Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to work with local authorities to increase access to support services for people with autism.

Our national autism strategy, published in July 2021, acknowledges the importance of autistic people being able to access community support, including social care, and that this support should be available at the right time, and tailored to autistic people’s needs. We are currently updating the Autism Act Statutory Guidance to support the National Health Service and local authorities in delivering improved outcomes for autistic people. This will include setting out what local authorities must and should be doing to support autistic adults.

Under the Care Act 2014, it is the responsibility of local authorities to assess individuals’ care and support needs, including those of autistic adults, and, where eligible, to meet those needs. A new duty for the Care Quality Commission (CQC), to assess local authorities’ delivery of their Care Act 2014 duties, went live on 1 April 2023, and the formal assessment period has started. The CQC will examine how well local authorities deliver their Care Act duties, including those that apply to autistic people with care and support needs. This will increase transparency and accountability and, most importantly, drive improved outcomes for people who draw on care and support.

Each integrated care board (ICB) must have an Executive Lead for learning disability and autism, to support them in delivering care and support for autistic people in their area. NHS England has published statutory guidance on these Executive Lead roles. Key areas of the Executive Lead role include, but are not limited to: supporting the board in developing a strategic plan for people with a learning disability and autistic people, with local authorities and wider partners; using joint commissioning principles to work together to facilitate appropriate community support, care, and housing; and enabling people to live well at home. It also includes working with local authorities, primary care networks, place-based partnerships, provider collaboratives, health care providers, and wider partners to address inequalities in health outcomes for people with a learning disability and autistic people.