An ongoing commitment
We have played a major role in developing and delivering Care (Education) and Treatment Reviews (C(E)TRs).
We helped set up the programme in 2014 across the South of England and delivered it until May 2026. This built on our earlier work to improve support for autistic people and people with learning disabilities, and to reduce the need for hospital care.
Since then, we have supported thousands of reviews. We have also helped build a strong group of trained chairs, clinical experts and experts by experience.
Our work has included:
- Recruiting and training panel members
- Supporting chairs and teams to do high quality reviews
- Promoting coproduction and lived experience leadership
- Helping systems improve how they work
We are proud of the difference this work has made. C(E)TRs have helped more people get the right support, avoid unnecessary hospital stays, and move back into their communities.
Our role today
Whilst we are no longer delivering the C(E)TR contract in the South East and South West, we remain committed to this work and to the values behind it.
We continue to:
- Share our learning and expertise.
- Work with our associates who bring lived experience of autism and/or learning disabilities.
- Support systems to improve practice.
- Work with commissioners in other areas.
- Contribute to the future development of C(E)TRs.
We welcome conversations with commissioners who want to strengthen their approach or learn from our experience.
What we offer
Our work on C(E)TRs has led to other areas of support.
This support builds on our experience and helps improve quality across services and local systems:
Autism training
We have a range of lived experience led training relating to autism.
Chair and panel training
We continue to provide a wide range of training to support C(E)TR chairs and panel members.
Sensory environment
We can provide bespoke, expert by experience led, sensory environment reviews in a wide range of settings.
Development support
We offer development support that’s rooted in values, shaped by experience, and focused on practical, codesigned solutions.
Contact us
Talk to us about your requirements, explore ideas or collaborate.
What is a Care (Education) and Treatment Review?
A Care (Education) and Treatment Review is an independent check of a person’s care and support.
C(E)TRs are for autistic people and people with a learning disability (or both) who:
- may need to go into a mental health hospital, or
- are already in hospital
A review brings together:
- the person and their family or supporters
- professionals involved in their care
- an independent panel (a chair, a clinical expert, and an expert by experience)
The review looks at whether the person is getting the right support.
It aims to make sure that:
- People get the care and treatment they need.
- Hospital is only used when it is really needed.
- People do not stay in hospital longer than necessary.
- There is a clear plan for the future.
The review asks simple but important questions, such as:
- Are they safe?
- Is their care working well?
- What is their day-to-day life like?
- Are their health needs being met?
- What needs to happen next?
At its core, a C(E)TR is about listening to the person and making practical changes to improve their life.
The approach
C(E)TRs are based on clear values:
- Person centred: The person is at the heart of the review.
- Independent: The panel brings fresh, unbiased views.
- Coproduced: People with lived experience are involved.
- Action focused: The review leads to clear recommendations.
C(E)TRs are not just meetings. They help drive real change in how people are supported.
Our C(E)TR timeline
2014 Commissioned to recruit and train experts by experience for CTRs
2017 Started reviews for children and young people (C(E)TRs)
2019 Started sensory environment work
2020 Covid pandemic which saw us change ways of working and recruited more experts by experience
2021 Introduced a series of high impact development webinars
2021 Introduced more chair roles
2022 Supported panel members through new employment legislation, new policy and key lines of enquiry
2022 Coproduced the accessible CETRs document
2023 Delivered bespoke training for commissioner chairs
2026 Whilst we stopped delivering the contract in the South East and South West, we continued to develop our development sessions, chairs’ training and sensory environment review work.