Change that leads to better lives

Care, (Education) and Treatment Reviews

We work to ensure that autistic people and people with learning disabilities receive good quality community support and are able to live full and meaningful lives.


It’s important to make sure that the voices of people who are in, or at risk of going into, a mental health hospital, are heard through Care (Education) and Treatment Reviews, known as C(E)TRs.

C(E)TRs aim to reduce hospital admissions or help discharge people who are already in hospital. This prevents unnecessary stays in hospital where people are unlikely to thrive.

CETR panel
Illustration. Head and shoulders illustration of six people from diverse backgrounds in a line


Each review panel includes:

  • a chair,
  • a clinical expert, and
  • an expert by experience.

Experts by experience will themselves be autistic, have learning disabilities, or be a family carer.

These panels provide an independent assessment of the care and treatment being received whilst listening to the person and their family about their experiences and future hopes.


Where does NDTi fit in?

We helped to set up the C(E)TR programme in the South East and South West of England in 2014 and have been supporting C(E)TRs ever since.

We champion the role of all panel members, who are essential in challenging poor practice and advocating for better outcomes. Their involvement serves as a safeguard for people in care.

Our team plays a key role in making sure panel members are well-trained and supported.

The expertise of our team and panel members is widely recognised and our involvement, in related projects and specialist guidance, is often sought by organisations outside of our region.

This includes our work around autism and sensory environments which reviews, advises and supports healthcare settings to become more accessible.

We have supported C(E)TRs across the South East and South West of England since 2015.

We also offer stand-alone Chairs training to individuals and organisations.

In summary, our work with C(E)TRs helps:

  • Amplify the voices of autistic people and people with learning disabilities and their families.
  • Ensure people receive the care they need and deserve in hospital and in the community.
  • Challenge where poor care and practice occurs and provide safeguards for people in hospital.
  • Promote positive systemic change.


Martin’s Story - See how Martin's life has been changed by living in his own home after fifteen years in hospital.


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