The benefits to being included on the DSR are:

• Multi-agency oversight and scrutiny of current needs and risks.
• Encourages services to work more closely together.
• Potential access to the SELECT keyworker scheme or Positive Support Group (depending on eligibility and capacity).

To be included on the children’s DSR children/young people should be:

• Under 18
• Have a diagnosed learning difficulty and/or autism
• Have a mental health concern that places them at high risk of admission to a mental health hospital

In addition to the above criteria:

• The child/young person maybe at high risk of family or placement breakdown that places them at risk of admission to a mental health hospital.

The national policy outlines the following RAG rating criteria for the DSR:

Blue: The child/young person is currently an inpatient at a mental health hospital.

Red: There is immediate risk that the child/young person will be admitted to a mental health hospital. The child/family are experiencing crisis and the risks of admission to a mental health hospital are not/cannot be managed in the community.

Amber:  There will be an immediate risk that the child/young person  will be admitted to a mental health hospital without urgent intervention. There could be a significant high risk of becoming mentally unwell and/or family/placement breakdown.

Green: There are some risks that could lead to child/young person being admitted to a mental health hospital, but currently these risks are being effectively managed in the community.

The DSR holds information on:

• Full Name
• Date of Birth
• Place of residence
• Demographic data
• NHS number
• Information on which services are involved in the child/young person’s care
• Information on the health, education and social care needs of the child/young person
• Any specialist care plans that might be in place

The following Agencies are core members of the DSR Panel:

• Health
• Education
• Social Care
• SELECT Keyworker Programme
• Positive Support Group

For all referrals to the CYP DSR, for those aged under 18 (including self-referrals), the following process applies:

Before any child/young person can be added to the DSR consent must be obtained in one of the following ways:

• Where the child/young person is 16 (+) and has capacity they can consent in their own right.
• Where the child/young person is under 16 or does not have capacity, then a person with parental responsibility can give consent on their behalf.
• Where consent is not given but there remains significant concern then a Best Interest Decision can be made.

The DSR fact sheet should be given to the child/young person or their parent/carer so that informed consent can be given for inclusion on the DSR.

Once consent has been obtained then the referral form should be completed and returned to the Bromley DSR inbox: Bromley.DSR@selondonics.nhs.uk, along with the consent form.

Consent can be withdrawn at any time.

Not consenting to join the DSR will not affect current support in anyway.

More information on the DSR can be found here:

NHS England » Dynamic support registers and Care (Education) and Treatment Review code of practice

Bromley CYP DSR Fact sheet

CYP DSR Fact sheet Easy Read version

Bromley CYP DSR Referral Form

Consent form Easy Read

Consent form under 16

Consent form 16 and over

A C(E)TR is a person-centred review to ensure the care (education) and treatment and support needs of the individual person and their family are met, and that barriers to progress and/or discharge are challenged and overcome.

Please see the following link for further information:

Dynamic support register and Care (Education) and Treatment Review – Policy and guidance | PDF