The Dynamic Support Register (DSR)
The Dynamic support register (DSR) brings together people who support children, young people, and adults with learning disabilities and/or autism. It is there to make sure that they and the people who care for them get the right support at the right time.
The DSR helps identify people who need support the most, so they don’t have to go into hospital if this is not the best thing for them.
The DSR helps different teams discuss the care a person needs and look at how they can work together to support the person and their carers.
The DSR uses a colour system to help health and care workers to decide how much risk there is of someone going into hospital.
You can only be put on the DSR if you agree to it.
Dynamic Support Register Rating Tool
The Dynamic Support Register is a list of people with a learning disability, and autistic people, who need support because they might have to go into hospital if they don't get support in the community.
This tool is there to help people decide how much risk people are in. It was made by NHS England.
Blue
Children, young people, and adults who are in a mental health hospital.
Red
There is an immediate risk the person will have to go to a mental health hospital. The person and/or their family are going through a crisis. Their needs are not being met outside of a hospital, so they may need to go in to one.
Amber
If the person doesn't get help very quickly there is an immediate risk that the person will have to go into hospital. There could be a high chance of the person becoming mentally unwell and they can't be helped where they are or by their family.
Green
There is a chance that the person could need to go to hospital but at the moment these risks are being well managed.
Care, Education and Treatment Review (CETR)
A Care, Education and Treatment Review (CETR) is a meeting about a child or young person who has a learning disability and/or autism. A CETR meeting is for people who are at risk of going into hospital or are already in hospital.
Anyone can ask for a CETR but you will only get a CETR if your support needs show it is right for you.
Every time someone has a CETR the DSR is updated to show if their risk of going to hospital has changed.
The aim of a CETR is to stop a person being admitted if we can, or if they are already in hospital make a plan to get them home. The meeting looks at 5 things:
- Is the person safe?
- Are they getting good care?
- What are their care plans for the future?
- Can they get the care they need outside of hospital?
- Is the person getting the education they need?
The people on the CETR panel will include an independent clinical reviewer, someone who is not one of your usual doctors or nurses. There will also be an Expert by Experience who could be a person with a learning disability, autism, or both.
A record of what is agreed at the CETR is kept on the DSR.