Learning disabilities (health and wellbeing needs in South Tyneside)

Level of need

The tables below indicate the recorded number of South Tyneside residents diagnosed with learning disabilities and / or autism. The number of individuals with learning disabilities is compared to other neighbouring areas in the North East and North Cumbria (NENC) Integrated Care Board. Further information around autism data can be found in the autism JSNAA.

The data below comes from GP clinical systems [10], as extracted from RAIDR (Rapid Actionable Insight Driving Reform) system. It therefore only includes those people with learning disabilities known to primary care.

Data shown is as of June 2022, the full year data for 2023 is not yet available, therefore the most recent information for the full year has been used.

 

learning disabilities only

learning disabilities with autism

Autism only

County Durham CCG

3351

935

5554

Newcastle CCG

3145

818

4835

North Cumbria CCG

1538

508

2602

North Tyneside CCG

1382

418

1845

Northumberland CCG

1864

581

3448

South Tyneside CCG

907

348

1578

Sunderland CCG

1822

998

3765

Tees Valley CCG

4136

1146

6137

 

The number of people with a learning disability only known to Primary Care in South Tyneside was 907, representing 0.8% of the predicted prevalence of the population with a recorded learning disability. [10]. Predicted prevalence rates indicate the figure should be closer to 2800 people [13]. See page 22 for further detail.

The NENC data highlights:

  • 61% of people with learning disabilities are male.
  • After falling from ages 25-29, the number of people with a learning disability increases from age 50 to 64.

The NENC data identifies the age that people with a learning disability were first recorded as having a learning disability on a GP register. People may have received a diagnosis from another setting, prior to being on the primary care clinical record.

  • 38% of people with a learning disability were diagnosed before their 10 birthday.
  • 20% of people with a learning disability did not appear to receive a diagnosis until they were 30 or older.

The NENC data identifies that:

  • 62% of people with a learning disability on a GP register have had their diagnosis for 10 years or more.

Primary Care data from February 2022 identifies that:

  • 80% of people with a learning disability on a GP register in South Tyneside identified as either British or Mixed British, Noncensus White or White British

In South Tyneside, more people are likely to have a mild or 'unknown' diagnosis of a learning disability on a GP register. 'Unknown' is for people with a very general diagnosis [10].

Children known to SEND Service in South Tyneside

In South Tyneside, the School Census data identifies the following areas of primary need across Education Health and Care (EHC) Plans and Special Educational Needs (SEN) Support [15]:

EHC Plans (total)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

931

975

1037

1105

19

Autistic spectrum disorder

267

333

381

418

57

Hearing impairment

23

14

17

17

-26

Moderate learning difficulty

188

147

127

115

-39

Multi-sensory impairment

5

5

4

3

-40

Other difficulty / disability

27

25

25

30

11

Physical disability

42

40

44

40

-5

Profound and multiple learning difficulty

31

35

35

37

19

SEN support but no specialist assessment of type of need

-

-

-

-

-

Severe learning difficulty

109

119

126

144

32

Social, emotional and mental health

124

119

126

144

32

Specific learning difficulty

29

25

34

45

55

Speech, language and communications needs

80

82

89

97

21

Visual impairment

6

6

6

5

-17

 

SEN Support (total)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

3740

3832

4000

3960

6

Autistic spectrum disorder

216

247

290

389

79

Hearing impairment

65

65

61

56

-14

Moderate learning difficulty

598

596

629

610

2

Multi-sensory impairment

9

13

10

10

11

Other difficulty / disability

143

164

154

185

29

Physical disability

115

74

72

63

-45

Profound and multiple learning difficulty

1

2

3

4

300

SEN support but no specialist assessment of type of need

245

247

267

138

-44

Severe learning difficulty

8

11

7

8

0

Social, emotional and mental health

763

832

880

927

21

Specific learning difficulty

725

685

718

707

-2

Speech, language and communications needs

816

857

872

828

1

Visual impairment

36

39

37

37

3

 

