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Hi Laura, I'm from appa, we're a provider of support services too. In our experience of several London (+1 in Kent) based colleges and Unis is that if the individual is on the lower end of the AD spectrum then colleges and universities do tend to use in house support staff. When you get to middle or higher end of the AD spectrum that's when we get called in. I guess the reason for that (aside from the specialism as Christine stated) is simply that those students a lot more time and 1-2-1 focus is needed. All the best Imran