Care, Education and Treatment Reviews (CETRs)

Dynamic support register and Care (Education) and Treatment Review policy and guidance

A new policy has been published which aims to prevent unnecessary hospital admissions for people with a learning disability and autistic people. The policy includes new guidance on the implementation of dynamic support registers (DSRs) and updates to the Care (Education) and Treatment Reviews (CETRs). The easy read and plain English versions of the policy have been co-produced with people with a learning disability and autistic people.

The new guidance will support local NHS services to better understand the needs of people with a learning disability and/or people who are autistic in their area, so that they can make sure people receive the right support. By understanding people’s needs and recognising early signs that might lead to a crisis it means that extra support can be put in place quickly, so the person doesn’t end up going into hospital (or to other out of area placement) unnecessarily.

We have published the policy on 25 January 2023 to enable systems to implement by 1 May 2023.

A new code and toolkit/key lines of enquiry (KLOES) are currently under development to align with the implementation date of 1 May 2023. Prior to this please continue to work with current code and toolkit/KLOES:

This infographic describes how the new policy will support people with a learning disability and autistic people to get the right care at the right time in the right place and how it interacts with other policies.

Watch these films to find out how the policy has been coproduced and how it will help to prevent unnecessary admissions for people with a learning disability and autistic people from the perspective of a:

  • A CETR panel member and autistic person: in this film Conor talks about how the policy has been strengthened by being coproduced with people with lived experience.

  • A family carer: in this film Yvonne talks about how the policy has been strengthened by being coproduced with people with lived and learned experience.

  • A provider: in this film, consultant clinical psychologist, Dr Ceri Woodrow talks about how the policy will help the system better support the needs of people with a learning disability and autistic people.

  • National Clinical Director, Roger Banks, Learning Disability and Autism Programme, NHS England: in this film Roger talks about how the policy enables a whole system approach to supporting people with a learning disability and autistic people.

Watch Ashlee’s story to see how the DSR helps her stay well at home

Additional useful links

For further information please email england.CTRDSR@nhs.net