Northamptonshire Transforming Care Partnership (TCP) and Care & Treatment Reviews (CTRs) - NHS

In October 2015, NHS England, the Local Government Association, and the Association of Directors of Adult Social Services (ADASS) published a paper called Building the Right Support (PDF 174MB).

This national plan is to improve local health and care services for people with a learning disability, a mental health condition, and/or autism (who display behaviour that challenges). The goal is to ensure people can be supported in their community instead of going to hospital.

The Transforming Care Programme:

The delivery of Building the Right Support is being overseen by the national Transforming Care programme, which is managed by the Transforming Care Delivery Board (TCDB).

Transforming Care Partnerships (TCPs):

At local levels, the programme is run by 48 different Transforming Care Partnerships (TCPs) across England. TCPs are made up of clinical commissioning groups (CCGs) or integrated care systems (ICSs), special commissioners, and local authorities. Each TCP is in charge of local plans to improve health and care.

The Northamptonshire Transforming Care Partnership (TCP) is a coalition between the Northamptonshire Integrated Care Board (ICB) and the Northamptonshire local authorities. They work with people with disabilities and their families to agree and deliver local plans for the Transforming Care programme.

Care & Treatment Reviews (CTRs) and Care, Education, & Treatment Reviews (CETRs):

The main way Transforming Care works with people is by using Care, Education and Treatment Reviews (CETRs) with children and young people, and Care and Treatment Reviews (CTRs) with adults.

CTRs and CETRs are a meeting about a person who has a learning disability and/or autism and who is either at-risk of being admitted to, or is currently detained in, an in-patient (usually psychiatric) service. CETRs and CTRs should focus on hospital discharge or avoiding admission. They should ensure people are getting the right support and help they need, and that this is at home, or as close to home as possible.

CETRs/CTRs can be requested at any time. They should be arranged by the commissioner.

In Assessment and Treatment Units (ATUs), CTRs should happen every 6 months. In secure services, it should be every 12 months. For children and young people, a CETR should take place every 3 months.

Dynamic Support Register 

This policy from 2023 includes guidance on the implementation of dynamic support registers and updates to the Care (Education) and treatment reviews. 

• CETR Policy and Guide (web link)
• Barnardo's Key Working ServiceThe Keyworking Function has been developed as a response to the NHS England and NHS Improvement Long Term Plan  commitment that by 2023/24, children and young people with a learning disability, autism or both, with the most complex needs will have a designated Keyworker