The purpose of this report is to describe the needs of people in the boroughs who have learning disabilities. As part of this, the report identifies the health inequalities experienced by this group compared to the general population. This report will be used to assess and develop local strategy around support for people with learning disabilities, alongside a range of other information, such as other specific needs assessments, strategies, action plans and routine monitoring. Some detail has been provided in this report on services and how they are responding to local needs, but it is envisaged that this detail will predominantly be captured in resulting action plans and strategies, which will ensure that issues from this report are addressed.