Primary need can be broken down into setting type, to include Primary, Secondary and Specialist Schools [15]:

EHC Plans (State funded primary)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

189

203

239

265

40

Autistic spectrum disorder

87

92

111

133

53

Hearing impairment

9

7

8

7

-22

Moderate learning difficulty

14

22

13

18

29

Multi-Sensory impairment

-

-

-

-

-

Other difficulty/disability

6

3

4

3

-50

Physical disability

5

6

10

8

60

Profound & multiple learning difficulty

2

3

5

6

200

SEN support but no specialist assessment of type of need

-

-

-

-

-

Severe learning difficulty

6

3

10

8

33

Social, emotional and mental health

30

30

35

36

20

Specific learning difficulty

5

4

7

8

60

Speech, language and communications needs

23

31

35

37

61

Visual impairment

2

2

1

1

-50

 

SEN Support (State funded primary)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

2337

2329

2370

2270

-3

Autistic spectrum disorder

127

137

154

200

57

Hearing impairment

28

30

27

29

4

Moderate learning difficulty

444

445

491

476

7

Multi-sensory impairment

9

11

9

9

0

Other difficulty / disability

63

64

56

54

-14

Physical disability

72

49

47

41

-43

Profound and multiple learning difficulty

1

2

3

3

200

SEN support but no specialist assessment of type of need

173

186

230

121

-30

Severe learning difficulty

4

8

4

7

75

Social, emotional and mental health

425

448

425

441

4

Specific learning difficulty

230

173

141

171

-26

Speech, language and communications needs

746

759

768

700

-6

Visual impairment

15

17

15

18

20

 

EHC Plans (State funded secondary)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

186

188

183

206

11

Autistic spectrum disorder

92

102

97

97

5

Hearing impairment

6

3

4

4

-33

Moderate learning difficulty

14

13

16

20

43

Multi-Sensory impairment

2

2

1

1

-50

Other difficulty/disability

6

5

1

3

-50

Physical disability

4

4

4

5

25

Profound & multiple learning difficulty

-

-

-

3

-

SEN support but no specialist assessment of type of need

-

-

-

-

-

Severe learning difficulty

2

1

1

1

-50

Social, emotional and mental health

29

33

33

39

34

Specific learning difficulty

13

12

14

21

62

Speech, language and communications needs

16

11

10

11

-31

Visual impairment

2

2

2

1

-50

 

SEN Support (State funded secondary)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

1324

1434

1559

1606

21

Autistic spectrum disorder

87

108

133

179

106

Hearing impairment

37

33

33

27

-27

Moderate learning difficulty

154

150

138

134

-13

Multi-Sensory impairment

-

-

1

1

-

Other difficulty/disability

80

99

98

130

63

Physical disability

43

24

25

21

-51

Profound & multiple learning difficulty

-

-

-

-

-

SEN support but no specialist assessment of type of need

72

56

32

16

-78

Severe learning difficulty

4

3

2

1

-75

Social, emotional and mental health

274

346

406

425

55

Specific learning difficulty

494

511

577

536

9

Speech, language and communications needs

58

83

93

117

102

Visual impairment

21

21

21

19

-10

 

EHC Plans (State funded special school)

 

2019 / 20

2020 / 21

2021 / 22

2023 / 23

Percentage change from 2019 to 2023

Total

554

573

600

623

12

Autistic spectrum disorder

88

136

163

181

106

Hearing impairment

8

4

5

6

-25

Moderate learning difficulty

160

112

98

77

-52

Multi-Sensory impairment

3

3

3

2

-33

Other difficulty/disability

15

17

20

24

60

Physical disability

33

30

30

27

-18

Profound & multiple learning difficulty

29

32

30

28

-3

SEN support but no specialist assessment of type of need

101

115

115

135

34

Severe learning difficulty

64

74

76

75

17

Social, emotional and mental health

64

74

76

75

17

Specific learning difficulty

11

9

13

16

45

Speech, language and communications needs

40

39

44

49

23

Visual impairment

2

2

3

3

50

 

Locally, the primary need data is identified via learning difficulty compared to learning disability. Whilst Primary Care data can be used to identify the current numbers of children and young people with a learning disability on a GP register, it is worth noting these numbers would not reflect an accurate proportion of children and young people with a learning disability in South Tyneside. This is because children and young people are not routinely diagnosed with a learning disability; nationally, there is a greater emphasis on supporting need via reasonable adjustments compared to using a formal diagnostic pathway.

