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5.6.2 Operational Guidance on Requesting and Processing Health and Adoption Assessments for Looked After Children

SCOPE OF THIS CHAPTER

The operational guidance has been written and agreed to by the LAC Health Team, Medway NHS Foundation Trust and Medway Council Children's Services to ensure the smooth processing and completion of Initial and Review Health and Adoption Assessments.

(NB As an agreement between agencies this document has been published online without amendment other that the improved ease of navigation).


Contents

  1. Initial Health and Initial Adoption Assessments
  2. Review Health and Adoption Assessments
  3. Contact List

    Flowchart for Requesting and Processing Health and Adoption Assessments for Looked After Children


1. Initial Health and Initial Adoption Assessments

1. The Social Worker who takes a child into care must inform the LAC health team by email (met-tr.lacmmh@nhs.uk) of a new LAC placement with in 2 working days. The name, date of birth and foster carer will be needed by the health team; this will assist with the planning of clinic time. It is not a request for the health assessment.
2.

The child/young person's social worker, with assistance from the teams Support Services Assistant (SSA) must send all required paperwork to health with a letter of request for the Initial Health or Adoption Assessment with in 5 working days of the child/young person being placed. The 6 week target time frame for the health assessment will start once the request arrives in the LAC Health Team office at Medway Maritime Hospital.

Paper work required:

  • BAAF form IHA C or YP with the first 2 pages and 'name and date of birth' box on each page completed.
  • Consent for the assessment to take place, either by parents or person with parental responsibility if LAC under Section 20 or a Service Manager if LAC under Section 31 (consent is on page 2 of the BAAF form). The form should be signed within 3 days of the placement. In the absence of a parent's signature on the BAAF form, a copy of the signed Placement Agreement will suffice.
  • A copy of the Interim/Full Court Order if Section 31 (If available). If the ICO expirer before the child is seen for a health assessment then a covering letter from the Service Manager taking responsibility for the consent will need to be sent (Example letter attached).
  • A letter requesting the health assessment (if it is for an Adoption assessment this must be clear with the expected panel date if known). Letter to be signed by a Service Manager. The letter must include any information about ongoing health issues or concerns and family health history if known.
  • BAAF forms PH must be completed by the birth parents for all children up to the age of 10 and forwarded to the LAC health ream for comments by the Designated Doctor for LAC or The Named Doctor for LAC.
  • For children up to the age of 10 forms M and/or B must be sent to the LAC Health Team with a copy of the completed BAAF Consent Form and an expenses claim form.
  • Once the forms M and B and carer's form are completed a copy (NOT the original) must be sent to the LAC Health Team.
3. The health team will arrange a clinic appointment for the initial health/adoption assessment with a paediatrician. An appointment letter will be sent to the foster carer named in the BAAF form, a copy of the letter will go to the child/young person's social worker.
4. If there are concerns over the keeping of the appointment the team SSA must inform the LAC health team, the child/young person's social worker and the fostering officer. The Social Worker / SSA will phone the foster carer/key worker 48 hours in advance of the appointment or on Friday if the appointment is a Monday as a reminder. It is Children's Services responsibility to ensure the child/young person's attendance.
5. The LAC Health Team will send the named SSA an email of DNA/Cancellations normally with in 24 hours of being told of a problem and a list of appointments attended once a week. This information will be update on RAISE. The named SSA will follow up all missed or cancelled appointments. The Social Worker has 2 weeks to contact the LAC Health Team to request a further appointment, if no request is received by the LAC Health Team with in the 2 weeks the episode will be closed and named SSA informed. If a further appointment is required after the 2 weeks the whole process will have to start again. Refusals will be noted on RAISE and no further health assessment will be requested if the young person who refuses is over 16 years. The Social Worker must inform the LAC Health Team in writing that a young person has refused a health assessment.
6. If a child/young person moves placement the social worker must inform the team SSA who will inform the LAC Health Team by email of the new placement including the GP and School. If the child/young person moves social work team the receiving social worker must inform the LAC Health Team by email of the new team and name of social worker. One of the teams SSA will also inform the named SSA who will cross reference it with the appointment list.
7. Once the child/young person has been seen for their assessment the completed summary and health care plan will be returned to the requesting social worker via the team SSA. The team SSA will enter relevant data onto RAISE and give the summary and health care plan to the social worker to action and place on the child/young person's file. If a summary and health plan for a child who is placed out of area is returned direct to the Social Worker the SSA needs to ring the LAC Health office to ensure they have a copy.
8. The health team will return the completed health assessment to the requesting social worker with in 6 weeks of the request arriving in the LAC Health Team office. However, for those children/young people Medway Council places outside of its boundaries health will request the receiving CCG undertakes the health assessment but once the request has gone to the out of area CCG there is no guarantee that the 6 week target time frame will be kept. The LAC Health Team will chase these out of area appointments on a regular basis. If an appointment letter for a child placed out of area is sent direct to the Social Worker the SSA needs to ring the LAC Health Team to ensure they have this information.
9. Consent: Every new Section 20 placement should have a placement meeting, children should not become LAC without Placement Agreement (with consents) being signed. The child's name and date of birth must be clearly written on the consent form that is sent to the LAC Health Team. Medway Council is the 'person' being delegated consent to by the parent NOT the foster carer and this needs to be clear on the consent form.


