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Care, Education and Treatment Reviews

Following the shocking abuse seen at Winterbourne View, a hospital for people with learning disabilities and autism, in 2011, People with learning disabilities, family carers, health and social care organisations came together to form the Transforming Care programme.

The Transforming Care programme aims to improve the lives of children, young people and adults with a learning disability and/or autism who display behaviours that challenge, including those with a mental health condition.

The programme has three key aims:

  • To improve quality of care for people with a learning disability and/or autism
  • To improve quality of life for people with a learning disability and/or autism
  • To enhance community ability and reducing the number of people going into hospital inappropriately and staying there too long.

“Building The Right Support” and “The National Service Model” were also published by NHS England and its partners in October 2015. The Service Model states that:

“Children, young people and adults with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition have the right to the same opportunities as anyone else to live satisfying and valued lives and, to be treated with the same dignity and respect. They should have a home within their community, be able to develop and maintain relationships and get the support they need to live a healthy, safe and fulfilling life.”

Care Education and Treatment Reviews (CETR) were introduced to help people in hospital, to prevent unnecessary admissions into hospital and where people do need to go into hospital to support there being clearly specified intended treatment outcomes and a discharge plan.

CETR’s are for children and adults with a learning disability, autism or both. CETRs were developed as part of NHS England’s commitment to improving the care of people with learning disabilities autism or both. The ‘Care and Treatment Review: Policy and Guidance’ was first published in October 2015. It has been refreshed and improved in March 2017 and improved following a period of gathering feedback from people who have been involved in delivering or receiving reviews.

At its heart, a Care Education and Treatment Review is based on the following important principles:

  • Person centred and family centred
  • Evidence based
  • Rights led
  • Seeing the whole person
  • Open, independent and challenging
  • Nothing about us without us
  • Action focused
  • Life in the Community

The reviews always ask:

  • Is the person safe?
  • Are they getting good care and treatment?
  • What are their plans for the future?
  • Can care and treatment happen in their own home and their own community?

Care Education and Treatment Reviews are different from other reviews of peoples care. They are about making sure services put children and adults at the centre of their care. They are independent from the person’s day to day care, and the review panel is made up of the commissioner and two independent expert advisors – both clinical and experts by experience.

Please see the following website for information about Care Education and Treatment Reviews:


Other Details

Last Updated 04/05/2021

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