Exclusive: Royal College of Nursing says 1.5m vulnerable people not getting the right care, as specialism is ‘consistently undermined’ The specialist learning-disability nurse workforce is in “absolute crisis” with the number of specialist nurses falling by a third across the UK since 2009, leaving many vulnerable adults with inadequate care, according to a report by the largest nursing union. The Royal College of Nursing review revealed that the number of learning-disability nurses employed by the NHS has fallen from 7,083 in 2009 to 4,768 in 2026. As a result of these falling numbers, 1.5 million people with learning disabilities were not being provided with their legal right to equitable access to health and care services.