What is the Dynamic Support Register?

A Dynamic Support Register (DSR) is a list of people with a learning disability and/or autistic people who have increasing and/or complex health and care needs who may require extra support.

Being on the DSR is a choice. Young people aged 16 and over can decide if they would like to be on the DSR. For those under 16, or who experience difficulties with mental capacity, their legal guardians or parents can make this decision. 

If you want to understand more about mental capacity, find out more on the NHS website or speak to the professionals involved in your child's care.

Why would a person be added to a DSR

A person can be added to the DSR if there is a chance of:

  • admission to a mental health hospital
  • placement breakdown (such as moving into care)
  • moving into a residential setting
  • entering into the criminal justice system

How it helps professionals

Information from the DSR is shared with appropriate professionals across Health, Education and Social Care. It tells professionals about: 

  • a person's level of risk
  • what support a person needs within their community 

It can help with things like:

  • an admission to a mental health hospital or residential setting
  • a safe transition to local authority care

How to get a referral to a DSR

You can:

  • get a referral from professionals involved in your child's care such as a social worker or therapist
  • refer yourself

To self-refer email the Essex DSR team: Essex.DSR@essex.gov.uk

What happens after a referral

The referral is reviewed by a panel, which includes professionals and experts by experience. They will make a decision to accept the person or not to the DSR, based on the information provided in the referral.

If the referral is accepted there will be a discussion to identify what enhanced services or support may be suitable for your child.

The decision made will be confirmed to the person who made the original referral. This could be a professional, parent carer or person themselves.

If the referral is not accepted this will be clearly communicated along with recommendations and appropriate signposting to services for support.

A child, young person or adult will be removed from the register when it is agreed by all those involved in their care that their level of risk means they can be supported safely in their community. This would be clearly communicated to you or your child.

Find out more about DSRs on the NHS website