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National policy may be against hospital-based accommodation for people with learning disabilities but not in the private sector, where commercial concerns come first, says David Brindle When public services are outsourced, how do you ensure they adapt to policy change? What can you do when you pull a policy lever at the centre, but nothing happens down the line? These questions have been thrown into sharp focus by a new report , funded by the Department of Health, on the highly topical subject of private hospitals for people with learning disabilities. Specifically, the report looks at how to encourage...