The Transforming Care agenda and subsequent scrutiny of hospital admissions for people with learning disabilities through care and treatment reviews (CTRs) means care coordinators are more aware than ever of the need for close, multidisciplinary working, as well as robust care and contingency planning. This article discusses how effective care, contingency planning and risk assessment through CTRs and care programme approach reviews have helped to avoid hospital admission for two people who had been regularly readmitted to inpatient services, when they felt themselves to be in crisis.