A Care, (Education) and Treatment Review (C(E)TR) is a meeting about a child, young person or adult who has a learning disability, or an autistic person who is either at-risk of being admitted to, or is currently in, a mental health hospital. 

A C(E)TR is chaired by a commissioner within the local Integrated Care System, or an external delegated chair, who is supported by a panel consisting of an expert by experience and a clinical expert. The panel will review documents and care plans to understand the current support in place for the person and meet with the person and their family and/or advocates to understand the person’s needs and wants, as well as their current situation.

The C(E)TR review will look at 4 areas:

1. Is the person safe?
2. Are they getting good care now?
3. What are their care plans for the future? This includes their educational needs and related support provision.
4. Can care and treatment be provided in the community?

The panel will then meet with the professional network supporting the individual, including staff from mental health services, social care, and education, as well as commissioners and any other relevant professionals. The panel finally meets themselves to develop meaningful actions that will benefit the individual, improve their quality of life, and reduce their risk of admission. These actions will be shared between the individual, their family and/or advocates, and the professional network, as appropriate.

 A C(E)TR can be requested by a professional, or by an individual or their family.

Click here for an easy read leaflet that explains more about C(E)TR for children and young people. Click the links below for more information.

Care (Education) and Treatment Reviews (C(E)TRs) are independent meetings about your care and treatment.

They are run by a group of people called a C(E)TR panel.

C(E)TR panels include people who are not involved in your everyday care.

This helps the panel to be independent when they discuss your care and treatment at the C(E)TR meeting.

The panel members listen to you and to everyone who is involved in your care.

They look at your notes and check that your care and plans are working well.

The C(E)TR panel

There are three people that must be part of any C(E)TR panel.

A chairperson:

  • runs the meeting
  • makes sure the meeting is run well
  • makes sure that everything that was agreed at the meeting goes into an action plan.
  • makes sure the agreed actions listed in the action plan go ahead.

An expert by experience:

  • someone who has lived experience
  • supports the meeting
  • helps to decide what is in the action plan.

A clinical expert:

  • independently checks the care and treatment
  • supports the meeting
  • helps to decide what is in the action plan.

If you are on the DSR or having a Care (Education) and Treatment Review it is important that you, your family and your carers can have their say and feel listened to.

An advocate can make sure that your needs, rights and choices are respected.

If you do not have an advocate, you should speak to your named nurse or someone you trust about how to get one.

If you are in hospital, there should be a poster showing your advocate’s name and number.

Local Area Emergency Protocol (LAEP) meeting

 A C(E)TR can take some time to arrange, with two weeks being a typical timeframe, and sometimes there is a crisis that needs addressing immediately. A Local Area Emergency Protocol (LAEP) meeting can be arranged within 72 hours and will be chaired by someone from the Learning Disability and Autism Team.

A LAEP will bring together the professional network who are supporting the person, with contributions from the family, support workers, or advocates as appropriate, to develop short-term actions to help manage a crisis and reduce the immediate risk of admission, detention, or placement. A LAEP does not replace a C(E)TR and may be completed whilst a C(E)TR is being arranged.

 

Families are encouraged to discuss any complaints or disagreements with the C(E)TR process and outcomes with the case manager in the first instance.

Alternatively, they can contact syicb-sheffield.icbcomplaints@nhs.net

A child, young person or adult must agree to:

  • go on the DSR
  • have a Care (Education) & Treatment Review

This is called consent.

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

If someone is under 16 years old their parents or guardian would need to give consent for them to:

  • Go on the DSR
  • 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
  • a record will be made about the decision
  • local health and care services must make sure that if you do not agree to a C(E)TR:
  • it will not affect the care and treatment you receive
  • you can change your mind at any time
  • you have the right to get support from an advocate to support your decision
  • other types of reviews of your care can be looked into.

If you give your consent you are agreeing to share your information with people involved in your care and treatment.

The online consent form is available here.

A hard copy of the consent form is available to download here.