After abuse was exposed at Winterbourne View care home in 2011 the NHS realised a stronger framework was needed to address serious shortcomings in the system currently in place supporting adults with learning disabilities and autism in the community. They commissioned a review, which resulted in a report published on Wednesday that suggests a framework to support people with learning disabilities and autism as they move out of hospitals and into the community. This framework introduces a charter of rights for patients and their families, giving them a ‘right to challenge’ decisions and the right to request a personal budget.It includes a  requirement for local decision-makers to follow a mandatory framework setting out who is responsible for which services and how they will be held to account;  a planned closure programme of ‘inappropriate’ in-patient facilities and improved training and education for NHS, local government and service provider staff.