The Dynamic Support Register (DSR) provides a mechanism for national data collection on people with learning disabilities and complex care needs. Out-of-area placements are those where the individual is accommodated out with their Health and Social Care Partnership area. Out-of-area placements can be an appropriate option, depending on an individual’s needs and preferences. The focus of the Coming Home Implementation Report is to reduce inappropriate out-of-area placements.

The DSR only collects data on adults (aged 18+ years) and, therefore, cannot provide data on children with learning disabilities who are in out-of-area accommodation. Additionally, as the DSR was established in May 2023, we do not hold data for adults before 2023.

Public Health Scotland (PHS) collect and publish quarterly data from the DSR, with the most recent collection from 7 March 2025 published on 17 June 2025. At that time, there were an estimated an estimated 1,264 people on the DSR, of which 842 were appropriate out-of-area placements, and 45 were inappropriate out-of-area placements.

Additionally, PHS publish monthly data on delayed discharges. The most recent figures for May 2025 can be found here. This data is broken down to Health Board and Local Authority level.