Relate Centre/PRL Scheme:
Doncaster / Client Name/ref: Harry Crofton
Client D.O.B. 24/10/2001
Name of Relate person raising the concern: Jane Smith
Role: CYP Counsellor
Location: Doncaster Secondary School / Date: 4/2/15
Contact details: 01302 123456
Telephone:
01302 123456
Mobile:
07825477029
SUMMARY OF CONCERN
Brief factual summary of the concern:
In a counselling session today Harry has disclosed contact with an online friend called John. John says he has become a fashion photographer and has suggested Harry could earn good money modelling underwear; the images would appear in men’s fitness magazines.
John has asked Harry to post online some ‘sexy’ photos of him posing in his briefs so John can see if he’s got the right physique for the job.
Harry is currently in foster care as a result of being a victim of Child Sexual Exploitation and so is classed as vulnerable.
This disclosure report confirms the verbal report that was given to Miss Burns (the school CPO) today.
Reported to:
Role: Miss Burns - Doncaster Secondary School CPO.
Location: Doncaster Secondary School.
Date: 4 Feb 2015
Signed by:
Name: Jane Smith Date: 5 Feb 2015
CONSULTATION LOG
Record below details of any consultations regarding the case [should include: Name & role of person [s] consulted & outcome of consultation]
4 Feb 2015: JS called PHL and spoke to DB; agreed JS would talk with School CPO and pass on concern; JS will also inform her supervisor and Centre Manager and ask CM to follow up JS’s verbal report with a copy of the CPRF and covering letter. CM can call PHL for further advice
5 Feb 2015; JS spoke with supervisor and Centre Manager; letter and CPRF will be sent to school
DISCLOSURE REPORTING
Disclosure Reporting:
Is a disclosure report required? Yes
If Yes:
To which agency should a disclosure report be made?
Doncaster Secondary School
Reasons why a disclosure report should be made to this agency?
The school has responsibility for safeguarding child and will also contact child’s foster parents. The school will also consider whether the police should be informed.
Who will make the disclosure report?
Jane Smith will make the verbal report and the Centre will follow up with the CPRF and a covering letter
If the first report was made by telephone has it been followed by a letter?
See above
Who else will be informed?
No-one at present / If No:
Reasons why no disclosure will be made:
COMPLETION OF PROCESS
Disclosure report made by telephone: No
Who was report made to (name & contact details)
Miss Burns - Doncaster Secondary School CPO, School Road, Doncaster,
01302 654321
Address to which disclosure report was sent:
As above
Signed: Diane Black Date: 5 Feb 2015
Role: Centre Manager
FOR OFFICE USE ONLY – NOT TO BE GIVEN TO OTHER AGENCIES