FOI2026/2072

 For annual figures, please provide information for the two most recently completed financial years for which information is available. For current figures, please provide the latest available recorded position.

Part A – Key information requested

1. DSR caseload and referrals –

Please provide:

1. The total number of people currently recorded on the Dynamic Support Register.
2. Where held as an existing breakdown, the current number of:

• adults; and
• children/young people.

1. The total number of new DSR referrals received in each of the two most recently completed financial years.
2. The number of those referrals resulting in an individual being added to the DSR in each year, where this is already recorded.

2. Referral performance

Where these measures are already monitored, please provide:

1. The number and/or percentage of DSR referrals acknowledged within five working days.
2. The number and/or percentage where the referral/risk-stratification process was completed within four weeks.
3. The latest recorded number of referrals awaiting assessment/risk stratification.
4. The latest recorded number considered overdue.

Where the ICB uses different locally defined measures or timescales for monitoring DSR referral performance, please provide the equivalent existing measures instead.

3. C(E)TR and CTR activity

For each of the two most recently completed financial years, please provide:

1. The total number of CTRs completed.
2. The total number of C(E)TRs completed.
3. Where monitored, the number and/or percentage completed within the applicable expected timeframe.
4. The number of reviews cancelled or postponed, where monitored.
5. Recommendations and actions

Where already monitored, please provide the latest recorded:

1. Number of open recommendations/actions arising from C(E)TRs/CTRs.
2. Number of overdue recommendations/actions.
3. Number and/or percentage completed within their agreed timescale.

Please provide existing reported figures only. No review of individual C(E)TR/CTR records is requested.

5. Workforce and cost

Where already recorded or identifiable without requiring a new calculation, please provide:

1. The number of WTE/FTE staff dedicated wholly or substantially to:

• DSR/Dynamic Support coordination or administration; and/or
• C(E)TR/CTR coordination or administration.

1. The job titles and Agenda for Change bands, or equivalent grades, of these roles.
2. Any existing recorded annual staffing cost or budget specifically associated with these functions.
3. Any existing total annual expenditure or budget specifically recorded for operation of the DSR/Dynamic Support and/or C(E)TR/CTR functions.

I am not asking the ICB to calculate staff costs, apportion salaries or create a new cost model where one is not already held.

6. Systems

Please provide:

1. The name and/or type of system used to maintain the Dynamic Support Register, for example a dedicated platform, case-management system, database or spreadsheet.
2. The name and/or type of system used to manage C(E)TR/CTR activity and recommendations/actions.
3. Where already documented, whether information transfer between these systems and other relevant health, local-authority or provider systems requires manual data entry or re-entry.

Part B – Additional information where readily available within the appropriate cost limit

If the following information is readily available and can be provided without causing the request to exceed the appropriate cost limit, I would also be grateful for:

7. Review cancellations
8. Any existing summary breakdown of reasons for C(E)TR/CTR cancellation or postponement.
9. Operational resource
10. Any existing recorded or estimated staff-time information relating to:

• processing DSR referrals;
• gathering or chasing evidence;
• coordinating multi-agency input;
• preparing or arranging C(E)TRs/CTRs;
• recording and monitoring recommendations/actions; and
• producing DSR/Dynamic Support performance reports.

I am requesting only existing staff-time information and am not asking the ICB to undertake a new time-and-motion analysis.

9. Complaints
10. The number of complaints recorded specifically in relation to DSR, Dynamic Support, CTR or C(E)TR processes in each of the two most recently completed financial years, where these can be identified from an existing category, code or report without manual review of individual complaint files.
11. Any existing summary of recurring complaint themes relating specifically to these services.
12. Existing management information and processes

Where held and disclosable, please provide the most recent existing:

1. DSR/Dynamic Support performance dashboard or management report.
2. C(E)TR/CTR performance dashboard or management report.
3. DSR/Dynamic Support process map or Standard Operating Procedure.

Where one of these documents already contains information requested elsewhere in this request, providing the document is sufficient and the information does not need to be reproduced separately.

