27. Performance appraisals should be carried out for all appointments as good practice. These should be carried out on a basis proportionate to the role.
30. For any exemptions to the requirements of the Model, the Selection Panel should approach the Sponsors who will test them against the OCPA principles and advise if they are acceptable and / or if any measures need to be taken. Any decisions should be recorded and retained for at least two years.
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REFERRAL TO MAPPA LEVEL 2/3
Fields marked with * are mandatory
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MAPPA A
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Name of MAPPA area:
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Referral to which level?
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2
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3
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1. CATEGORY OF OFFENDER
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* All agencies
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The offender can fall into only one of the MAPPA Categories summarised below. Please place an X against only one of the following three Categories.
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1. Registered Sexual Offender
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2. Violent or other sexual offender:
Who has been sentenced to 12 months or more custody for an offence under Sch.15 of the Criminal Justice Act 2003; or
Who has been sentenced to 12 months or more custody and is transferred to hospital under s.47/49 of the Mental Health Act 1983; or
Who has been detained in hospital under s.37 of the Mental Health Act 1983 with or without a restriction order under s.41.
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3. Other dangerous offender – has been cautioned for or convicted of an offence which indicates that he or she is capable of causing serious harm AND which requires multi-agency management. This might not be for an offence under Sch.15 of the Criminal Justice Act 2003.
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2. OFFENDER INFORMATION
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Last name:
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* All agencies
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First name:
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* All agencies
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Date of birth:
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* All agencies
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Aliases
(including nicknames):
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All agencies
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Prison:
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All agencies
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Prison number:
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All agencies
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Last known address before sentence:
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All agencies
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Proposed release address:
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* All agencies
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Current address if in community:
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* All agencies
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Gender:
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* All agencies
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Ethnicity:
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* All agencies
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PNC ID:
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Police / Probation
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ViSOR Reference
(must be completed for all Registered Sexual Offenders):
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Police / Probation
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Agency unique identifier:
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All agencies
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3. CONVICTION / CAUTION INFORMATION
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Index offence / Relevant caution:
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* All agencies
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Date of conviction / caution:
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* All agencies
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Sentence:
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All agencies
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Brief offence(s) details:
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* All agencies
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Relevant previous convictions and pattern of offending:
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All agencies
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Other relevant information:
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All agencies
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Relevant dates
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Automatic Conditional Release Date:
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YOT / Probation
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Parole Eligibility Date:
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YOT / Probation
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Non-Parole Date:
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YOT / Probation
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Licence Expiry Date:
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YOT / Probation
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Sentence Expiry Date:
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YOT / Probation
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Home Detention Curfew:
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YOT / Probation
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Community Order end date:
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YOT / Probation
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Disqualification Order:
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YES / NO
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* Police
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Imprisonment for Public Protection:
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YES / NO
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* Probation
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Extended Sentence for Public Protection:
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YES / NO
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* Probation
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Lifer:
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YES / NO
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* YOT / Probation
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Mental Health review date(s):
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Mental Health
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Sexual Offences Prevention Order:
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YES / NO
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* Police / Probation
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Registered Sex Offender Notification end date:
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Police / Probation
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Violent Offender Order:
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YES / NO
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* Police
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4. DETAINED IN HOSPITAL
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Mental Health
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Name of responsible clinician:
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Hospital:
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Earliest possible discharge date:
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Proposed release address:
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Name / contact details of Forensic Social Worker:
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Date of next tribunal:
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Please indicate the basis for detention from the options below
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Guardianship order – s.7/s.37 MHA 1983
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YES / NO
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Hospital order –
s.37 MHA 1983
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YES / NO
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Restriction order –
s.41 MHA 1983
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YES / NO
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Transfer from prison –
s.47 MHA 1983
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YES / NO
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5. RISK ASSESSMENT
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RM 2000 Risk of Reconviction [complete for all sexual offenders]
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Police / Probation
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Level
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Date of assessment
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RM 2000 Sexual:
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RM 2000 Violent:
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RM 2000 Combined:
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OASys Risk of Reconviction
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Prison / Probation
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1 year %
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2 year %
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Band
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Date completed
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OGP:
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OVP:
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OGRS3:
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OASys Risk of Serious Harm – (1) Risk in the Community
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Prison / Probation
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V High
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High
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Medium
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Low
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Date completed
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Children:
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Public:
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Known adult:
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Staff:
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Prisoners:
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OASys Risk of Serious Harm – (2) Risk in Custody
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Prison / Probation
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V High
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High
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Medium
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Low
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Date completed
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Children:
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Public:
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Known adult:
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Staff:
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Prisoners:
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SARA Assessment [complete for all domestic abuse offenders]
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Probation
|
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High
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Medium
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Low
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Date completed
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Risk to partner:
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Risk to others:
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ASSET Risk of Serious Harm [complete for all offenders under 18]
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YOT
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V High
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High
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Medium
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Low
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Date completed
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Risk of serious harm:
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ASSET risk of reconviction
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Date completed
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Mental Health / Psychological Risk Tool
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Mental Health
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Date completed
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Lead Agency Risk Assessment Summary
(Take this information from the Lead Agency Risk Management Tool)
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* All agencies
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Who is at risk?
