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The Dynamic Support Register (DSR) is a list for people who are autistic or have a learning disability. It helps make sure they get the right support to stay well and live safely at home. It is not a crisis service.

Need urgent help?

If you or someone you care for is in crisis, please contact:

Provider Telephone number Openings Boroughs
CAMHS Crisis Line for Children 0203 228 5980 Weekdays: 5pm–11pm
Weekends & Bank Holidays: 9am–11pm 		 All
Oxleas Crisis Line (Adults) 0800 330 8590 24/7 support Bexley, Bromley, Greenwich
South London and Maudsley NHS Trust Crisis Support (Adults) 0800 731 2864 (choose option 1)  24/7 support Lambeth, Lewisham, Southwark

How it helps you

  • Spots risks: It shows if you might need extra support to avoid going to hospital.
  • Plans support: Makes sure you get the right care and support.
  • Prevents hospital stays: It helps you stay at home with the care you need.

Why it matters

  • Better life: It gives you the right help at the right time.
  • Fewer hospital stays: Helping you stay in your home and in your community.
  • Support for your family and carers: Makes sure everyone knows how to help you best.

DSRs in south east London

Usually, each borough in south east London has two DSRs:

  • One for children and young people under 18
  • One for adults aged 18 and over

These registers help us make sure you get the right support at the right time.

Who can be on the DSR?

You can be on the DSR if all of this is true:

  • You have a learning disability (also called an intellectual disability), autism or both.
  • You are any age – children, young people, and adults can all be included.
  • You are at risk of going into a mental health hospital.
  • You agree to being on the DSR (or there is a best interests decision to add you).

We use a simple colour system called RAG rating (Red, Amber, Green) to help us understand how much support you might need. This is used across the country by the NHS.

What the colours mean:

  • BLUE – You are already in a mental health hospital.
  • RED – You are in crisis now. There is a high risk you will go into hospital very soon, and support in the community isn’t working.
  • AMBER – You are not in crisis yet, but you could be soon without urgent help. You might be feeling more unwell, or your home or care situation might be breaking down.
  • GREEN – There are some risks, but they are being managed well at the moment.

If you’re in hospital

If you are already in hospital and meet the criteria, you should be added to the DSR by a healthcare professional. Sometimes, this happens after you’ve been admitted. We also ask for consent so you can stay on the DSR after you leave hospital, to help with ongoing support.

The case manager will check and make sure you are getting the right care and treatment by calling a Care, Education and Treatment Review (CETR). If you want to contact your case manager, please email lda.pmoteam@selondonics.nhs.uk.

Getting the right support when you need it

If you’re on the DSR, it means we can act quickly to get you the help you need. This is especially important if you’re at immediate risk of going into hospital or if your current support isn’t working well.

You can still get help from other services too (like mental health, education, and social care) if it’s the right time for you.

We can also ask for extra support, such as:

  • A SELECT Keyworker – if you’re aged 18 or under, a Keyworker can work with you and your family to make sure your voice is heard.
  • An autism worker – if you’re an autistic adult, they can help you and the ward team to discharge you from hospital. You can find more about Oxleas NHS Foundation Trust and South London and Maudsley by clicking the links.
  • The NHS London autism and learning disability specialist team (AIDIIT) – they can support you if you’re in hospital or might need to go in. Click here to learn more.

If you’re at risk of going into a mental health hospital, we’ll arrange a Care, Education and Treatment Review (CETR) as soon as we can. This brings you, your family, carers, and professionals together to look at how we can support you better and help you stay out of hospital.

How to join the DSR

If you think you or someone you care for should be on the DSR, here’s how to get in touch:

The easiest way:

Click here to fill in your details on our secure online form.

If you can’t use the online form:

You can email us at SELDSRAdmin@selondonics.nhs.uk
Please include:

  • Your name
  • Your date of birth
  • Your address
  • The name of your GP surgery
  • The best way to contact you (email, phone, letter, or something else)
  • If you have a learning disability, or if you are autistic

Prefer to call?

Phone us on 0208 176 5565.
If we don’t answer, please leave a message with:

  • Your name
  • Your phone number
  • The best time for us to call you back

We’ll get back to you within 2 working days.

You can also ask someone to help:

A professional who knows you can help you make a referral or do it for you. This could be:

  • Your social worker
  • Mental health worker
  • Advocate
  • GP
  • SEND Case Officer

Professionals can only make a referral using the South East London ICB DSR: Dynamic Support Register link.
They can also download consent forms (for under 16 and over 16), an information leaflet, and a RAG rating tool.

Who sees this information?

  • The DSR is managed by the NHS South East London team
  • Only trusted professionals can see or update it
  • It may be shared with health, education, and social care teams
  • A version with no names is shared with the wider NHS team to help improve services
  • All information is kept safe and follows the law (Data Protection Act 2018 and GDPR).

Read about consent, privacy and how we use your information in the DSR.

What is consent?

Consent means saying “yes” to something after it’s been explained to you. You need to understand what you’re agreeing to.

If you’re under 16

Your parent or carer can say yes for you to be on the DSR.
But if you understand things well enough (this is called being Gillick competent), you might be able to say yes yourself. Find out more about Gillick competence.

If you’re 16 or older

You can usually decide for yourself if you want to be on the DSR.

But sometimes, a person might not be able to make this decision. If that happens:

  • A health or care worker will check if the person can decide (this is called a Mental Capacity Assessment).
  • If they can’t decide, a meeting will be held with people who know and care about them. This is called a best interests meeting.
  • The group will decide what’s best for the person, and if being on the DSR will help them. Learn more about consent.

Keeping people safe

If someone is in danger, or if others might be at risk, the law (called GDPR) allows us to add them to the DSR to help keep everyone safe. See our data protection privacy policy.

Your privacy and your information

We take your privacy seriously. Only people who are helping with your care or support can see your DSR record. Read our full privacy notice.

What’s on the DSR?

The DSR includes important information to help you get the right care, like:

  • Your name, date of birth, and NHS number
  • Your diagnosis (like autism or learning disability)
  • Who is helping you (like your doctor, social worker, or keyworker)
  • Where you live and who supports you
  • Your care plan and risk assessments
  • If you’ve had a Care, Education and Treatment Review (CETR)
  • If you’ve been offered a personal budget
  • If you’re a looked after child or care leaver
  • If you have any safeguarding concerns
  • And more details to help plan your care

Who uses the digital DSR?

The Digital DSR is a secure online system. It’s used by:

  • Your SELECT Keyworker (if you have one)
  • Your inpatient case manager
  • People who plan and pay for your care
  • People who support you

They use it to record what support you’re getting and what’s been done to help you.