Leicester, Leicestershire and Rutland IOM/MAPPA Referral - Restricted when completed

/ Single Referral Process /
If needed, use the “F1” key to reveal help for completing each section
1.1 Referrer’s Details (Referrer completes sections 1.1 to 1.3 only)
Person making referral / Date of referral
Referrer’s agency
LPT MAPPA SPOC endorsement
Referrer’s current involvement with the case
Contact details. / Tel no
Email
Address
1.2 Offender Details
Surname / Date of birth
Forename(s)
Address
PNC ID
Type of Risk / High likelihood of offending (Y/N) / Risk of serious harm
(Y/N)
YN / YN
Key Information
What are your concerns? (Who is at risk, from what, how imminent is the risk?)
What is the evidence underpinning these concerns? (Refer to current and previous behaviour and risk assessment)
What actions have already been undertaken to mitigate this risk? (Have you explored all available options? What action has already been taken to engage relevant agencies?)
What obstacles have you encountered? (What action have you taken to try and overcome these?)
What do you want from this process? (Where do you feel IOM/MAPPA can add value?)
To allow the referral panel to consider the offender’s wider family, please detail other persons linked with the offender, including but not limited to any person the offender resides with. Provide addresses if different to the offender’s.
1.3 Supporting Information
Current Sentence (Date and nature of offence and sentence date with details of the sentence)
Detail convictions relevant to the referral (or impending prosecutions) and outline how they support the application.
Detail all agencies that are currently involved in managing the case
Is the offender currently a statutory MAPPA offender?
If yes please identify which category / Not MAPPAMAPPA CAT1MAPPA CAT2MAPPA CAT3
Although the referral will be considered for both schemes, do you consider this an IOM or a MAPPA referral? / IOMMAPPAIOM/MAPPA
That concludes the referral document. Please save the file and email to LPT MAPPA Clinical Lead at
2. Hub Information (for completion by hub staff)
2.1 Risk Assessment Information / Received in hub (date):
RM 2000 Risk of Reconviction [complete for all sexual offenders] / Police / Probation
Level / Date of assessment
RM 2000 Sexual:
RM 2000 Violent:
RM 2000 Combined:
OASys Risk of Reconviction / Prison / Probation
1 year % / 2 year % / Band / Date completed
OGP:
OVP:
OGRS3:
OASys Risk of serious harm – (1) Risk in the Community / Prison / Probation
V High / High / Medium / Low / Date completed
Children:
Public:
Known adult:
Staff:
Prisoners:
OASys Risk of serious harm – (2) Risk in Custody / Prison / Probation
V High / High / Medium / Low / Date completed
Children:
Public:
Known adult:
Staff:
Prisoners:
SARA Assessment [complete for all domestic abuse offenders] / Probation
High / Medium / Low / Date completed
Risk to partner:
Risk to others:
ASSET Risk of serious harm [complete for all offenders under 18] / YOT
V High / High / Med / Low / Date completed
Risk of serious harm:
ASSET risk of reconviction / Date completed
Mental Health/ Psychological Risk tool / Mental Health
Date completed
2.2
Any other information to support risk assessment
2.3 Prosecutor PNC Print (e copy) attached to referral package? / YN
2.4  Existing management.
If the person referring is not the offender manager, ensure staff who are currently involved in the case are consulted and their views detailed here.
2.5 Intelligence Picture
Current information and intelligence summary (relevant information only)
2.6 Compliance History
Detail any relevant information about the offender’s compliance with statutory supervision, if known.
2.7 Troubled Families
Is the offender managed within one of the Troubled Families schemes? If Yes please provide details. If not, is there value in referring to such a scheme?
2.8 Young persons
Detail any siblings or other persons under 18 in the family and whether they are known to criminal justice agencies. Give name, date of birth, PNC ID if applicable and current statutory management status
2.9 Associated persons
Have other persons been identified who are linked to the subject of this referral whose risks/needs are linked to this referral? If yes please provide details.
3. Panel Decision
Panel Members: / Name and
Agency
Date of panel decision:
Decision
MAPPA (Y/N) / YN / If yes, category and level:
IOM (Y/N) / YN / If yes, detail arrangements
Troubled Family Referral / YN / Detail which scheme
Reasons for decision
Initial Actions: (Record here any initial actions that need to be put in place)
Number / Action / Action Owner / Target Date
1 / Update referral records
2 / Update agency intelligence systems
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Use the following area for any other information that needs recording about the decision of the panel

Offender Management Panel – Decision Flow Chart

EXIT / Is it in scope? e.g. is the panel satisfied, using available risk assessment tools and information, that the offender poses a high/v high risk of reoffending and/or harm or is another high impact case?
NO / YES
EXIT / Is multi-agency collaboration required to manage/reduce risk? e.g. are numerous agencies involved/need to be involved, are there obstacles to this which we can help with, or alternatively are the relevant agencies already sufficiently involved and this can continue without our input?
NO / YES
EXIT / Would the case benefit from central co-ordination/management and/or multi-agency intelligence exchange? e.g. be clear about what the ‘added value’ is here. Does the complexity of the case justify this, what are the intelligence requirements and how is this best achieved, what are we looking to achieve?
NO / YES
Is the case one with the primary risk of harm or prolific offending
Prolific Offending
/ HARM
Does the case also require specialist offender management? e.g. Is there current and previous offending, have previous disposals failed to work (including poor compliance), is intensive supervision needed. Again, be clear about what the ‘added value’ is.
YES / NO
PPO / IOM
Is the offender a statutory MAPPA offender
YES / NO
Does the offender have a conviction for an offence indicating a risk of serious harm
YES / NO
Is there added value in a Level 2 or 3 MAPPA meeting being held
Yes / NO
MAPPA Referral to be completed / Recommend agency hold an ISM, or
IOM RISK OF HARM
All cases - Consider suitability for Troubled Families Referral

Restricted when completed Page 1