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What is the nature of the risk?
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When is the risk likely to be greatest?
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What circumstances are likely to increase risk?
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What factors are likely to reduce the risk?
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Lead Agency Risk Management Plan
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* All agencies
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Restrictive factors / interventions
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Rehabilitative factors / interventions
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Protective factors / interventions
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6. RELEVANT INFORMATION
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* All agencies
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Reason for referral
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What inter-agency work has been undertaken so far?
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How will active multi-agency management add value to the management of the risk(s) of serious harm?
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Diversity considerations linked to risk of serious harm
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Add any other relevant information (e.g. media handling, disclosure, medical issues etc)
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7. VICTIM CONCERNS
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All agencies
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Outline any concerns about the victim of the index offence or potential victims:
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Has the victim taken up the Victim Liaison Service?
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YES / NO / NOT APPLICABLE / NOT KNOWN *
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If YES, give contact details of VLO
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Are there any domestic abuse concerns? If YES, answer a to e below
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YES / NO / NOT APPLICABLE / NOT KNOWN *
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a. What are they?
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b. Has the victim been referred to MARAC?
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YES / NO / NOT APPLICABLE / NOT KNOWN *
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c. Has a meeting been held / Is a meeting due to be held?
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YES / NO / NOT APPLICABLE / NOT KNOWN *
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d. Date of meeting (if known)
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e. Actions from MARAC
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8. SAFEGUARDING
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All agencies
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Child Protection Concerns (continue on additional sheet if required)
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Are there any child protection concerns? If YES, answer a to c below
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YES / NO / NOT APPLICABLE / NOT KNOWN *
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a. What are they?
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b. Is there an allocated social worker? If so, please give details
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c. Is the child or children currently subject to a Child Protection Plan?
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YES / NO / NOT APPLICABLE / NOT KNOWN *
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Child 1
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Last name:
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First name:
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Date of birth:
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Gender:
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Relationship to offender:
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Child 2
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Last name:
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First name:
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Date of birth:
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Gender:
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Relationship to offender:
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Child 3
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Last name:
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First name:
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Date of birth:
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Gender:
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Relationship to offender:
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Vulnerable Adult Concerns (continue on additional sheet if required)
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Name:
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Date of birth:
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Gender:
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Does this person live with the offender?
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YES / NO
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Relationship to offender:
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Name of social worker (if relevant):
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9. REFERRING AGENCY INFORMATION
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Referring agency:
|
*
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Name:
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*
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Grade:
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*
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Office:
|
*
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Telephone number(s)
|
* (w)
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(m)
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Email address:
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*
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Date sent to line manager:
|
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Endorsement by line manager (where required by your area)
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Name:
|
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Grade:
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Office:
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Telephone number(s):
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(w)
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(m)
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Email address:
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Date endorsed by line manager:
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10. ADDITIONAL MAPPA INVITEES
|
All agencies
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Invitee 1
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Name:
|
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Agency:
|
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Address:
|
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Email address:
|
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Telephone number(s)
|
(w)
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(m)
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Invitee 2
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Name:
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Agency:
|
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Address:
|
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Email address:
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Telephone number(s)
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(w)
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(m)
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Invitee 3
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Name:
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Agency:
|
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Address:
|
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Email address:
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Telephone number(s)
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(w)
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(m)
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Invitee 4
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Name:
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Agency:
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Address:
|
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Email address:
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Telephone number(s)
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(w)
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(m)
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Invitee 5
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Name:
|
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Agency:
|
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Address:
|
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Email address:
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Telephone number(s)
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(w)
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(m)
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Invitee 6
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Name:
|
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Agency:
|
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Address:
|
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Email address:
|
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Telephone number(s)
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(w)
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(m)
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Once completed, please send this form to the MAPPA Co-ordination Unit.
ONLY USE SECURE EMAIL
Insert your email address here
If email is not secure, please fax to: Insert your fax number here
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Date sent:
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11. MAPPA CO-ORDINATION UNIT DECISION (for official use only)
|
Screened by:
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Name:
|
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Title:
|
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Area:
|
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Date referral received:
|
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MAPPA qualifying offender?
|
YES / NO
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If NO, return form to referring agency line manager
|
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Comments:
|
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Does referral meet threshold for Level 2/3?
If YES, which level?
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If NO, return form to referring agency line manager
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Comments:
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Date referral accepted / rejected:
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Date referring agency notified:
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Meeting to which referral is to be taken:
|
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