Care, Education & Treatment Reviews (CETR)

new policy has been published which aims to prevent unnecessary hospital admissions for people with a learning disability and autistic people. The policy includes new guidance on the implementation of Dynamic Support Registers (DSRs) and updates to the Care, Education and Treatment Reviews (CETRs). The easy read and plain English versions of the policy have been co-produced with people with a learning disability and autistic people.

The new guidance supports local services to better understand the needs of people with a learning disability and/or people who are autistic, to ensure people receive the right support. By understanding people’s needs and recognising early signs that might lead to a crisis it means that extra support can be put in place quickly, so the person doesn’t end up going into hospital unnecessarily.

To support the implementation of the DSR and CETR policy and guidance, updated code of practice, key lines of enquiry templates and easy reads templates have been published.

The code of practice highlights the processes and core principles that bring the policy into real life, including the dependencies between each element that make it one systemic approach to supporting autistic people and people with a learning disability in the community.

The process for CETRs, the DSR and oversight arrangements have been aligned into one framework to help develop a process that works.

The key lines of enquiry templates have been updated based on stakeholder feedback to ensure they capture relevant information that can best support care planning. There is an increased focus on physical health, advocacy and quality of life.

Norfolk and Waveney Integrated Care Board (ICB) are responsible for arranging CETRs. If you would like more information, please contact