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Guidance Notes lbbd (Multi Agency Referral Form)


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Guidance Notes LBBD (Multi Agency Referral Form)
The more information that is available when discussions are taking place about concerns about a child, the more likely it is that the most appropriate services will be delivered at the earliest opportunity to best meet the child’s needs with the least delay.
When using the MARF, please ensure that it is as fully completed as possible and contains some analysis of both the needs of the child/ren, what support has already been provided to the family and desired outcomes, as this will inform initial decision making about the priority of the response and the appropriate response.
Where concerns and information sharing indicates likely significant harm a response will be triggered from Children‘s Complex Needs & Social Care Children’s Services), including through an assessment and s47 enquiries as appropriate.
Where information sharing indicates that other issues are emerging about a child the focus will be on ensuring that a CAF will be completed and targeted services are meeting the child’s needs effectively
Child protection referrals – if there are concerns that a child may be suffering significant harm (for a definition of significant harm please refer to Chapter 4, p2, 4.1 in the London Child Protection Procedures) the information must be telephoned directly to the MASH Team. The MARF must then be completed and forwarded to the MASH Team within 24 hours as a written confirmation of the referral details.
Children in Need Referrals- Referrals of children with high levels of need and/or have a disability.
Your MARF needs to be faxed to 0208 227 3951 after consultation with the MASH Team or emailed Childrenss@lbbd.gov.uk.
Non child protection concerns - where concerns about children do not indicate an immediate risk of significant harm a MARF will trigger information sharing between professionals to evaluate the concerns and agree an appropriate response. This will include consideration of whether a CAF has been completed and whether all preventative/targeted services have been utilised to address the child’s needs. Where a CAF has been completed it should be shared between professionals when concerns about a child are being discussed.
For a definition of a child in need please refer to section at chapter 6, 6.6.17 in the London Child Protection Procedures.
The decision about the planned response to a concern about a child will be made within 24 hours and will be communicated to the referrer within 3 days of the concern being shared. It is the referrer’s responsibility to ensure that the referral has been received and contact should be made with the MASH to confirm.
Confidentiality – As a professional you cannot remain anonymous if you make a referral to Children’s Social Care the parent/carer will be informed that information has been received; this is a requirement of Children’s Social Care under the Data Protection Act 1989.

Consent – in most circumstances the agreement of the parent / legal guardian of the child must be sought before a referral is made if providing this will not place the child at an increased risk of harm. If a professional has any concern that informing a parent may place a child at risk or may compromise Police evidence, immediate advice must be sought from the MASH team. Should a parent or guardian refuse their agreement to a referral being made, consideration should be given to the impact this may have on the level of concern you have for the child’s welfare, and the parents or guardian’s ability to meet the child’s needs. You may wish to discuss these issues with the MASH Team. If the parents have not been approached in Children in Need cases then the referral may not be accepted. The MASH reserves the right to notify the Safeguarding Lead for the organisation concerned to reiterate the expectation that consent should be sought for Child in Need cases.


Common Assessment Framework (CAF) - when considering a referral with concerns about a child it will be useful to consult the CAF continuum of needs and threshold descriptors. The aim of the CAF is to identify at the earliest opportunity a child’s or young person’s personal additional needs and co-ordinate support from universal and targeted services. Written consent is given by the parent(s)/carer and/or young people before the CAF processes are undertaken.
Reports – any additional detailed reports that provide useful additional information to the concerns should be attached to the form. If reports are attached please ensure that the consent of the author has been obtained.
Observation of the child- when completing these forms it is important to record your observation of the child. If you have specific expertise in a given area this should be clearly stated.
Third parties – information about third parties should only be included if it is directly relevant to the referral and there is consent unless this is a Child Protection referral.
Parent’s and child’s views – may be included if they are volunteered but care must be taken not to interview either parents or children about the substance of any concerns where is possible that a criminal offence may have been committed unless advised to do so by the MASH Team.
Legal Proceedings – those completing the form and any accompanying documents, should be aware that the contents of the form may be used in legal proceedings should proceedings follow the referral.


London Borough of Barking and Dagenham

15 Linton Road

Barking


Essex

IG11 8HE

Telephone: 0208 277 3811

Facsimile: 0208 277 3951


This form is to be used by all agencies when referring children about whom there are concerns. The more information available at the first point of contact, the more likely it is that appropriate service will be delivered at the earliest opportunity to help children and their families.


BEFORE PROCEEDING - PLEASE CONSIDER – Have you consulted within your own agency about this referral? If so, was it agreed that a referral was required?

Yes No
Has a CAF been in place to support the family? Should this approach be undertaken first?


Is this a Child Protection Referral? YES/NO
If you believe that a child/young person is at immediate risk of significant harm please call the MASH Team IMMEDIATELY for advice
Child Protection Referrals: If there are concerns that a child may be suffering from significant harm, the information must be telephoned directly to the MASH Team. (*NOTE: If it is known that the child(ren) has a current allocated Social Worker, please ask to speak to the allocated worker or their Line Manager in the first instance). Upon advice from the MASH team this form should be completed in FULL and faxed to 0208 277 3951 or email to childrenss@lbbd.go.uk as a matter of urgency
Is this a Child in Need Referral? YES/NO
Child in Need Referrals: Referrals of children with high levels of need and/or have a disability. Your MARF needs to be faxed to 01708 43 3375 after consultation with the Senior Social Workers in the MASH Team.
IF YOU ARE UNCLEAR WHETHER OR NOT YOU SHOULD FILL IN THE MARF PLEASE CALL 0208 227 3811 AND SPEAK TO ONE OF THE MASH SENIOR SOCIAL WORKERS

REFERRAL INFORMATION
1. Child/young person’s details:

Child’s first name/s:

Child’s surname:

Any alternative name:






Date of

birth/EDD:

Gender

(M/F)

Religion:

Child’s

age:

Child’s first

language:

Disability:




















2. Parent/Carers details:

Name of parents/carers:


Home address:

Post code:

Any other relevant addresses:

Post code:

Telephone numbers:

Young person’s personal telephone number if applicable:





3. Child/Young Person's ethnicity

In addition to helping us to consider the particular needs of the child / young person being referred, this information will allow better planning of our services.


