The CTR ensures that individuals get the right care, in the right place that meets their needs, and they are involved in any decisions about their care.
What a CTR covers
The CTR focuses on four areas: is the person safe; are they getting good care; do they have a plan in place for their future and can their care and treatment be provided in the community. They are carried out with:
- people receiving care in a specialist learning disability or mental health hospital – to see if they can move to a community setting;
- people who are at risk of being admitted to a specialist hospital – to see if there are any other options to prevent an admission;
- for people who do need specialist hospital care – to ensure they have a care plan with clear outcomes from the start, that focuses on transferring them back to a community setting as soon as they are ready, to prevent unnecessarily lengthy hospital stays.
The CTR team involves the commissioner and two expert advisors – an individual or family member with experience of learning disability services (an ‘expert by experience’) and an independent clinician – to ensure that care plans meet individuals’ needs. It also involves those who are providing their current care. Following the CTR, the review team makes recommendations, with follow-up checks to ensure the activity is being delivered.
The individual and their family are central to any decisions about their care, and an ‘expert by experience’ brings their ‘lived experience’ to the review team.
For more information about Care and Treatment Reviews, NHS England have produced an easy read guide available by clicking on the following link: https://www.england.nhs.uk/wp-content/uploads/2015/10/ctr-policy-guid-er.pdf