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Country Profile

England (United Kingdom)

5.6 out of 10

Right to decide and right to vote

Legal capacity can be partially removed. People with intellectual disabilities have the right to vote and to stand for elections. There is support to make elections accessible. There are people with intellectual disabilities elected on a local level.

8.5

Right to live independently and to be included in the community

Some adults with intellectual disabilities live in large institutions, some live in smaller institutions and some live in small care homes. Very few live in psychiatric hospitals.

5.2

Housing and support

Many adults with intellectual disabilities live with their family, some live in their own place. Disability benefits go directly to the person with an intellectual disability. There is a mechanism to assess quality of services, but it is not user driven.

5.6

Education

Most children with intellectual disabilities go to mainstream schools and some go to special schools. There is no national strategy towards inclusion education.

6.8

Employment

Some people with intellectual disabilities are employed on the open labour market. Some attend daycare and some stay at home. People risk losing their disability benefits when they earn their own salary.

3.4

Healthcare

Most people with intellectual disabilities have access to general healthcare and women’s health. Many have access to the dentist. People with intellectual disabilities have freedom of choice in reproductive health by law, but few report it happening in practice. Forced sterilisation is very rarely practised.

5.6

Representation

There is no cross-disability organisation that has someone with an intellectual disability on a board/ council. Learning Disability England does not receive government funding for advocacy work.

3.8

How does England compare to the European average?

England European average

Right to decide and right to vote
8.5
Right to live independently and to be included in the community
5.2
Housing and support
5.6
Education
6.8
Employment
3.4
Healthcare
5.6
Representation
3.8

There is a [monitoring and evaluation] mechanism for registered services but it is not user driven. They include people in some aspects of quality checking but people and families say it is inadequate.

12 years on from the Winterbourne View scandal, there were still 2,035 people with intellectual disabilities and/or autism in secure hospitals at the end of January 2024. Targets to support people to leave hospital and live in the community are being continuously missed.

Reported numbers of people with intellectual disabilities in
Mainstream education 200,000
Special education 15,000
No education 1,000
Larger institutions 6,000
Smaller institutions 30,000
Small care homes 60,000
Psychiatric hospitals 3,000

These are the reported or estimated numbers of the country. In most cases, in reality, the numbers will be higher as the data is underreported or missing entirely.