Reportfor Child Protection Case Conference

CONFIDENTIAL

REPORTFOR CHILD PROTECTION CASE CONFERENCE.

SECTION 1 – REPORT AUTHOR:

Report Compiled by: / Job Title/Organisation:
Team Manager: / Date of Conference:

SECTION 2 – KEY INFORMATION:

Children Subject to Conference:

Surname / First Name / D.O.B. / School/
Nursery / Current Address / Legal Status / G.P.

Home Address:

Adults and others in the household (including other children not subject to conference):

Surname / First Name / D.O.B. / Occ/School/
Nursery / Relationship to Children / Parental Responsibility
Y/N
Y/N
Y/N
Y/N
Y/N

Any other significant adults(If none please state ‘None’):

Surname / First Name / D.O.B. / Address / Relationship to Children / Parental Responsibility
Y/N
Y/N
Y/N
Y/N

Any Children who do not live at named address(If none please state ‘None’):

Surname / First Name / D.O.B. / Address / Relationship
Please state the children/adults you are currently working with:
Agencies Involved (if known):
Has a CAF been completed and a Lead Professional identified? Please provide details:
Has the report been shared with: Child/Young Person
Parents/Carers / YES/NO
YES/NO
State the evidence that your report is based on: e.g. contact with parents/children, family members.
If you have not shared report, please state the reasons why:

SECTION 3 - MAIN REPORTPlease complete as much of the form as possible.

Chronology of Significant Events/Contacts with Service(you can attach an existing chronology if available)

Date / Significant Events/Contacts.
Childs Developmental Needs: health, behaviour, emotional, social, identity, relationships, self-care, independence and learning.
Parenting Capacity: basic care, safety + protection, emotional, warmth, stability, guidance, boundaries + stimulation.
Family + Environment: history, functioning + well-being, wider family, housing, employment + financial considerations.
Analysis & Conclusion: Based on the information gathered summarise any risks, strengths and needs identified and how these may impact on the children/s outcome paying particular attention to their safety, health and development.
Child/Young Persons Views
Parent/Carers Views

Section 4 - ACTION PLANPlease use this section to identify your agency tasks. If the child is made subject to a child protection plan this section will be used to inform the multi-agency plan. Please ensure all actions are SMART – Specific, Measurable, Achievable, Relevant and Timely

Aim
(what you hope to improve for the child) / Agency Task
(what are you going to do) / Goal
(how will you know it has worked) / Timescale
(when will you do it)
E.g. Work with the family to improve x’s school attendance / Work with x, parents and partner agencies to identify and address why attendance is low and identify strategies to increase and improve attendance / School attendance increases from 65% to 85% over the next four weeks / Attendance monitored weekly
Reports provided to core group

Signed:…………………………………………….… Date……………………..

Initial Child Protection Case Conference Report – Implemented 22 July 2013; Review December 2013