Checklist for Brief Intervention (Up to 6 week / 6 session / 6 visit involvement)

☐Case Note from Manager confirming referral accepted, allocated worker and nature of intervention

☐Check that UFRN is against all Family Members on FWi

☐Check that you are showing as allocated worker with correct role

☐Contact referrer to discuss case and joint visit (where applicable)

☐Contact family in timescales and document attempts

☐Agreement to close case due to no contact must be sought and signed off by Managers (Managers to case note on Fwi).

☐Worker to complete a signs of wellbeing summary with “Next Steps” including your plan of work (1page)

Ensure minimum requirements

☐Family registered with a GP

☐Family Registered with a Dentist

☐Registered with the Children’s centre if have an under 5

☐Receiving 2/3 year old Free early Educational Entitlement, or know how to

☐Know how to apply for a school place / have a school place

☐Signposted to smoking cessation support as appropriate

☐Check if there’s a child carer and support as appropriate

Identifying additional unmet needs (ie, requires one more session)

☐If there are needs that cannot be addressed in this work discuss with manager and manager case notes any decision to extend or continue as assessed service or step up.

Closure

☐Agreement to close case must be sought and signed off by Line Manager (Manager to case note on Fwi)

☐Complete Closure Summary for Brief Intervention and upload under youngest child, case note “Closure summary complete – case closed” against all family members

☐Change worker relationship to “Case closed to worker”