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Purpose

– The purpose of this paper is to investigate the characteristics of the highest cost residential placements provided for adults with learning disabilities in the South East of England, comparing findings with a previous survey.

Design/methodology/approach

– Lead commissioners for NHS and Local Authority teams in the South-East of England were asked to provide information on the five highest cost placements that they currently commissioned.

Findings

– The average placement cost was £200,000 per annum with a range from £81,000 to £430,000 per annum. Individual characteristics of people placed were broadly similar to those identified in previous studies.

Originality/value

– Significant resources are used to support relatively few individuals. These individuals’ needs and characteristics suggest areas for research and practice development.

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