LOOKED AFTER CHILDREN.

Notification of Placement or Change of Placement for Looked After Children

Name of Child. CCM Number. Date Of Birth. Gender.

Legal Status. National Health Number. Religion / Ethnic Origin.

National Insurance Number.

Name and address of Child’s Parent, Guardian, Custodian.

Name and address of carers or establishment.

Child subject to a Child Protection Plan? Yes/ No. If yes brief outline of detail.

Is the child registered on a Local Authority Register Of Disabled Children? Yes / No.

Education Health Care Plan (formerly Statement of SEN)? Yes / No. If yes, main area of need.

Education status in / out of education. Health issues. Current care planning, i.e. S47 / S20 / S17. Yes / No. Copy of current care plan attached? Have arrangements been made for another Yes / No. person / authority / organisation to supervise or carry out the functions in

1 relation to a placement on behalf of the Local Authority?

If yes, with which person / authority / organisation have these arrangements been made? Risks. Is the child at risk of abduction? Yes / No. Does the young person have any know gang Yes / No. affiliation or involvement? Is the young person a registered sex Yes / No. offender or perpetrator of sexual exploitation? Is the young person vulnerable to or have a Yes / No. history of Child Sexual Exploitation and likely to abscond? Has the young person a history of going Yes / No. missing? If the young person has NO history of going Yes / No. missing, is there any evidence to suggest they are likely to abscond? Should the young person abscond, are they likely to be at risk of:

(A). Being the victim of crime.

(B). Committing crime.

(C). Self Harming?

(D). Causing significant harm to others?

Placing Authority. Date of Placement. Date and reason for termination.

2 Name of Social Worker Social Workers Address. Social Workers Telephone Number. Social Worker area office details.

School:

Contact Details. GP:

Contact details.

Date.

Please return this form to:

Craig Benning. Business and Performance. Safeguarding and Service Standards Unit. Children and Young Peoples Services. London Borough of Havering. Mercury House. Mercury Gardens. Romford. Essex. RM1 3SL.

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