Reports for both Initial and Review Case ConferencesForm 6

For use by schools, midwives, health visitors and school nurse and any other agencies (GPs see Form 5). See guidance for completion in Appendix 3 of Shetland inter-agency Child Protection Procedures (available at: ). Please email completed form via secure link to Social Work at:

1. Report for Initial/Review Child Protection Case Conference for:

[names of all children in respect of whom

the conference is being held]

to be held on:

[date]

Report of:

[your name and professional role]

2. Family Composition

Name / D.o.b / Relationship to child / Address

3. Cause for concern including: (for Review reports, give an update on any significant events since the last report)

(a) any precipitating incident

(b) any previous concerns

4. Relevant Family History/Chronology (for Review reports, give an update on family circumstances)

(Please include here relevant information from your service, that potentially affects all of the children involved, for example, relevant information relating to parents’ health/parents’ involvement with school – see guidance notes in Appendix 3 of Shetland inter-agency Child Protection Procedures). Please include here information relevant to all of the children involved – please include information specific to only one or some of the children at section 5)

A chronology of my agency’s involvement is attached.

5. Past and present involvement regarding:

[name and dob of individual child]

From:

[your name and professional role]

For case conference on:

[date]

Please provide information relevant to your service specific to this child, preferably using a separate page for each child: Please contribute any information you have that will help build up a picture of the child’s circumstances. Include any strengths, and any areas where further support may be needed. Consider in particular any potential areas of risk (see guidance notes in Appendix 3 of Shetland inter-agency Child Protection Procedures).

[please use as many additional pages as required for each child the conference is concerned with]

5. Past and present involvement regarding:

[name and dob of individual child]

From:

[your name and professional role]

For case conference on:[date]

6. Summary Statements/Analysis

  • Risk Factors
  • Protective factors
  • Provisional view on registration/continuing registration

7. Parents’ views of your report

8. Child/Young Person’s view of your report

9. Signed: …………………………………………………….

Date: …………………………………………………….....