Skip to main content Skip to contact details

Children stay out of residential care

None of the nine children supported by Affinity Trust’s Positive Behaviour Support service in Bradford has entered residential care as a result of their challenging behaviour, according to a new evaluation.

Affinity Trust launched its Positive Behaviour Support service for children and young people with learning disabilities in Bradford in January 2018. Since then, the service has expanded and now also operates in Gloucestershire and Greater Manchester. The children and young people supported by this service all live at home, and their key workers spend up to 30 hours a week with them – at home, in schools, and in other settings.

The Tizard Learning Disability Review has now published an evaluation of the Positive Behaviour Support service in Bradford, written by Affinity Trust staff and then peer-reviewed.

Main findings of the evaluation

  • None of the nine children with whom Affinity Trust’s Positive Behaviour Support service in Bradford has worked have entered residential care as a result of their challenging behaviour and all but one remain living in their family home, the exception living locally in Bradford at a residential unit due to issues unrelated to challenging behaviour.

  • The initial contract for the Bradford PBS Service was to prevent 70% of referrals from entering residential care as a result of their challenging behaviour. At the time of writing, the service maintains a 100% success rate on this key performance indicator.

  • To date, the service has been paid a total of £266,500 for keeping six children in Bradford out of residential care across 28 months, with the others not yet being eligible for outcome payments due to being within nine months of referral.

  • The service has arguably contributed to the avoidance of significant additional costs to local authority and NHS commissioners.


  • It is estimated that 12% of children and young people aged 0-18 years with a learning disability will present some form of behaviour that challenges.

  • While a proportion will be successfully supported in their families and at school, some will present severe and enduring challenging behaviour that places themselves or others at significant risk and increases the likelihood of residential placement.

  • In 2015 in England, around 22% of those under 18 years in inpatient units were there for ongoing behavioural treatment. Admission to such units or to out-of-area residential settings may lead to significant restrictions on young people’s quality of life and may have little or no therapeutic benefit.

  • Such placements also constitute a major financial burden for local authorities and the National Health Service.

  • Positive Behaviour Support services can provide significant cost savings and enable children to stay within family homes and local schools. Proactive, early intervention with children and families can also help prevent difficulties continuing into adolescence and adulthood.

Find out more about how the service works

Download the full article [PDF, 192 KB]

Contact us

Contact us

Head Office

Head Office
1 St Andrew's Court, Wellington Street, Thame, Oxfordshire OX9 3WT View Map
T: 01844 267800 F: 01844 267829 E:
Media enquiries to:
1 St. Andrew's Court, Wellington Street, Thame, Oxfordshire OX9 3WT
T: 07553 264 975 E:

Central England

Central - Divisional Office
Rowan Room, Acacia Room, BT Room, Poplar Room and Office Ground floor, National Training Centre 3 Gilmour Close Leicester LE4 1EZ View Map
T: 0116 236 3793 F: 0345 643 7094 E:
For enquiries about Sheffield-based services
T: 07387 058 872 (9am-3.45pm Monday-Thursday only) E:

East England

East - Divisional Office
U18, South Fens Business Centre, Fenton Way, Chatteris, Cambridgeshire PE16 6TT View Map
T: 01354 696009 F: 08456 437521 E:
Enquiries for Norfolk and Suffolk should be directed to the Divisional Office.

North England

North - Divisional Office
Unit 12, Curtis House Business Centre, Leeds, LS9 9LF View Map
T: 0113 468 4460 E:
Bradford District Office
Unit 9 Parkview Court, St Paul's Road, Shipley, West Yorkshire, BD18 3DZ View Map
T: 01274 533553 E:
West Midlands Office
Flat 7, Parry’s Court, Woodside Place, Cannock, Staffordshire, WS11 4AA View Map
T: 01543 578764

Positive Behaviour Support for children, young people and their families

Positive Behaviour Support
1 St. Andrew's Court Wellington Street, Thame, Oxfordshire, OX9 3WT View Map
T: 07341 478228 E:


Scotland - Divisional Office
62 Viewfield Road, Ayr KA8 8HH View Map
T: 01292 436030 E:
Oban Office
First Floor, Glenshellach House, 7e Glengallan Road, Oban, PA34 4HG View Map
T: 01631 571311 F: 01631 566708 / 0872 111 4616 E:
Aberdeen Office
87a Urquhart Road, Aberdeen, AB24 5ND View Map
T: 01224 039264 E:
Isle of Bute Office
18 East Princes Street, Rothesay, Isle of Bute PA20 9DL View Map
T: 01700 500376 E:
Irvine office
Suites 2/1 and 2/2, Landek House, 44-46 Bank Street, Irvine KA12 0LP View Map
T: 01294 446600 E:

South & South West

South - Divisional Office
Suites 53-55, Aldershot Enterprise Centre, Mandora House, Aldershot, Hampshire, GU11 2PW View Map
T: 01252 311188 F: 01252 311170 E:
Somerset Office
Mendip Court, Bath Road, Wells, Somerset BA5 3DG View Map
T: 01749 605594 E:

South East, Bedford and Northamptonshire

South East - Divisional Office
Suite 2+3, Henwood Pavilion, Henwood, Ashford, Kent, TN24 8DH View Map
T: 01233 665324 E:

Specialist Support

Specialist Support
Head Office, 1 St Andrew's Court, Wellington Street, Thame View Map
T: 01844 267800 F: 01844 267049 E: