These services are provided from centres where the clinical expertise exists, for example, the Royal Victoria Infirmary (RVI), Newcastle and Great Ormond Street Hospital (GOSH), London. Often care for Children and Young People are shared between specialist units and the referring local paediatrician, where the Child, Young Person and their family attend periodic appointments. All other care and intervention is delivered locally.
Care, Education and Treatment Reviews (CETR)
Care, Education and Treatment Reviews (CETR) are focused on children and young people whom either have been or may be about to be admitted to a specialist mental health and/or learning disability hospital either in the NHS or in the independent sector.
The CETR bring together those responsible for commissioning and providing services (this will include nurses, social workers, education, commissioners and other health, education and social care professionals, alongside strategic commissioners where appropriate) with independent clinical opinion and the lived experience of children and young people and families from diverse communities with learning disabilities, autism, or both.
The CETR is driven by the NHS but the involvement of local authorities and education services in the process and its outcomes is integral to improving care, education and treatment for children and young people with learning disabilities, autism or both and as well as their families.
In Hartlepool these reviews are supported by a multi-disciplinary team of representatives from NHS North East North Cumbria Integrated Care Board (ICB), Tees, Esk & Wear Valleys NHS Foundation Trust and Hartlepool Borough Council.
More information can by visiting the following links:
https://www.england.nhs.uk/learning-disabilities/care/ctr/care-education-and-treatment-reviews
Care and Treatment Reviews (CTR)
Care Treatment Reviews (CTR) were introduced in October 2015 as part of Transforming Care; NHS England’s commitment to improving care of people of all ages with learning disabilities and/or autism.
The aim is to reduce the need for admission, prevent unnecessary lengthy stays in hospitals and reduce health inequalities. Thus, enabling the individual to live in community settings that provide the greatest opportunity to realise their potential and independence.
In Hartlepool these reviews are supported by a multi-disciplinary team of representatives from NHS North East North Cumbria Integrated Care Board (ICB), Tees, Esk & Wear Valleys NHS Foundation Trust and Hartlepool Borough Council.
More information can be found at: https://www.england.nhs.uk/learning-disabilities/care/ctr/
Dynamic Support Register (DSR)
Local health and care services and statutory bodies should develop a dynamic register based on sophisticated risk stratification of their local populations to enable local services to anticipate and meet the needs of those people with a learning disability and/or autism who display behaviour that challenges, or who are at risk of developing behaviour that challenges, ensuring local services plan appropriately and provide early interventions, including preventative support.
It is the responsibility of Hartlepool Borough Council to ensure this register is up to date.
More information can be found at: https://www.england.nhs.uk/wp-content/uploads/2015/10/service-model-291015.pdf
The Dynamic Support Register, or Enhanced Care and Support List (ECSL), is a register of people with learning disabilities and/or autism who may need higher input from services and who may be at risk of being admitted to a specialist or mental health hospital.
For further information about the register please visit your local offer page and/or the following: NHS England » Dynamic support register and Care (Education) and Treatment Review policy and guide
Autism Service for Adults
The adult autism service provides specialist assessment for diagnosis of Autism Spectrum Disorder (ASD) for adults over the age of 18, and recommendations where required for future care, treatment or support.
The Autism service are a multidisciplinary team who have had specialist training and experience in understanding Autism Spectrum Disorders, the team includes; nursing staff, psychiatrists, psychologists, speech and language therapists and occupational therapist.
The service is provided by Tees, Esk and Wear Valley NHS Foundation Trust and is offered from Monday to Friday, 9am to 4.30pm across County Durham, Darlington and Teesside.
More detailed information can be found at: https://www.tewv.nhs.uk/locations/lancaster-house/
A new 16+ Autism Support Service has been commissioned and is due to commence on 1st April 2025. Details can be found via the Daisy Chain website : https://daisychainproject.co.uk/tees-valley-autism-support-service/
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