Care, Education and Treatment Reviews (CETRs) are part of NHS England's commitment to improve the care of people with learning disabilities, autism or both, with the aim of reducing admissions and unnecessarily lengthy stays in hospitals and reducing health inequalities. They are used by commissioners for people living in the community and in learning disability and mental health hospitals

Clinical Commissioning Groups and local authorities from Calderdale, Kirklees, Wakefield and Barnsley have come together as a Transforming Care Partnership.

Transforming Care Partnership

The Partnership have developed a plan and are working together to improve services which includes providing review processes. These review processes are called Care, Education and Treatment Reviews for children and young people and Care and Treatment Reviews for adults with learning disabilities, autism or both.

The plan focuses on developing quality community services with crisis response teams to improve the quality of support people get and to try to prevent them being admitted into hospital.

The Partnership has developed local children and young people Care, Education and Treatment Reviews panels, established a Children's LD/ASD risk management and family support register and published information for parents, carers and anyone who may be involved in the CETR process.

You can watch the short introductory E learning video

Free e-learning

A free e-learning package provided by NHS England is recommended for anyone who may be involved in either process. The sessions are for Experts by Experience - carers and people with learning disabilities, Clinical Advisers, Commissioners, Provider Services and Professionals, Tribunal Services and Legal Representation, Health and Social Service staff, people with a lived experience and family members.

How to access free online training

The 5 sessions cover:

  • Introduction to Care and Treatment Reviews
  • What is a Care and Treatment Review?
  • The Important Parts of a Care and Treatment Review
  • Care and Treatment Reviews: Better Care Now
  • Care and Treatment Reviews: Visiting Hospitals

ClockEach session takes around 20 minutes to complete.

Complete training online

After you've completed the training

You can print evidence of completion

If after completing the training you need further information, please contact Judith Hall the Calderdale, Kirklees, Wakefield and Barnsley TCP Programme Co-ordinator by telephone Phone 01484 464111 or by e-mail to Email

Further guidance

Parents at Bringing Us Together have written A guide for family carers which offers further help and advice about CTRs.

Watch the Realising Jim's dreams video

Our Neighbours

This Local Offer website covers Kirklees but there are Local Offer sites for all Kirklees neighbouring authorities. This is very useful if you live close to the border with another authority. You can visit another authority�s local offers by clicking on the links below.

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