The aim of the Dynamic Support Register (DSR) is to identify people who with robust, timely, proactive monitoring intervention and support can be prevented from unnecessary or inappropriate admission to mental health or specialist hospitals.
With close links to the Transforming Care Programme, the DSR provides a collaborative forum for communication where a person’s support needs can be reviewed, and issues escalated where appropriate.
Download Easy Read version of:
Dynamic Support Register (207kB pdf)
Who will be included on the Dynamic Support Register?
The DSR is for everyone with a learning disability and/or autism (whatever their age), who are most at risk of hospital admission or placement breakdown. Inappropriate hospital admissions can be related to placement breakdown therefore it is important to ensure the right level of support is identified.
Appropriate referrals will be for people who when faced with difficult challenges in their lives can or are presenting as a risk to themselves or others that could lead to an admission to specialist/inpatient services.
For a referral to be accepted a person must either have capacity to give informed consent or where capacity is lacking at the time of referral, a best interest decision has been made. Where appropriate, a person with parental responsibility can consent to inclusion of a child or young person.
The DSR team will be proactive in responding to requests for information to help a person understand, retain, and weigh up information about this decision.
Request someone to be added to a DSR (make a referral)
If you are concerned that your mental health, or the mental health of a child or young person you are responsible for, is impacting on your/their ability to remain safe and well in the community and you or they have a diagnosis of a learning disability and/or autism you can ask to be referred on to the Dynamic Support Register or you can refer yourself.
Below, you will find referral forms for:
- People of all ages living in Norfolk and Waveney
- People aged 18 and over living in Suffolk (excluding Waveney)
Children and young people aged under 25 years of age and living in Norfolk or Waveney may also be eligible to access the Transforming Care Navigators service.
For children and young people aged under 18 years of age and living in Suffolk (excluding Waveney), please visit our dedicated page.
For those aged under 18 years of age and living in Suffolk
The NHS Norfolk and Suffolk ICB manages one register for all ages for people living in Norfolk.
For residents of Suffolk, a separate register is held for children and young people (aged under 18 years).
Learn more and make a referral for a child or young person in Suffolk.
What happens after a referral has been made?
For a referral to be accepted it is essential that the person has capacity to give informed consent, a best interest decision has been made on behalf of a person who lacks capacity or where appropriate a person with parental responsibility has consented to inclusion on behalf of a child or young person. It is therefore important that all relevant information about the DSR is made available to the person themselves, people with parental responsibility and agencies when referral decisions are being made.
Information about the DSR is available in various formats to ensure that it is provided in a way that maximises a person’s ability to understand, retain and weigh up information about this decision to be able to give informed consent. Consent, once given, can be withdrawn at any time.
If a person is assessed as not having the capacity to give informed consent (and no one holds parental responsibility, or a court of protection appointed personal welfare deputyship), a best interest decision can be made under the Mental Capacity Act for inclusion on the DSR.
It is important to know that not consenting to join the register will not affect the person’s current support. Although the benefit of inclusion on the DSR will be the multi-agency collaboration and communication, scrutiny of the current support provided and the potential to access other appropriate agencies as part of the DSR process.
