NHS England has published the new Dynamic Support Register (DSR) and Care (education) and Treatment Review C(E)TR policy
February 2023
At the end of January, NHSE published its new DSR and CETR policy.
You can find a link to it here: PR1486-Dynamic-support-register-and-Care-Education-and-Treatment-Review-policy-and-guide.pdf (england.nhs.uk)
There is also an easy read version here: Easy-read-version-of-the-Dynamic-support-register-and-Care-Education-and-Treatment-Review-policy-and-guide-Jan.pdf (england.nhs.uk)
The policy will be rolled out in April 2023.
Some definitions:
A Dynamic Support Register (DSR) is the tool used in a local area to identify individual children, young people and adults with a learning disability, autism or both who are at risk or may become at risk of admission to a mental health inpatient setting without specific and timely Dynamic Support
Note: the term “At Risk of Admission Register” was originally used, this term continues to be used in some areas. Similarly, the Dynamic Support Register is also known in some local areas as a Dynamic Support Database (DSD)
A C(E)TR is a meeting bringing together those responsible for commissioning and providing services (including nurses, social workers, local authority representatives, such as from housing and education, and health and social care commissioners) together with independent clinical opinion and those with lived experience of learning disabilities and/or autism, which includes people with a learning disability and/or autistic people and their family carers.
The aim of a C(E)TR is to check that a person who is either at risk of being admitted or who has already been admitted to a hospital setting is receiving appropriate care that meets their individual needs and that, where possible, challenges are overcome to support discharge to or continued care in the community.
The policy outlines the new process for the implementation of DSRs and C(E)TRs. The NNPCF did not have direct input into the development of the policy but we were involved in broader conversations about the issues with DSRs and CETRs in the current system, the experiences of children and young people and their families and some of the changes that we wanted to see in the new policy.
We are working with NHSE to ensure that parent carer forums are engaged in the implementation of the new policies:
- NHSE will be hosting a webinar for parent carer forums to explain the new policy, what has changed and the role that parent carer forums can play in its roll out. This webinar will be held on 14 March please follow this link to sign up https://us06web.zoom.us/meeting/register/tZEud-CgrzgoH9y7_fOCdMb0HNSu7AxXToRc
- In addition, NHSE are holding a briefing session for people with lived experience. This is not targeted at parent carer forums but at individual families who have had experience of the DSR / CETR process. This is open to anyone and a link to sign up for it can be found here: https://teams.microsoft.com/registration/slTDN7CF9UeyIge0jXdO4w,QEJVWbS9TUK5AFArxhPZ0g,XHWJVzje40-WI0Cvo7uh4g,RqoXUlop0EmnTOfUib1-EA,Opgv9tfH2U6JeIA35LisMg,4twvijWsJ0W_YL66zI7fvg?mode=read&tenantId=37c354b2-85b0-47f5-b222-07b48d774ee3
- We are working with NHSE to convene a focus group to ensure that the face to face section of the Key Lines of Enquiry (KLOE) template which is used in C(E)TR meetings to support the consistent recording of findings and generate the C(E)TR report, is accessible and easily understood by families moving forward. We are looking for input from families that have experienced a CETR. Our participation lead Jacqui Watt is organising this to find out more or participate please contact Jacqui at participation@nnpcf.org.uk
- If you have any comments on the policy you can feed them back to NHSE at england.ctrdsr@nhs.net