My Lords, we could not be moving more quickly. We got the report out before the end of the pandemic; we have acknowledged the issue and written numerous letters into the system, as I have mentioned; and we are putting in place the resources needed to support the necessary training and interactions. We are taking this extremely seriously and we are moving as quickly as we possibly can.

I cannot go into details of commissioning guidance in this short Question, but I reassure the noble Baroness that, when it comes to family involvement, new guidance has been issued in response to the Joint Committee on Human Rights, which puts family involvement in any seclusion or restraint decision. That is an immediate development since the report in October.

Those identified as extremely clinically vulnerable are put on the Shielded Patient List (SPL), based on a set of specific conditions set out by the Chief Medical Officer. The SPL has been developed based on national data and local clinical judgement.

We only hold sufficient information on the SPL to allow us to identify those people who are clinically extremely vulnerable, to ensure that they have the right guidance and support to help them shield. We do not have additional data on whether that are currently in care settings or not. This means we are unable to identify adults with a learning disability in a care setting from the SPL, nor split the over 70s on the SPL between those in care settings and those not.

The SPL does include date of birth, so as of 7 May we know that 944,134 people aged 70 and over were on the SPL, and therefore should have received a shielding letter.

The United Kingdom Government and devolved administrations have published clear guidance on appropriate personal protective equipment (PPE) for health and social care workers as well as specific patient use of PPE. This has been written and reviewed by all four UK public health bodies and informed by National Health Service infection prevention control experts and the New and Emerging Respiratory Virus Threats Advisory Group (NERVTAG).

Our guidance is consistent with World Health Organization guidance for protecting health and social care workers from COVID-19. The Academy of Medical Royal Colleges, Royal College of Nursing and Royal College of Midwives have played a lead role in developing the guidance.

2018-19 is the latest year for which data on the number of clients with a Primary Support Reason of Learning Disability Support receiving long term support by care setting is available. According to the 2018-19 dataset 2,065 adults with a learning disability lived in a nursing care setting whilst 30,410 adults with a learning disability lived in a residential care setting. Therefore, a total of 32,4765 adults with a learning disability lived in a care setting between 2018-19.

We are supporting people of all ages with a learning disability or autism to live well in the community, rather than in inappropriate hospital care. Building the Right Support is our national plan to develop community services and reduce reliance on mental health inpatient services for people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition.

The NHS Long Term Plan commits to an extra £4.5 billion a year for primary care and community health services by 2023/24. Health and social care staff must have the skills and knowledge to make a positive difference to the lives of people with learning disabilities and autistic people. This is a priority for the Government and we are developing plans to introduce the Oliver McGowan mandatory training in learning disability and autism.

All the transforming care partnerships will comprise both CCGs and local authorities, so all the experiences learned by local authorities should be paid into the process.