Where did it come from?
The transforming care programme and agenda is aimed to improve the health and care services that autistic people and those with intellectual or learning disabilities access the right care, at the right time and supporting them to remain in the community.
It aimed to ensure that individuals remain close to home and prevent inappropriate hospital admissions and if an admission is required, support to ensure that this is for a shorter period, with clear admission goals and safer discharges.
NHS England introduced the care [education] and treatment review policy which called for areas to have a dynamic support register. There was an updated document in January 2023, giving clearer guidance on dynamic support registers, to highlight those most at risk of either hospital admission or placement breakdown.
The register can help highlight those who most at risk for a hospital admission and are eligible for a care and treatment review (CTR, 18 years and over) or a care educational and treatment review (CETR, under 18 years)
