Dynamic Support Register and Care Education and Treatment Reviews

Dynamic Support Register

The Dynamic Support Register (DSR) is a database held by the NHS Thames Valley Integrated Care Board.

The register is for:

• people with a diagnosis of autism, a learning disability, or both
• who are at risk of being admitted to a mental health hospital

The aim of the register is to coordinate and monitor support, to help people live safely in their community.

It helps services to:

• share information and work together
• respond quickly when someone needs support 

How to be added 

You need a referral to be added to the Dynamic Support Register.

For children and young people up to age 25, the Berkshire West Keyworking Team manages referrals.

Referrals can be made by:

• parents and carers
• young people
• professionals

You can make a referral on the Berkshire Healthcare website.

Berkshire West Keyworking Team

The Berkshire West Keyworking Team works with children and young people up to age 25 who:

• have a diagnosis of autism, a learning disability, or both
• are eligible for the Dynamic Support Register
• are at moderate or high risk of going into a mental health hospital 

The Keyworking Team:

• get to know the child, young person and family
• advocate for what they need
• help them get the right support

Find out more on the Berkshire Healthcare website.

Care Education and Treatment Reviews

A Care Education and Treatment Review (CETR) is a meeting for a child or young person who:

• is at risk of going into a mental health hospital
• is currently in a mental health hospital

The meeting will:

• make sure the views of the child, young person and family are heard 
• agree a personalised plan and actions 

The actions focus on improving quality of life and reducing the risk of going to hospital. 

Who attends a CETR

People at the meeting can include:

• the child or young person
• their parents, carers, or family members
• professionals from health, social care, and education who support them
• a CETR panel, who run the meeting

The CETR panel

The panel who run the meeting must include:

• a chair, who leads the meeting and makes sure agreed actions are recorded in a plan 
• a clinical expert, such as a nurse or doctor 
• an expert by experience, who has personal experience similar to you or your child or young person, and can offer advice based on that experience 

The clinical expert and expert by experience will not have worked with your child or young person before. This helps them give an independent view when discussing support and next steps.

Request a CETR

Speak to the lead professional involved in your child or young person’s care to:

• find out when a CETR should happen
• request a CETR

After the meeting

After a CETR:

• the Dynamic Support Register is updated
• actions are shared with the Keyworking Team

The Keyworking Team will follow up to make sure actions are completed.

More information

You can find a leaflet for young people and families about CETRs on the NHS England website.

Local Area Emergency Protocol (LAEP) meeting

A Care Education and Treatment Review (CETR) usually takes around 2 weeks to arrange.

If urgent action is needed, a Local Area Emergency Protocol (LAEP) meeting can be arranged. 

This meeting:

• agrees short-term actions
• helps manage a crisis
• reduces immediate risk

A LAEP does not replace a CETR. It can take place while a CETR is being arranged. 

To request a LAEP, speak to the lead professional involved in your child or young person’s care.

Policy and guidance

NHS England has a policy about Dynamic Support Registers and Care (Education) and Treatment Reviews.

You can read this policy, including:

• a plain English version
• an easy read version

on the NHS England website.

You can also watch a video on YouTube by Conor, explaining how people with lived experience helped to create the policy. Watch the video on YouTube.