The Winterbourne View scandal, exposed by the Panorama programme, shocked the nation. It led to the Government pledge to move all people with learning disabilities and/or autism inappropriately placed in such institutions into community care by June this year. Not only has there been a failure to achieve that movement, there are still more people being admitted to such institutions than are being discharged. This has caused anger and frustration. In light of the need to achieve progress Simon Stevens, then CEO of NHS England, asked Sir Stephen Bubb to consider how we might implement a new national framework , locally delivered, to achieve the growth of community provision needed to move people out of inappropriate institutional care.