11. CYP-to-adult transition

Where readily available as existing management information, please provide:

1. Whether the ICB operates a single all-age DSR or separate CYP and adult arrangements.
2. The number of CYP cases transferred into adult DSR/Dynamic Support arrangements in each of the two most recently completed financial years.
3. Any existing documented process or SOP governing CYP-to-adult DSR/Dynamic Support transition.

Format and cost limit

Where possible, I would prefer numerical information in an existing electronic format such as Excel or CSV and documents in their existing electronic format.

If information requested in Part B cannot be provided within the appropriate cost limit, please prioritise the information requested in Part A.

If complying with Part A itself is estimated to exceed the appropriate limit under section 12 of the Freedom of Information Act 2000, I would be grateful for advice and assistance under section 16 identifying which elements of Part A could be provided within the appropriate limit and how the remaining request could be refined.

Where a requested figure is not held, please state that it is not held rather than undertaking new analysis to produce it.

Part A:

1a & b:          Based on 2025/6 data collections, at March 2025 there were: 

319 CYP aged 0-18

172 young adults aged 18-25

269 Adults aged over 25

Based on 24/25 data collections at December 2024 there were:

338 CYP aged 0-18

156 young adults aged 18-25

272 Adults aged over 25

1c:                We are unable to provide total new referrals but based on data collections in 25/26 typical additions to GM DSRs per month based on March 2025 data was:

0-18 – 13 a month

18-25 – 3 a month

25+ – 8 a month

Based on data collections in 24/25, typical maximum addition to GM DSRs per month based on Dec 2024 data were:

0-18 – 23 a month

18-25 – 6 a month

25+ – 6 a month

1d:                Please see above numbers

2:                  Unfortunately, NHS Greater Manchester ICB does not currently monitor performance against these metrics.  

The Freedom of Information Act allows Public Authorities to decline to answer FOI requests when we estimate it would cost us more than £450 (equivalent to 18 hours, calculated at £25 per hour) to identify, locate, extract, and then provide the information that has been asked for.

Due to the volume and complexity of the data involved, it would require a disproportionate amount of time and resources to locate extract and collate the data, and therefore, on this occasion it is with regret NHS GM are not able to process this section of your request further.

On this basis, section 12(1) has been applied, because this would exceed the appropriate limit prescribed in the act.

In accordance with our duty under Section 16 of the Freedom of Information Act 2000 to provide reasonable advice and assistance, if you are able to narrow the scope of your request, we may be able to respond to it within the appropriate cost limit.

3:                  We do not have any data for completed financial years on C(E)TR / CTR Activity as we only started data collection from April 2026.

4:                  Unfortunately, NHS Greater Manchester ICB does not currently hold a central log of open/overdue recommendations across all of the 10 place systems. These would be held individually in each of the ten Greater Manchester localities.

5a & b:          There are no dedicated posts to oversee the DSR, it’s oversight is part of existing individualised care case managers job roles.

We commission Mersey Care NHS FT to provide CTR co-ordination and administration; we commission them based on activity not WTE posts therefore we do not hold this information.

5c:                There is no specific staff budget allocated to the oversight of the DSR. The funding for Mersey Care to oversee CTRs is part of a large NHS Trust contract.

5d:                CTR panels members are spot contracted on a case by case basis/as required but there is no block provision for this.

6a:                We currently use place based manual spread sheets but are in the process of changing to a GM wide digital database.

6b:                Currently use Excel spread sheets in Microsoft Office.

6c:                Information and updates from other health and local authorities received is manually added to the DSR spread sheet.

Part B:

7a:                We have only started to collect the data in this section from April 2026.

8:                  Unfortunately, NHS Greater Manchester ICB does not currently hold any data for this section.

9:                  NHS Greater Manchester ICB do not have any complaints recorded specifically in relation to DSR, Dynamic Support, CTR or C(E)TR processes in each of the two most recently completed financial years,

10a:              We do not currently collect this data.

10b:              We do not currently collect this data.

10c:              The Dynamic Support Register SOP is currently being written and reviewed.

11a:              Currently CYP DSRs operate separately to adults.

11b:              Based on 25/26 data collections in March 2025, typical numbers of CYP moved to adult registers per month is 2. 

11c:              The processes and SOP are currently being written and reviewed for governing CYP-to-adult DSR/Dynamic Support transition.