Dynamic Support Register

For a referral to be accepted it is essential that:

1. The person has capacity to give informed consent or;
2. A best interest decision has been made on behalf of them if they don’t have capacity.
3. An appropriate person with parental responsibility has consented for the person to be included in the DSR.

It is important that all relevant information about the DSR is given to the person themselves, people with parental responsibility and services that support them when referral decisions are being made.

Information about the DSR is available in various formats to ensure that the person is able to understand, retain and weigh up information about this decision to be able to give informed consent. Consent can be withdrawn at any time.

If a person is assessed as not having the capacity to give informed consent, a best interest decision can be made under the Mental Capacity Act to be added on the DSR.

It is important to know that not consenting to join the register will not affect the person’s current support.

The benefit to be included on the DSR will be:

• Multi-agency collaboration and communication.
• Scrutiny of the current support provided.
• Potential to access other appropriate agencies as part of the DSR process.

Consent forms

The following forms support the recording of consent. These forms will not be uploaded to the DSR, however consent must be gained prior to be added on DSR. Professionals may upload these or similar consent forms to their clinical systems.

• Childrens consent form 
• Adult consent form 

DSR information leaflet

Easy read formats

DSR easy read photosymbols grid

DSR easy read symbols grid

The Dynamic Support Register (DSR) brings together information from different agencies, services, and teams that help people. Before the DSR, each service had their own information. With the DSR, everyone’s information is in one place.

This makes it easier to make sure people get the right help at the right time in their community. This can help to avoid going to a mental health hospital when it’s not necessary.

People on the DSR will be checked regularly to see if they need any extra help. This way, we can find out early on if someone needs more support.

If someone aged 0 to 25 is on the DSR and needs more support, the key working team will get in touch with them and offer to help with this.

If you are working with someone who would benefit from the DSR we would ask professionals make this referral rather than asking families to self-refer where possible. Login or register to make a referral and link for the platform DSR platform Login or Account Registration

If you need help for yourself or someone you know, you can register a referral at Staffordshire and Stoke-on-Trent DSR :: Dynamic Support Register (staffordshireandstokeontrent.nhs.uk). Please only include the brief list of information requested in your referral. We only need very basis information to start to process a self-referral.

Alternatively:

• Email us at dynamicsupportregister@mpft.nhs.uk (please only email us your name, postcode and an email address and phone number). We will use this information to get back in touch with you. Please do not send us lots of detailed clinical information at first contact - this is not needed to make a self-referral.
• or
• Call us at 01785 550291 and leave your name, contact number and postcode and we will contact you to discuss the referral and next steps.

If you already have professionals involved in your care you can ask them to submit a DSR referral on your behalf. We understand that it can be difficult to make contact with further services when things are not going well or you are supporting someone in a time of crisis, so we aim to make these processes as simple as possible. 

Remember, if you or the person you’re talking about needs help right away from doctors, nurses, or emergency services, please contact these emergency numbers for help.

If you need mental health support, you can also call 111 and select option 2.

The DSR Team is not the right service to help in an emergency. We work from 9am to 5pm, Monday to Friday (not bank holidays).

If you contact the DSR for yourself or someone close to you, here’s what will happen next:

1. We’ll contact you within 5 working days to ask more questions and understand what you need. This will help us manage your request better.
2. The information you tell us will be discussed in our DSR meetings, which happen every two weeks on Thursdays. These meetings include key people from healthcare, social care and education. There will be a discussion about your current needs, how risky your situation is, and what kind of help is available.
3. If there are high risks, we might need to arrange a meeting with you after we have spoken to other professionals.

DSR Rating Tool: Decision Making Flow Chart

RAG ratings refer to risk of mental health hospital admission (not other risks) These ratings are likely to change and the dynamic nature if the DSR allows for ratings to change quickly. RAG rating may change after meetings, as people are referred into services or as situations change with time. People on the DSR, family & carers should be consulted/informed of the ratings and any changes by professionals involved in their care. Support/packages do not reduce/change because RAG rating goes down.

The organisations that have signed up to work together on the DSR are:

• Midlands Partnership University NHS Foundation Trust:

Support people in South Staffordshire with learning disabilities, autism, and mental health issues.

• North Staffordshire Combined Healthcare NHS Trust:

Support people in North Staffordshire and Stoke on Trent with learning disabilities, autism, and mental health issues.

• Staffordshire County Council:

Support social care needs and education in Staffordshire.

• Stoke-on-Trent City Council:

Support social care needs and education in Stoke-on-Trent.

All these agencies have agreed to share information through the DSR. They will only share information that is important, right for the situation, and follow the rules about sharing information.

The DSR will keep adapting to meet the needs of NHS England and in response to feedback from everyone who has contact with the DSR.

• Tracking Meetings - Work best when someone is already known to at least one of the key local LD&A services. Meetings are held fortnightly. It is a professionals only meeting over MS Teams. Many representatives from a variety of health, social care and SEND and education services attend these.
• Meetings by Exception (MbE) - Happen on an individual basis.  Organised and chaired by the DSR Leads. For individuals who are on the DSR but don’t currently have support from any key local LD&A Services; or when there are significant concerns or differences of opinion between services. The person on the DSR and parent/carers (where appropriate) are invited to MbEs, alongside professionals.  Usually over MS Teams.

The information held on the DSR will be:

• Name
• Date of birth
• Where you live
• NHS number
• Key professional involvement, their names and contact details.
• Current issues that can lead to a hospital admission.
• What has been tried that could help (including positive strategies to improve a person’s quality of life, increasing life opportunities and self-esteem).
• What could be useful to reduce risks further.
• An action plan moving forwards including recommendations for current and potential future services

If you have a compliment or concern about the DSR team, please contact the Customer Services team (formerly known as Patient Advice and Liaison Service (PALS)) at MPFT. You can do this via their website www.mpft.nhs.uk/service-users-carers/complaints-concerns-and-compliments