The Dynamic Support Pathway (DSP) is an all-age early intervention pathway for people with Learning Disabilities, Autism or both. The DSP is for people living in Leicester, Leicestershire and Rutland (LLR).
The DSP has been developed to provide timely support for individuals with a Learning Disability, Autism or both whose health or wellbeing is deteriorating. It aims to ensure they can continue to stay well at home in the community. The goal is to identify concerns early and provide additional support that will prevent further deterioration or escalation that could lead to a crisis.
The DSP is also for patients returning to the community after an inpatient stay. A multi-agency meeting (MAM) can be set up to monitor the delivery and suitability of their discharge plan.
The DSP now consists of two registers – the existing Risk of Admission Register (ROAR) for crisis management, and the new Dynamic Support Register (DSR) for crisis avoidance.
Professionals working in Health, Social Care and Education can refer people to the DSP. Please use the following link if you want to make a referral to the ROAR or the DSR: https://llrldadmissionavoidancetool.leicestershire.nhs.uk
The service operates Monday to Friday within working hours and is not available on bank holidays.
Please click on the links below for all documentation relating to the DSP:
- LLR LDA Dynamic Support Pathway Standard Operating Procedure (SOP)
- Flowchart for DSP Referral and MAM Process
- LLR DSP First MAM Notes Template
- LLR DSP Subsequent MAM Notes Template
- Top Tips for Chairs of Multi-Agency Meetings
- Guidance for Completing DSP Referral Form
- Children & Young People Referral Criteria
- Adult Referral Criteria
- DSP Introduction Presentation
- DSP Consent form
- DSP Consent form guidance
- Easy read DSP information leaflet
- DSP Information for Families and Supporters
- DSP Gaps in Service Form
We would like to draw your attention to some of the key changes outlined in the updated SOP, these are:
- The new process to refer using the online platform link above
- Any person (with Learning Disabilities and / or Autism) where there is a significant concern for the health and well-being of the individual that requires additional support to prevent further deterioration and any escalation, should be referred to the DSR – regardless of whether existing processes are effectively managing the risks. In these circumstances where the referrer does not need support with organising the MAM this can be indicated on the referral form. The referrer is only required to complete the mandatory fields on the referral form and can progress with organising and facilitating the MAM themselves
- It is expected that the clinician making the referral should have confirmation of the person’s diagnosis of either Learning Disabilities or Autism
- It is the referrers responsibility to gain consent, this should be documented on their own patient records and indicated on the DSP referral form
- Prior to the MAM starting the referrer (or keyworker/care navigator where involved) should meet with the family/person to discuss the meeting, agenda and inform them who has been invited to the meeting. Ideally a pre-meeting should be arranged 15 minutes before the MAM to meet the family/carers/person and ensure they understand the process
- There is a new Gaps in Service Form which can be used to highlight to senior managers where there are gaps in services that have/are impacting on an individual’s health and wellbeing and their ability to remain living in the community. The information will be used to inform service developments and future commissioning requirements