Transforming Care Programme

Dynamic Support Register

The Dynamic Support Register (DSR) is a register of people who:

  • have learning disabilities and / or autism, and
  • are at risk of being admitted to a specialist learning disability or mental health hospital.

It is important that local services are aware of these individuals, so they can make sure they are getting the right support.

Support for people on the DSR includes:

  • strengthening support in the community
  • helping people to live as independently as possible
  • preventing crisis or hospital stays wherever possible   

How the register works

The DSR uses a colour system to show different levels of risk.

This helps health and care workers to decide how much risk there is of someone going into hospital.

Red is for people who are at high risk of going into hospital straight away.

Amber is for people who are at high risk of going into hospital if they do not get the right care and treatment soon.

Green is for people who are having their risks managed well at home.

Blue is for people who are already in hospital.

The DSR is then used to make sure that the right checks are carried out by health and care teams.

Using the colour system means a Care and Treatment Review or Care (Education) and Treatment Review might take place.


How the register is managed

An assurance group is responsible for regularly reviewing and monitoring the care and treatment provided to everyone on the register. 

The group is made up of representatives from the health service, education service, and the Council.

It focuses on outcomes for individuals, personalising the support they receive, and looking after their wellbeing.   

The register is managed by the Complex Care facilitator, who works in the Joint Commissioning Unit.


Request to be put on the register

Request a place on the Dynamic Support Register