White British





Caribbean





Indian




White Irish





African




White and Black Caribbean



Any other white background

(please specify)




Any other Black background

(please specify)




White and Black African




Bangladeshi





Chinese




Any other mixed background

(please specify)




Any other Asian background

(please specify)





Not stated




Any other

ethnic group

(please specify)




Any other ( please specify)

Religion:




4. Other significant family members; other adults or children also living in the

home or living elsewhere

Name:

D.O.B:

Relationship:

Contact Details:

Household Members:




























































5. Have you had any consultation in relation to this referral? State who?

What advice were you given? When?






6. Has a CAF been completed in respect of this child? If not why not?

If so please attach or specify date and outcome?







7. Is an interpreter needed? If so please detail requirements:





8. Agency contact information:

GP











Health Visitor











School


UPN (Unique Pupil Number)

CONTACT PERSON




School Nurse











Other Agency












9. Do you believe the child or young person to be at risk of significant harm, if so please specify?





10. Your reasons for making a referral in this case?

What are your concerns? What outcomes would you like for the child?

What else has been tried to prevent this referral?







11. Have you spoken to the child?

Yes/No

What is the child’s account?









12. Child’s current whereabouts:

When were they last seen? Please supply all emergency contact numbers.






13. Supporting Information:

Child development; what information do you know about the child?

Please include all relevant information regarding their development in terms of their

health, education, attendance, social relationships, emotional well being,

self-esteem and self care skills.








14. Supporting Information:

Parents and carers; what information do you know about the child’s

parent(s)/carer and wider family?

Please include information regarding parent/carer strengths and difficulties in terms

of relationships, friendships, behaviour, support, stability, safety and boundaries.

Do the parents have any particular needs, e.g. learning disability, mental health

issues, substance misuse or domestic violence.







15. Supporting Information:

Environmental factors; what information do you know about the

wider environmental factors which may impact on the child?

Consider for example, housing issues, who is working in the household, financial

situation, community and social involvement.







16. History of Intervention?

Please provide a brief chronology of significant events and service interventions:








17. Any other relevant information?

(including previous referrals)








18. Is there a perceived risk of violence or other matters that could place those making contact with this family, in danger (such as an unsafe neighbourhood,

persons of violent nature, an unrestrained dog, etc)?


Please tick Yes/No
If yes, please specify what the identified risk is?





19. In circumstances where there is a risk of violence (such as domestic

abuse) please provide details regarding a safe way to contact the victim

and/or child?







20. Have you spoken to the parent/carer about making this referral?



If so please detail comments.
If not please explain why.


Parental Agreement (See Guidance Notes)

If you are making a referral of child protection concern and are unsure about whether to advise the parent/carer of concerns and intention to make a referral (i.e. due to evidence being compromised, or someone being place at risk) you should consult within your own agency about this issue. If you remain unsure about whether the parent/carer should be consulted/informed about the referral please consult with Children’s Social Care in the first instance.
If you are making a Child in Need referral agreement must be sought from the parent/carer (and where appropriate the young person) to making the referral. When you have not obtained parental agreement it will not be possible to progress a child in need referral. Where appropriate, the parent/carer should be asked to sign the referral form.
I agree to the information in this referral being shared with other agencies, including children’s social care.


Name of parent/Legal Guardian/Young Person (please print ):





Signature of Parent/Legal Guardian/Young Person:





Date:



21. Referrer’s Details


Name(Print):


Job title:


Agency:


Work address:


Contact Telephone number:


Fax number:


Email address:


Name of Safeguarding Lead in agency?


In what capacity and for how long have you known the child/young person?

Have you consulted the parents and child appropriately before making the referral

Yes/No







Signature…………………………………………….. Date……………………………….





22. Confirmation of receipt of referral.



To be faxed back to referrer:
Children and Young People’s Services received your referral about:
Name: D.O.B

Address:

Your referral was received on / /
The decision made regarding further action:



Priority for action:

Response:

High




Service

with 24 hours




Med




Service in 48

hours




Low




CAF




No further action

(NFA)










Allocated worker:




Lead Professional:







Advice and Action taken/Reason for NFA:




Decision taken by:

Signed: Job Title: Date: / /



UNDER NO CIRCUMSTANCES SHOULD REFERRERS REMOVE CLOTHING TO OBSERVE DESCRIBED INJURIES UNLESS AUTHORISED TO DO SO AS PART OF A MEDICAL EMERGENCY.

NAME OF CHILD:


DATE OF BIRTH: GENDER:
DOCTOR’S NAME SIGNATURE:
DATE:




NAME OF CHILD:
DATE OF BIRTH: GENDER:
DOCTOR’S NAME SIGNATURE:
DATE:

APPENDIX C




NAME OF CHILD:


DATE OF BIRTH: GENDER:
DOCTOR’S NAME SIGNATURE:
DATE:



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