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Multi Agency Referral Form (marf) The marf is designed to enable a non-urgent referral to be made to the Multi Agency Referral Hub (mash) No other forms will be accepted and these procedures supersede all previous versions What to do


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Multi Agency Referral Form (MARF)
The MARF is designed to enable a non-urgent referral to be made to the Multi Agency Referral Hub (MASH)

No other forms will be accepted and these procedures supersede all previous versions

What to do

All three sections of this form must be completed as fully as possible before any referral is made to the Multi Agency Safeguarding Hub (MASH). The form is designed to include all family members in one referral, if that is appropriate, but please ensure that where concerns relate to a specific child or young person that this is clearly identified. It needs to be submitted by email together with a completed copy of the CAF to children@milton-keynes.gov.uk (colleagues who need to use a secure external account should use RaATBusinessSupport@milton-keynes.gcsx.gov.uk )



If concerns are more urgent

Where there are urgent child protection concerns, the MKSCB policy and procedures should be followed. These can be viewed at www.mkscb.org. Situations where there is immediate possible or actual significant harm to a child or young person should be referred immediately by telephone to 01908 253169 (or 01908 265545 out of hours) and the MARF (a competed CAF is not required under these circumstances) should be emailed to confirm the referral to email address above.



Help us to help you

Please provide as much detail as possible. The information provided will be used to determine the response is needed. In most cases it will be expected that action will have already been taken to address the issues causing concern and these must be fully described in the relevant section so please provide sufficient detail or evidence of previous interventions and support, including their aims and resulting outcomes.

In the majority of cases, referrals will have been fully discussed, and consent obtained, before any referral is made for additional services, unless this would place any child or young person at risk; in which case a full explanation of the circumstances must be given in the space provided.

Thresholds and Outcome of Referrals

To review the referral we use the Milton Keynes Safeguarding Children Board ‘Levels of need when working with children, young people and families’ which sets out the thresholds for intervention. This can be helpful if you are unsure whether to submit a referral to the MASH. You can view a copy at www.mkscb.org


Following this review, colleagues in the MASH may:


  1. Ask for further information or suggest alternative responses including further support through what we call Level 1 (Universal services) or Level 2 (Additional).

  2. Refer to the relevant Children and Family Practice for further assessment where children needs can be met by a multi-agency response at what we call Level 3 (Additional).

  3. Refer to children’s social care for a more specialist Children and Families Assessment (where children or young people may be at risk of, or are, suffering significant harm which requires Level 4 intervention).

The referrer will be acknowledged within 24 hours and are notified of the outcome within two weeks.




Referrer details

Name




Job title




Organisation




Telephone




Email







Date you are submitting this MARF to the MASH

Date







Date the CAF was completed (please attach a copy to this referral)

Date




If not completed, why is this?






Section 1: Family Details

Child/ren’s details

Name

DOB

Gender

Home Address

Educational setting child/young person attends

Focus of this referral Y/N?









































































Language Used:




Religion:




Other methods of communication:

Parent or carer details

Name

Relationship

PR*

Address if different

Telephone





























































*PR: Parental Responsibility www.childrenslegalcentre.com

Other significant adults in child’s life

Name

Relationship

PR*

Address if different

Telephone































Disability

Do any of the family members being assessed have a disability?




Ethnicity

Please ask the child/young person/family to describe their ethnicity

Select from the codes below

* Ethnicity Code Table:

White

Mixed

Asian or Asian British


A1 – British

B1 – White and Black Caribbean

C1 – Indian

A2 – Irish

B2 – White and Black African

C2 – Pakistani

A3 – Any other white background

B3 – White and Asian

C3 – Bangladeshi




B4 – Any other mixed background

C4 – Any other Asian background

Black or Black British

Other Ethnic Groups




D1 – Caribbean

E1 – Chinese




D2 – African

E2 – Any other ethnic group




D3 – Any other Black background

F1 – Not Stated




Other professional involvement

Please indicate which organisations and professionals already in contact with the family

Professionals name

Organisation
































Section 2: Referral detail


What are you worried about?

Describe the concerns you have and why further support is needed. If you are identifying risk of, or actual, significant harm, be as specific as possible. Information will be shared with the family unless it places the child at risk to do so.





What is working well?

Describe the support and intervention already offered/provided to the child(ren) and family, including the aim of any support given and what has been achieved.




Section 3: Information sharing and confidentiality statement
Please read this statement out to the family:
The information that you have shared with us helps us to understand what support you may need. This means that we may need to share your information with appropriate agencies and community organisations as agreed below, so that we can work together to help provide support to meet your needs. If we need to share information with any other organisations later we will ask you about this before we do it. Milton Keynes Safeguarding Children Board’s Protocols state that if a child or young person is at risk of harm or abuse, we must report it to the appropriate authorities but it is your right to be informed of this first.
The process has been fully explained to me and I understand what is likely to happen.


Family members - Signatures

Signed



Name




Date




Signed



Name




Date




Signed



Name




Date




Signed



Name




Date




Signed




Name




Date





Signed




Name




Date





Signed




Name




Date








If consent has not been gained please provide an explanation

Has the referral been discussed with the parents or carers, and what is their view?


This is the end of the MARF form.


Milton Keynes MARF (Refreshed September 2015) Page




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