Transforming care aims to improve the lives of people with learning disabilities, autism or mental health conditions.
The three key aims of the programme are to:
CETRs are for children and young people under 18 who are at risk of being admitted to, or are already patients in a specialist learning disability or mental health hospital.
After 18, young people become part of the adults’ policy and process, called CTRs.
The Care and Treatment Review (CTR) policy was updated by NHS England in 2017 to include a section for children, introducing CETRs to recognise the importance of education in a child’s life.
CETRs explore alternatives to hospital admission. If a young person is admitted to hospital, professionals will continue to work with the family to manage their discharge and community support package.
There are three types of CETR:
Principles of the CETR Panel:
The CETR includes:
The process uses ‘Key Lines of Enquiry’ (KLOE) which includes a summary and feedback for the child or young person regarding safety, current care (and whether it needs to be in hospital), and the plan for their future.
The CETR doesn’t decide whether the child or young person is discharged, but makes sure there are plans in place to get the right support once they are.
Anyone can request a CETR with the child or young person’s consent. If this is not possible due to their age or they are assessed as lacking capacity, consent can be given by their parent, guardian or carer.
To request a CETR, you need to speak to your social worker, SEN keyworker or the health professional leading on the care. They will discuss the request with you and escalate.
The admission avoidance register is for children and young people at risk of being admitted to a specialist learning disability or mental health hospital.
The register allows professionals to review young people’s care needs, making sure there is a plan and support in place to prevent unnecessary admission hospital, to help them continue to live at home.
It will also help prevent a child’s needs escalating, ensuring there are services available in the local community.
A child or young person can only be included on the register if they, or their parent, guardian or carer give consent. You can request a form from your social worker, teacher or health professional leading on your child’s care.
Some of the children and young people who are on the register will already be known to these services.
The PBS model is being used in Enfield by the Joint Service for Disabled Children (JSDC), local special schools and health colleagues as a strategic approach to supporting children, young people and their families. We have many staff trained as PBS coaches, with more training to come for staff and parents.
To find out more about PBS, visit the British Institute of Learning Disabilities (BILD) YouTube Channel.