Transforming Care and Care Education and Treatment Reviews (CETRS)


The Transforming Care Programme

The Transforming Care programme aims to improve the lives of children, young people and adults with a learning disability and/or autism who display behaviours that could be described as challenging, including those with a mental health condition.

The programme has three key aims:

• To improve quality of care for people with a learning disability and/or autism
• To improve quality of life for people with a learning disability and/or autism
• To enhance community ability and reducing the number of people going into hospital inappropriately and staying there too long.

Care Education and Treatment Reviews (CETR) were introduced to help people in hospital, to prevent unnecessary admissions into hospital and where people do need to go into hospital to support there being clearly specified intended treatment outcomes and a discharge plan.  The family, service or a clinician can request that a CETR takes place if they think the young person is at risk of admission.

Please visit NHS England » Care, Education and Treatment Reviews (CETRs) for more information.


Dynamic Support Registers

The Dynamic Support Register is a register of people with learning disabilities and/or autism who may need higher input from services and who may be at risk of being admitted to a specialist or mental health hospital.

The register helps local support teams to identify those who would benefit from a Care (Education) and Treatment Review (C(E)TR).

An individual should be added to the register if they meet certain criteria that would put them at risk of an admission, for example: presenting in crisis at A&E, concerns about the longevity of a placement or home environment, being excluded from school or unstable/untreated mental illness or behavioural challenges.

For more information on how to self-refer yourself, or a child or young person under your care, please email the local register holder:

Adult Register Holder - Robin Betts Email:

Children Register Holder - Matthew Richardson Email:

If you would like more information of the Newham registers, then check out the handy information pack attached.

Or if you would like to know more about the national policy regarding the registers and CETR’s, then visit the NHS England website link here - Dynamic Support Register (DSR) and Care (Education) and Treatment Review C(E)TR Policy and Guide



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