Northamptonshire Dynamic Support Register (DSR)

The Dynamic Support Register (DSR) is a register of people with learning disabilities and/or autistic people who may need higher input from services and who may be at risk of being admitted to a specialist or mental health hospital.

The register helps local support teams to identify those who would benefit from a 'care and treatment review' or 'care (education) and treatment review'. The Dynamic Support Register helps health and care workers to decide how much risk there is of someone being admitted into a specialist or mental health hospital.

Who should go on the Northamptonshire Dynamic Support Register?

An individual should be added to the Dynamic Support Register if they meet one or more of the following criteria that can put them at a higher risk of being admitted to a specialist or mental health hospital:

  • being supported in an unstable environment or concerns about longevity of the placement
  • child or young person who has been excluded from school subject to regular and/or prolonged restrictive practices
  • consideration of living circumstances and any risks posed to other members of the family
  • has been in contact with the criminal justice system
  • has drug and alcohol addiction problems
  • has no family carers/advocate
  • has unstable/untreated mental illness
  • looked after children
  • no effectively planned transition from children to adult services
  • non-compliance with medication
  • not attending/being brought to appointments
  • not previously known to services
  • previous history of admission(s)
  • quality concerns or safeguarding alert has been raised
  • recently discharged from hospital
  • significant life event and/or change
  • under the care of behavioural/early intervention services, e.g., youth offending
  • went to A&E departments 'in crisis'
  • young people of transition age in residential school placement.

Why go on the Northamptonshire Dynamic Support Register?

Being on the DSR will mean a meeting will be organised with the right community, health or social care workers and the person, family/carers together.

The overall aim is to improve quality of life in the community, to get the right support and reduce the need for hospital admission.

Being on the Dynamic Support Register could mean that keyworker support (Barnardo's) or peer support (En-fold) may be appropriate for the individual, this can be helpful for people aged 0-25.

Dynamic Support Register Requests

Below is the process of adding an individual onto the Dynamic Support Register:

  • The concerned professionals or individuals make contact with Transforming Care Team (who have ownership of the local Dynamic Support Register) via email transforming.team@nhft.nhs.uk providing an element of identifiable information to allow us to conduct initial searches on our NHS records.
  • The Transforming Care Team will arrange a call or an MS Teams discussion with the concerned referrer about the individual and their current crisis. The Transforming Care Team will follow a risk stratification tool during this initial meeting.
  • Once the risk stratification tool is completed, it will generate a risk rating based on the information provided in line with NHS England risk factors for admission to a Mental Health hospital.
  • Should the individual meet the threshold of risk to be added to the Dynamic Support Register, the Transforming Care Team will provide the referrer with the appropriate consent form to be completed. This must only be completed with the individual, family, legal representative, if the individual meets the Dynamic Support Register threshold. As in some cases, if the individual does not meet the threshold, then we would not require consent.
  • When consent is received, the Transforming Care Team will add the individual onto the Dynamic Support Register.
  • When the individual is placed on the Dynamic Support Register, we will discuss onward referrals to the Keyworker Service (if under 25 years old) and the Community Swift Response Team.

Consent

Individuals must agree (give consent) for their details to be on the register. If they do not have capacity, then permission should be obtained from the person who has legal power.

Parents/carers must provide consent for children to be added to the register.

Get in touch

For more information, including registering yourself or some you care for on the Northamptonshire Dynamic Support Register, please contact the Transforming Care Team:

Email: transforming.team@nhft.nhs.uk

Call: 03000 274 600