I am pleased to speak to the Government's money resolution on the Autism Bill. I thank them and the Minister for tabling the resolution at this stage. As the Minister acknowledged in his brief contribution, it is necessary to progress discussions of the Bill against the background of the House's having passed the money resolution.
The resolution is also a good sign, in my book, because, as the Minister said, we are continuing negotiations on the content of the Bill. I am optimistic that, with a little give and take on both sides, we may reach agreement on legislation which will give the help that the Minister and I wish to bring to people with autism and their families. Some cost to the public purse is associated with the legislation, and I have been looking at the costs with the National Autistic Society.
However, it is becoming more apparent that, in this case, a stitch in time will save nine—that, in fact, is what the Bill is all about. Expenditure at an early stage, enabling better interventions and assistance to be given to people with autism, can often help prevent such people from deteriorating into a crisis phase. It is the costs of people in crisis that are often so high, to say nothing of the savings that we may be able to find in terms of the pain and misery that a crisis usually causes the individual and their family.
The Minister will be familiar with the Knapp report, which clearly laid out the economic consequences of autism; it certainly makes sobering reading. The aggregate national costs of supporting children with autistic spectrum disorder were estimated to be about £2.7 billion per year, most of which was accounted for by the services used. For adults, the aggregate costs amount to £25 billion each year. Of that, services account for 60 per cent. and lost employment and family expenses account for the remainder.
With an annual cost to the economy of about £28 billion, we must be looking for ways to ensure that the best outcomes are achieved for people with ASD and that the money is well spent. Early interventions can help with behaviour patterns, and increased investment at the right time could reduce the high support costs in adulthood. The report points to the reality that greater availability of early interventions will reduce the impact of ASD on the UK economy—but most importantly, it could improve the quality of life for people with ASD and their families. In addition, we will shortly have the National Audit Office report, which will give us a more detailed analysis of the effectiveness of expenditure. I am sure that that will add to the knowledge of what Government need in order to ensure that we improve the quality of outcomes. We need to know how best to spend these resources, and I hope that the Bill will act as a pointer and a general framework for that background.
On the clauses relating to children, registration of children with autism on the local authority registers should not present significant cost implications. The cost of an administration assistant to receive the register and manage it totals £210,600 on the last Government-prepared estimate, but as the registers already exist in some form, the additional costs should be marginal. The effective implementation of clause 2 would result in an increase in service provision, but it is also clear that there are significant medium-term and long-term savings to be made by providing the appropriate services at the right time to children with autism.
On clause 3, there is existing funding to deliver support for transition through the Aiming High for Disabled Children transition support programme, but there is a low baseline in many authorities, and the £17 million that is already in the budget can only achieve so much. However, as the funding exists, it does not necessarily form any great amount in extra costs under the Bill.
On the remainder of the clauses, much of the cost has already been committed by the Department through the announcements that the Minister has made. We are in the process of negotiating amendments to the Bill so that it can reflect the generous offer made by the Government to fulfil some of those promises. I look forward to the Minister supporting the Bill as we progress through the Committee stage, and I am delighted that the money resolution has been tabled to enable that progress to be made.
Question put and agreed to.
Autism Bill (Money)
Proceeding contribution from
Cheryl Gillan
(Conservative)
in the House of Commons on Tuesday, 5 May 2009.
It occurred during Debate on bills on Autism Bill (Money).
About this proceeding contribution
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2008-09Chamber / Committee
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