Despite the efforts of many care professionals  the support for young people with disabilities shames civilised society in 2019.  This latest report is sadly predictable and an indictment of institutional silos which has dogged public services for generations.  We should not judge our public services by how many nurses or police officers are employed, how many new buildings go up or how much fancy equipment we buy.  It’s about how we treat the vulnerable.  Let's hope we see this issue  in the Election campaign.