This report was commissioned in March 2021 by the ADASS COVID-19 Programme Team to reflect and build on the work of ADASS regions in supporting people living with learning disabilities and / or autism, and their carers during the COVID pandemic.  It is a rapid qualitative review, using semi-structured interviews and a roundtable event to capture professional perspectives after a year of exceptional challenges.   It includes recommendations on challenging inequalities, co-producing better support, strategic re-alignment, supporting independence and sector-led improvement.