2. Review Health and Adoption Assessments

1.

The child/young person's social worker, with assistance from the teams SSA must send all required completed paper work, with a letter requesting the Review Health or Adoption Assessment to the LAC Health Team 8 weeks before the due date (the due date is 52 weeks from the date last seen for a health assessment for a child over the age of 5 years and 26 weeks for a child under 5years of age).

Paper work required:

  • BAAF form RHA C or YP with the first 2 pages and 'name and date of birth' box on each page completed.
  • Consent for the assessment to take place, either by parents or person with parental responsibility if LAC under Section 20 or by a Service Manager if LAC under Section 31 (consent is on page 2 of the BAAF form). In the absence of the parent's signature on the BAAF form a copy of the signed Placement Agreement will suffice.
  • An up to date copy of the Interim/Full Court Order if things have changed since the previous request. If the ICO expirers before the child is seen for a health assessment then a covering letter from the Service Manager taking responsibility for the consent will need to be sent (example letter attached).
  • A letter requesting the health or adoption assessment signed by a Service Manager. The letter must include any information about ongoing health issues or concerns. NOTE: If the request is for an adoption assessment then the expected panel date must be included in the letter if known (example letters attached).
2. The health team will arrange a clinic appointment for the review health or adoption assessment with either a paediatrician or a nurse. An appointment letter will be sent to the foster carer named in the BAAF form, a copy of the letter will go to the child/young person's social worker.
3. If there are concerns over the keeping of the appointment the team SSA will inform the LAC health team, the child/young person's social worker and the fostering officer. The Social Worker/SSA will phone the foster carer/key worker 48 hours in advance of the appointment or on Friday if the appointment is on Monday as a reminder. It will be Social Services responsibility to ensure the child/young person's attendance.
4. The LAC Health Team will send the named SSA an email of DNA/cancellation normal with in 24 hours of being told of a problem and a list of appointments attended once a week. The information will be update RASIE, the named SSA will follow up missed appointments and DNA's. The Social Worker has 2 weeks to contact the LAC Health Team to request a further appointment, if no request is received by the LAC Health Team with in the 2 weeks the episode will be closed. If a further appointment is required after the 2 weeks the whole process will have to start again. Refusals will be noted on RAISE and no further health assessments requested if the young person is over the age of 16 years. The Social Worker must inform the LAC Health Team in writing that a young person has refused a health assessment.
5. If a child/young person moves placement the social worker must inform the team SSA who will inform the health team by email of the new placement including the GP and School. If the child/young person moves social work team the new social worker must inform the LAC Health Team of the new team and name of social worker. The team SSA will also inform the named SSA who will cross reference it with the appointment list.
6. Once the child/young person has been seen for their assessment the completed summary and health care plan will be returned to the requesting social worker via the team SSA. The team SSA will enter relevant data onto RAISE and give the summary and health care plan to the social worker to action and place on the child/young person's file. If a summary and health plan for a child who is placed out of area is returned directly to the Social Worker the SSA needs to ring the LAC Health office to ensure they have a copy.
7. The health team will return the completed health assessment to the requesting social worker with in 6 weeks of the request arriving in the LAC Health Team office. However, for those children/young people Medway Council places outside of its boundaries health will request the accommodating CCG undertakes the health assessment but once the request has gone to the accommodating CCG there is no guarantee that the 6 week target time frame will be kept. The LAC Health Team will chase these out of area appointments on a regular basis. If an appointment letter for child placed out of area is sent direct to the Social Worker the SSA will need to phone the LAC Health Team to ensure they have this information.
8. Consent: Every new Section 20 placement should have a placement meeting, children should not become LAC without Placement Agreement (with consents) being signed. The child's name and date of birth must be clearly written on the consent form that is sent to the LAC Health Team. Medway Council is the 'person' being delegated consent to by the parent NOT the foster carer and this needs to be clear on the consent form.
9. If a young person over the age of 16 refuses the health assessment the social worker must inform the LAC Health Team and IRO service by email as soon as possible.


3. Contact List

LAC Health Team
Residence 13
Medway Maritime Hospital
Windmill Road
Gillingham
Kent
ME7 5NY
Tel: 01634 838906
Email: met-tr.lacmmh@nhs.uk (Only to be used in connection with Health Assessment information)

Sue Rowswell
Team Administrator
LAC Team
Residence 13
Medway Maritime Hospital
Windmill Road
Gillingham
Kent ME7 5NY
Tel: 01634 838906
Email: sue.rowswell@nhs.net

Nancy Sayer
Designated LAC Nurse
LAC Team
Residence 13
Medway Maritime Hospital
Windmill Road
Gillingham
Kent ME7 5NY
Tel: 01634 838907
Email: nancy.sayer@nhs.net

Dr Folake Durowoju
Designated LAC Doctor
LAC Team
Residence 13
Medway Maritime Hospital
Tel: 01634 825163
Email: folake.durowoju@medway.nhs.uk (please do not send any confidential information to this address)


Flowchart for Requesting and Processing Health and Adoption Assessments for Looked After Children

Click here to view the Flowchart for Requesting and Processing Health and Adoption Assessments for Looked After Children

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