Learning Disability and Autism Dynamic Support Register

As of 1 October 2026, the South London Partnership (SLP) Complex Care Programme (CCP) has taken on responsibility for a further 300 mental health placements relating to people with a learning disability, autistic people and older adults, together with additional commissioning responsibilities delegated by South West London Integrated Care Board (SWL ICB).

This builds on the Programme’s existing role in managing over 1,000 mental health placements across South West London. The change follows a collaborative review undertaken by SWL ICB, and the South London Mental Health and Community Partnership (SLP) to strengthen oversight, improve consistency and better support people receiving specialist care.

The expanded Programme will continue to focus on promoting independence, improving outcomes, and supporting individuals to move to the least restrictive and most appropriate settings wherever possible. As part of these changes, some arrangements for the management of placements and the processing of invoices will also be updated.

The Dynamic Support Register (DSR) is a list of children, young people and adults with a learning disability and/or autism with the most complex needs who are at risk of admission to a mental health hospital.

Sometimes, people experience changes in their circumstances, environment, health, or support needs that increase the risk of crisis and risk of admission to a mental health hospital.

Recognising these risks early and working together across services helps ensure the right support can be put in place at the right time so people can live well where they live and only go into hospital if they really need to.

The dynamic support register is not a crisis or support service.

If you need help in a crisis, see below the support section at the bottom of this page.

It gives broad oversight of the person’s care with the primary intention of preventing avoidable hospital admissions and placement breakdowns as well as facilitating discharge from inpatient settings. It also helps inform local population need for commissioning.

Oversight - There are regular meetings of commissioners and professionals to ensure oversight of people on the list.

Helps identify risks early – There is a focus on people who are most at risk of hospital admission or placement breakdown.

Prevents avoidable hospital admission – Facilitates the sharing of information with relevant professionals and commissioners across health, social care and education with services being able to respond to prevent escalation.

Collaboration – Provides a forum for communication and joined up working across social care, health and education where people may require a multi-agency response.

Helps Inform Service developments – anonymised insights and data from the dynamic support register can help inform future service planning.

People will only be added to the DSR if their needs show they are at risk of going into a mental health hospital or have been admitted to a mental health hospital and they meet the criteria for the DSR.

There are a range of factors that may place someone at risk of admission to a mental health hospital that are carefully considered.

If you are a professional in health, social care or education, you can refer people onto the register in your borough.

Professionals can only make a referral using digital form via this link DSR: Dynamic Support Register

For queries or further information – please email AdultLDAProgramme@slam.nhs.uk

You can make a self-referral to the DSR. If you make a self- referral, we will also need to contact a health or social care representative who knows you well for further information.

For Self-Referral Please email us at AdultLDAProgramme@slam.nhs.uk

Please include:

• name
• date of birth
• address
• name of your GP surgery
• best way to contact you (email, phone, letter, or something else)
• If you or the person you are referring has a learning disability, or are autistic

You can also ask a professional who knows you to help you make a referral or do it for you. This could be:

• Social worker
• Mental health worker
• SENCO
• SEND case officer
• Advocate

If you believe someone you support or care for could benefit from being on the Dynamic Support Register, speak with your social worker, school Special Educational Needs Co-ordinator (SENCO), or a healthcare professional. They will assess their needs and, if appropriate, refer them to be included on the register.

The Dynamic Support Register is managed by NHS South West London.

• Only trusted professionals can see or update it
• It may be shared with health, education, and social care teams
• A version with no names is shared with the wider NHS team to help improve services
• All information is kept safe and follows the law (Data Protection Act 2018 and GDPR).
• It is used to record what support the person is getting and what’s been done to help them.

A Care, Education and Treatment Review (CETR) is a meeting for children, young people and adults with a learning disability and/or autism who are at risk of admission to, or are currently in, a mental health hospital.

The purpose of a CETR is to make sure the person is receiving the right care and support. The person and their views are central to the review.

CETRs bring together professionals and an independent panel to look at whether care and treatment are working well and what changes might be needed.

There are two types of CETR:

Inpatient CETR – for people already in hospital, to review care and support discharge planning.

Community CETR – for people at risk of admission, to help prevent unnecessary stays in a mental health hospital.

Who is involved?

The meeting is chaired by the responsible commissioner or someone delegated by the commissioner to act on their behalf.
CETRs are carried out by a panel.

The panel includes:

• an independent clinical expert who is qualified to work in healthcare
• an expert by experience, who is a person with a learning disability or autism or a family carer with lived experience of services
• a commissioner who is responsible for paying for the person’s care

When will a CETR be arranged

A CETR may be arranged if the person meets the criteria :

• has a diagnosis of learning disability and/or autism and
• is currently in a mental health hospital
• or is at immediate risk of admission to a mental health hospital

Consent must be obtained before a CETR takes place. For children under 16, parental consent is required. For those aged 16 and over, consent or a best interest decision is needed.

What a CETR does and does not do

Inpatient CETRs

• seek to improve the quality-of-care people receive in hospital
• make recommendations that lead to improvements in safety, care and treatment.
• aim to reduce the amount of time people spend in hospital

Community CETR

• seek to ensure system partners are working with people and families to provide the right care, education and treatment to avoid the need for an unnecessary admission to a mental health hospital.

A CETR does not:

• guarantee any specific level of support or make funding decisions
• replace regular multi agency meetings
• need to take place before discharge from hospital can happen
• decide whether a person should be admitted, transferred or discharged from hospital, this is the responsibility of clinician teams

For Further Information contact:

Please note this is not an urgent service and we aim to respond within 5 working days: AdultLDAProgramme@slam.nhs.uk