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What is the DSR?
The DSR enables systems to identify adults, children and young people with increasing and/or complex health and care needs who may require extra support, care and treatment in the community as a safe and effective alternative to admission to a mental health hospital.

Young people who are supported by the Dynamic Support Register (DSR) are able to access keyworker support in West Yorkshire.
The Keyworker Service
West Yorkshire Keyworker service was a pilot as part of the recommendations made under the ‘These are Our Children review’ by Dame Christine Lenehan and consequently embedded in to the NHS Long Term Plan.
The NHS Long Term Plan included a commitment that ‘by 2023/24 children and young people with a learning disability and / or who are autistic with the most complex needs will have a designated keyworker'.
This has involved creating new keyworking services for children and young people who are at risk of mental health hospital admission or are in inpatient settings. Read more on the NHS England website.

West Yorkshire Integrated Care Board (ICB) is working in partnership with Barnardo’s to deliver this service across the five areas of West Yorkshire – Wakefield, Kirklees, Calderdale, Leeds and Bradford. Barnardo’s work collaboratively with key partners in health, social care, education and the VCSE to deliver the keyworking service to young people up to the age of 25.
In the West Yorkshire Keyworker Service, co-production and embracing individuals’ lived experience to shape the service is at the heart of everyday work and we work collaboratively with young people, parents/carers and professionals.
Criteria to access the Keyworker Service in West Yorkshire

A young persons journey with their keyworker
Marie, a young person who received support from the service, has worked alongside the team to develop the communications platform, including the new West Yorkshire Keyworker Service website, Instagram and Facebook. Marie worked with an artist at Twovizthink to tell her story. Marie was an inpatient and met her keyworker whilst in hospital.
