Transforming Care Programme

When there is an urgent need to consider hospital admission a Care (Education) Treatment Review should be carried out.

C(E)TR's bring together those responsible for commissioning and providing care services for individuals, including the patient and their family, and independent clinical opinion. They look at current and future health and care needs, including plans for leaving hospital.

What a C(E)TR is

C(E)TR's are led by the NHS but involve the Council and education services. Your Voice Counts manage requests to make sure that patient and carer views and voices are central. 

C(Education)TR's have a person-centred and individualised approach to ensure that a person with learning disabilities and / or Autism are supported through a strength-based approach.

The C(E)TR process values the importance of listening to the individual and their family, understanding the current rationale for providing care in community and inpatient MH hospital and where required, providing a sufficient level of challenge.

They aim to:

• Make sure individuals are accessing and receiving the right treatment, care, and support
• Avoid unnecessary inpatient admissions by seeking alternative solutions to meet an individual's needs.
• Reduce the amount of time people spend in hospital by identifying any barriers which can keep people in hospital longer than necessary

Where an admission is appropriate, a CTR / CETR will test and challenge the care people receive in hospital by asking key questions and making recommendations that lead to improvements in safety, care, and treatment.

Requesting a C(E)TR

A C(E)TR should only be requested when an individual is actively being considered or required to be admitted to hospital.

They can be requested by:

• Individual in receiving services
• Individual's family or carer
• Responsible Commissioner
• Advocate for the individual in receipt of services
• Team who are supporting the individual, either from the inpatient services or within the community

How to request a C(E)TR

C(E)TR requests are submitted to Your Voice Counts (Service) using this form.

C(E)TR request form

Find out more about C(E)TR's.