However national data suggests that there are 389,171 pupils in schools in England with an EHC Plan [16], with nearly 68,000 children having a statement of SEN or an EHC Plan with a primary SEN associated with a learning disability [17]. In addition, there are 1,183,384 pupils in England receiving SEN support [16], with nearly 230,000 identified at a broader level of SEN support having a primary need associated with a learning disability [17].

The table below displays comparative analysis with regards to national, regional and local SEN need, derived from the School Census. South Tyneside currently has a higher rate of children and young people requiring SEN support. This trend has been consistent over the last four years.

SEN Support and EHCP - School Census

% of pupils with EHC Plans

South Tyneside

4.1%

4.3%

4.6%

4.8%

North East

3.5%

3.8%

4.1%

4.6%

Statistical Neighbours

3.3%

3.7%

4.1%

4.5%

England

3.3%

3.7%

4.0%

4.3%

% of pupils at SEN support/SEN without an EHC plan

South Tyneside

16.6%

16.9%

17.6%

17.2%

North East

12.8%

12.9%

13.5%

13.9%

Statistical Neighbours

13.8%

13.8%

14.3%

14.9%

England

12.1%

12.2%

12.6%

13.0%

Academic Year

(School Census)

2019/20

2020/21

2021/22

2022/23

 

Children with a learning disability in inpatient beds

In June 2023, there were 0 children with a learning disability in an inpatient bed.

People with learning disabilities known to the Local Authority

There are currently 525 people with an active learning disabilities support plan known to the Local Authority. 40 of these are S117 funded and 37 are Continuing Health Care Funded. The data shows that the number of people accessing social care has increased each year, with the exception of day services [18].

Adults known to the Community Learning Disabilities Team

Between the 1 April 2022 to 31 March 2023, there were 1,511 referrals to the Community Learning Disabilities Team. [1]

The main discipline for referral was to Community Nursing [19].

Community Learning Disability Team Referrals by discipline

Assertive Outreach Team

Community Liaison Service

Community Nursing

Occupational Therapy

Physiotherapy

Speech and Language

Psychology

Psychiatry

19

124

553

190

120

159

101

245

 

Adults known to Your Voice Counts

Between the 1st April 2022 to 31st March 2023, the service supported 132 people with 'What Matters to Me' conversations to assist and enable the person to live a life of their choosing in the local community.

There were 238 referrals into the service. The main area referred into was the Community Connector service, with the predominate reason for referral being supported to build social networks [20].

Referrals to YVC Community Team broken down by service area

Community Connector

Community Voice

Cooking with Confidence

Drop in

Young Person's Drop In

Equal People

Financial Health

Health and Wellbeing Facilitator

Speaking up Together

81

9

32

52

13

10

20

15

3

 

Adults with a learning disability in inpatient beds

In South Tyneside, there are 5 people in ICB Commissioned beds and 2 people in Specialist Commissioning.

Yearly Health Checks

In South Tyneside, 88% of people with a learning disability on a GP register received a yearly health check for 2022 / 2023. The data shows there has been an increase in the number of people accessing a yearly health check [21].

Percentage of yearly health checks completed between 2019 and 2023

2022 / 2023

2021 / 2022

2020 / 2021

2019 / 2020

88%

87%

86%

34.9%

 

Accommodation

People with a learning disability and autism are more likely to live with family and friends. Every 39 out of 100 adults lives with either family or friends [10].