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Northamptonshire Transforming Care Partnership (TCP) and Care & Treatment Reviews (CTRs) - NHS

Northamptonshire Transforming Care Partnership (TCP) and Care & Treatment Reviews (CTRs) - NHS logo


In October 2015, NHS England, the Local Government Association, and the Association of Directors of Adult Social Services (ADASS) published a paper called Building the Right Support (PDF 174MB).

This is a national plan to improve local health and care services for people with a learning disability, a mental health condition, and/or autism (who display behaviour that challenges). The goal is to ensure people can be supported in their community instead of going to hospital. People should not be forced to use inpatient services to make up for a lack. of community services and support.

The Transforming Care Programme:

The delivery of Building the Right Support is being overseen by the national Transforming Care programme, which is managed by the Transforming Care Delivery Board (TCDB).

Transforming Care Partnerships (TCPs):

At local levels, the programme is run by 48 different Transforming Care Partnerships (TCPs) across England. TCPs are made up of clinical commissioning groups (CCGs) or integrated care systems (ICSs), special commissioners, and local authorities. Each TCP is in charge of local plans to improve health and care.

The Northamptonshire Transforming Care Partnership (TCP) is a coalition between the Northamptonshire Integrated Care Board (ICB) and the Northamptonshire local authorities. They work with people with disabilities and their families to agree and deliver local plans for the Transforming Care programme.

Care & Treatment Reviews (CTRs) and Care, Education, & Treatment Reviews (CETRs):

The main way Transforming Care works with people is by using Care, Education and Treatment Reviews (CETRs) with children and young people, and Care and Treatment Reviews (CTRs) with adults.

CTRs and CETRs are a meeting about a person who has a learning disability and/or autism and who is either at-risk of being admitted to, or is currently detained in, an in-patient (usually psychiatric) service. CETRs and CTRs should focus on hospital discharge or avoiding admission. They should ensure people are getting the right support and help they need, and that this is at home, or as close to home as possible.

CETRs/CTRs can be requested at any time. They should be arranged by the commissioner.

In the community, CETRs/CTRs should happen if hospital admission is a risk. This is called a "Blue Light CETR/CTR." Blue Light CETRs/CTRs will often be arranged very quickly and held over the phone.

In Assessment and Treatment Units (ATUs), CTRs should happen every 6 months. In secure services, it should be every 12 months. For children and young people, a CETR should take place every 3 months.

  • Barnardo's Key Working ServiceThe Keyworking Function has been developed as a response to the NHS England and NHS Improvement Long Term Plan  commitment that by 2023/24, children and young people with a learning disability, autism or both, with the most complex needs will have a designated Keyworker
  • Brackley Area
  • Corby Area
  • Daventry Area
  • East Northants Area
  • Kettering Area
  • Northampton Area
  • Towcester Area
  • Wellingborough Area
  • North Northamptonshire
  • West Northamptonshire
  • Northamptonshire
Additional languages
Translation and/or Interpreting Available on Request
Age range
Suitable for ages from 0 to 100 years
Referral route
GP or Healthcare Referral
For people with
  • Social, Emotional, or Mental Health (SEMH) Needs
  • Autistic Spectrum Disorder (ASD)
  • Learning Disabilities
Eligibility criteria
Provider category
Specialist Services - For those who require longer-term support


c/o NHS Northamptonshire Integrated Care Board, Haylock House, Kettering Parkway, Venture Park
NN15 6EY
United Kingdom


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Last updated 18 March 2024