Care, Education & Treatment Reviews (CETR’s) and the Dynamic Support Register (DSR)

Care, Education and Treatment Reviews (CETR’s)

This is a review that is focused on:

  • Children and young people,
  • Who either have been admitted, or may be about to be admitted to a specialist mental health / learning disability hospital.

A CETR is a meeting that brings together:

  • Your child or young person and your family,
  • People who commission and provide services (for example nurses, social workers, commissioners and other health, education and Social Care professionals),
  • An independent clinical adviser,
  • An expert adviser who will be someone with lived experience of having a learning disability or autism or a family carer.

CETRs are part of the NHS Transforming Care programme but the Local Authority (LA) and education services should be involved. This will help to make sure that the review looks at the care, education and treatment of your child with a learning disability, autism or both and your family.

The CETR should review your child’s care, education and treatment. It should be focused on them getting better and being discharged from hospital (or avoiding a hospital admission) and getting the right support to live well in the community.

A CETR seeks to ensure the care, treatment and differing support needs of the person and their families are met, and that barriers to getting support are challenged.

It checks that your child is safe and getting the right care for them, that they have good care plans for the future and that any problems with their health, safety or care get sorted out.

Children and young people with learning disabilities, or autism, may have an Education, Health and Care plan (EHCP), or receive SEN (Special Educational Needs) support in school.

CETR’s should be based on:

Human Rights (you take part as a family, in discussions and share decision making, everyone has the same rights.  You should feel empowered to know and claim their rights).

  • Person-centered (the review should be focused on your child, all follow the same format, should be clear what is unique about your child and what they need to be safe and well).
  • Co-production (everyone in the meeting should have equal status and their skills, knowledge and experience should be recognised and respected).

Useful link:

NHS England » Care, Education and Treatment Reviews (CETRs)

A Family Survival Guide – Care and Treatment Reviews (CTRs) – Bringing Us Together

Dynamic Support Register (DSR)

When planning to provide care there might be some concerns that are raised about increasing risks of a child or young person not being safe. In these cases they can be reported to the responsible commissioner to ensure they are highlighted within the DSR. This helps young people, parents/carers, and professionals to work together and may include thinking about whether there is a need for a Community CETR. The aim is to report concerns early enough that actions are taken to reduce the risk of children or young people going into hospital.
Informed consent is required for inclusion on the DSR, or a CETR request.

Useful link:

NHS England » Dynamic registers and dynamic systems