Publication reference: PRN00117
At its core, the review has a set of principles based around the word PERSONAL which the Care (Education) and Treatment Review (C(E)TR) panel should always uphold. Panel members each have an equal role in making sure these principles are followed:
- Person centred and family centred
- Evidence based
- Rights led
- Seeing the whole person
- Open, independent, and challenging
- Nothing about us without us
- Action focused
- Living life in the community.
1. Person centred, and family centred
The person and their family should be at the centre of the Care (Education) and Treatment Review (C(E)TR). The C(E)TR checks that the people who provide the person’s care are working in a person and family-centred way and that people get all the information and support they need to have an active part in the C(E)TR before, during and after in the way that works best for the people involved.
2. Evidence based
The C(E)TR panel should all be able to see and hear information to help them understand what is working or not working about the person’s care. The panel will check that care is carried out to a high standard. This is so they can decide with the person and others if anything needs to change or get better.
3. Rights led
The person has the right to be treated as an equal partner in their C(E)TR and to have all the support they need to take part. The C(E)TR should uphold the person’s rights. Rights that ought to be considered are choice, contact with family, independent advocacy and being able to say what one thinks. Other rights are being treated well, having a good quality of life, and being respected for one’s personal life and beliefs.
4. Seeing the whole person
A C(E)TR is not just about a person’s mental health or how they behave. A C(E)TR is holistic and sees the whole person. Their quality of life, likes, dislikes, choices, hopes and fears. The C(E)TR will ensure that the care is delivered in a way that is culturally sensitive to the person.
5. Open, independent, and challenging
Each person on the C(E)TR panel can say if something does not seem right about the person’s care. They can ask questions and say if something needs to change. The C(E)TR panel will make recommendations to improve the care the person receives – doing this is called an action. Actions will go into the C(E)TR report that is agreed by the panel at the end of the C(E)TR.
6. Nothing about us without us
The person, and their family carers if taking part, should be fully involved in the C(E)TR. From giving consent, to getting ready, taking part, getting a copy of the C(E)TR report, and knowing what is happening afterwards. The C(E)TR report should also be written in words the person will understand.
7. Action focused
After the meeting, the C(E)TR report should have clear actions. Actions are things that need to be done. The actions should be easy to understand. The report will say who needs to do each action and when it should happen. The actions should improve the care the person receives now and in the future. The responsible commissioner will check these things are happening and that the person knows the reason if any action cannot be carried out on time.
8. Living life in the community
C(E)TR s are about what is needed to help people live well in their communities. When someone is in hospital, a C(E)TR will ask if they need to be there, or if their care can be provided safely in the community. It will also look at how people are supported to access the community while they are in hospital. The C(E)TR will check there are good plans in place to keep the person safe in the community. The C(E)TR will also check that the plans give the person the chance to lead as full and independent a life as possible.