline covers care and support for adults with learning disabilities as they grow older. It covers identifying changing needs, planning for the future, and delivering services including health, social care and housing. It aims to support people to access the services they need as they get older.
We have produced an EasyRead version and video to explain this guideline, which are available from information for the public.
This guideline includes recommendations on:
- overarching principles
- organising and delivering services
- identifying and assessing care and support needs
- planning and reviewing care and support
- identifying and managing health needs
- end of life care
- staff skills and expertise
Who is it for?
- Providers of social care, health and housing support for people growing older with learning disabilities
- Practitioners in social care, health and housing who work with people growing older with learning disabilities and their families and carers
- Commissioners and people with a strategic role in assessing and planning local services
- Practitioners in other related services, including older people's services, adult learning disability services, employment, education and criminal justice services
- People with learning disabilities, their families, carers and advocates
Guideline development process
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.