Care (Education) and Treatment Reviews (C(E)TRs)

What we provide

We aim to prevent the unnecessary hospital admissions and detention under the Mental Health Act for people with Learning Disability and/or Autistic people.

We work to policy and guidance developed by NHS England 2023 Dynamic-support-register-and-Care-Education-and-Treatment-Review-policy-and-guide.pdf

We provide expertise around services, which will support our most vulnerable people, being able to live their best lives in the community.

We can provide expertise for people in secure services.

Management and setting up of Care and education treatment reviews (CETR’S) Care and Treatment Reviews (CTR’S) for children and young people and adults with a learning disability and or autistic people.  These are carried out in person.

We can provide skilled independent clinical reviewers, experts by experience and Chairs.

We will improve the care of people with a learning disability and autistic people at risk of hospital admission and who are currently admitted to a mental health or treatment assessment facility or secure mental health hospital.

We will bring an additional challenge and scrutiny to existing health and care review processes and provide alternative perspectives and expert insights.

We aim to ensure that the process of C(E)TRs bring together the individual, their family/carer and the organisations responsible for commissioning and procuring services for the individual. This will include the responsible health commissioners from the provider collaborative, NHS England or ICS, consultants, responsible clinicians, nurses, social workers, therapists, education and providers of support, other health, education and social care professionals with independent clinical opinion, and those with lived experience (people and families) from diverse communities.

Thrive Together solutions will go above and beyond to ensure CETR’s are carried out in the most effective way to ensure where possible services are implemented in the community and when people are admitted to hospital, there is the appropriate planning taking place.

Why do CETR/CTR’S matter

Individuals have the right to have panel members with real lived experience of mental health, learning disabilities and autistic people

CTR/CETR’s will have a statutory footing within the Mental Health Act 2025 to ensure they are mandatory.

There must continue to be additional challenge and scrutiny of people Care, Education and Treatment prior to being admitted to hospital and when admitted to hospital to strengthen quality of care and treatment and ensure planning is in place.

Our approach

· Preparation: gaining informed consent, or seeking best interest decisions, gather key information, clarify purpose and desired outcomes

· Meaningful involvement: support the person and family to contribute

· Constructive challenge: test assumptions, identify risk, focus on least restrictive options, discharge planning

· Clear actions: what needs to be done, who needs to do it, when does it need to be done

· Follow-up support (optional): track actions and escalate blocks

Providing follow up on recommendations to ensure they are completed