After this, health authorities promised to reduce the number of placements in large units where people were cared for inadequately, far from home, and on a long term basis. It was planned to have a reduction in the number of these placements, with alternative more satisfactory small scale services provided. However, after four years, the Bubb report highlighted that there had been little change, and proposed the way forward for service improvement. It advocated listening to, and empowering people with disability and their families, and the use of smaller, more local services with different kinds of funding.