Dynamic Support Registers (DSRs) and Care (Education) and Treatment Reviews (C(E)TRs) are essential elements of the pathway providing people with a learning disability and autistic people with appropriate support and care at the right time – so that they can lead the lives they want to and meet their ambitions and aspirations; and can stay safely and healthily in the community or return to this as soon as possible.

A Dynamic Support Register is a list of people with a learning disability and autistic people who need support.

People on the Dynamic Support Register are at risk of going into hospital if they do not get the right care and treatment in the community.

The list tells health and care staff about the types of support a person with a learning disability or person with autism needs to stay well at home.

The DSR uses a colour system to show different levels of risk of person needing to go into hospital.

The DSR is used to make sure the right checks are carried out by health and care teams.

Part of these checks may mean that a Care and Treatment Review or Care (Education) and Treatment Review might take place.

A Care and Treatment Review makes sure adults get the right care and treatment. It also looks at how to make care and treatment better for adults.

You might see it called a CTR.

A CTR is for people who are at risk of going into hospital, or are already in hospital. 

A Care (Education) and Treatment Review is different to a CTR because it is for children and young people and includes their educational needs.

You might see it called a C(E)TR.

Citizens can self-refer themselves or their child to be added to the Dynamic Support Register. After being assessed, the individual would go on the DSR if their needs show they are at risk of going into hospital.

Professionals can also refer an individual to the DSR.

You do not have to go on the DSR or have a C(E)TR.

You will be asked if you agree to go on the DSR and have a C(E)TR.

You will be asked for your consent each time you are offered a C(E)TR.

If you do not give consent, health and care services must make sure it will not affect the care and treatment you receive. You can also change your mind at any time.

If someone is under 16 years old, their parents would need to give their consent for them to be added to the DSR and have a C(E)TR.

The child or young person should be asked if they give their consent too.

If someone does not have the capacity to make their own decisions, a Best Interests decision will be taken on their behalf.