Introduction In the context of the disparity in outcomes for working age and lifelong disabled adults, and in the context of rising expenditure outlined in the previous section, there are opportunities to optimise the current system of support for these individuals. Achieving this requires an understanding of: • The likely changes to demand coming into the system. • The key characteristics and needs of working age and lifelong disabled adults currently receiving adult social care support. • The improvement approaches that are likely to improve outcomes and financial sustainability on this basis. The following section explores the likely changes to demand coming into the system, specifically from 18–25-year-olds transitioning to adulthood. Section 7 then explores the key characteristics and needs of working age and lifelong disabled adults receiving adult social care support and provides suggestions for the improvement approaches that are likely to improve outcomes and financial sustainability on this basis.
Increasing demand from 18–25-year-olds transitioning to adulthood Individuals transitioning from support with SEND to adult social care account for a significant proportion of new people requiring adult social care support each year. As a result, it is important to consider how the volume and needs of these people are likely to change in the coming years, to help inform the planning and design of support for working age and lifelong disabled adults. Engagement carried out for this programme also highlighted the sector’s concern about the future impact of transitions on adult social care, and the challenges with modelling potential increases in volume and cost. There was also widespread recognition of the potential impact of current parental expectations of support, and how this can be managed to maximise independence. With the increase in EHCPs and high needs block expenditure since legislative changes 10 years ago, several Directors of Adult Social Services raised a concern regarding how this growth in size, spend, and need may translate to adulthood, and may therefore create additional pressures on adult services.
06: Increasing demand from transitions to adulthood for 18–25-year-olds
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