Implementing policy and good practice in services for people with learning disabilities: factors influencing commissioning and service provision

Abstract

PurposeThe purpose of this paper is to explore the implementation of learning disability (LD) policy among LD commissioners and managers in Kent (South East England) and a neighbouring area.Design/methodology/approachParticipants’ views were elicited by semi-structured interviews focussed on two key national policy documents: Valuing People (DH, 2001) and the Mansell report (DH, 1993; 2007a).FindingsValuing People had a significant impact at the time of publication but initial enthusiasm and impetus faded over time. The Mansell report was thought to have had little impact on local services. Good progress was reported with respect to the development of more integrated services. Limited progress was identified with respect to the development of local mental health and challenging behaviour services. Factors influencing policy implementation were identified.Originality/valueThe similarity of findings to those of McGill et al. (2010) suggest their more general relevance. In the light of the subsequent investigation into Winterbourne View, common themes from both studies are considered in relation to the current Transforming Care programme in England.