Dynamic registers and dynamic systems

It is important that local NHS services understand the needs of people with a learning disability, autism or both in their area, so that they can make sure people receive the right support.

The Care (Education) and Treatment Review policy and also Building the Right Support highlight the importance of services knowing the people who are likely to need additional support so that they don’t end up being admitted to mental health or learning disability hospitals unnecessarily.

There is a requirement for integrated care boards (ICBs) to develop and maintain registers to identify people with a learning disability, autism or both who display, or are at risk of developing, behaviour that challenges or mental health conditions who were most likely to be at risk of admission.

People who are at risk of admission should be offered a community care and treatment review to see whether they are safe, in the right place, and to understand their plans for the future.  Recommendations from community C(E)TRs can involve support from specialist health teams, local authority respite care, voluntary agencies, short breaks, and self-advocate and carer organisations providing 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 unnecessarily.

Across the country NHS organisations have been developing the way they keep a record of the needs of people with a learning disability, autism or both, and how they provide support to those people when they need it.

You can read case studies, and listen to webinars, on how some organisations have been doing this – please see below for details.

Dynamic support register e-learning

Cheshire and Wirral NHS Foundation Trust has developed a web-based training tool in the use of the dynamic support register for health and social care staff. The training includes information about risk scoring people with a learning disability and autistic people and case studies from people who have been supported through the tool.

Case studies

  1. Cheshire and Wirral Partnership: Dynamic Support Database (DSD) and clinical support tool
  2. Cheshire and Wirral Partnership: Dynamic Support Tool – physical health (DST-PH) for people with intellectual disability
  3. Doncaster: Doncaster proactive, monitoring and support group – sharing good practice

Webinars and presentations

  1. Cheshire and Wirral Partnership – Dynamic Support Database
  2. Cheshire and Wirral Partnership – Dynamic Support for Physical Health
  3. Doncaster – Doncaster’s Approach to the Dynamic Support Process
  4. North Cumbria and North East – Dynamic Support Register and System Standards

For copies of webinars and presentations please contact england.strategiccommissioning@nhs.net