A child protection conference is a multi-agency meeting bringing together agencies involved in protecting children and supporting family members. The purpose of this report is to supply relevant information to the conference to assist in decision making. It is good practice for the report to shared with the parents/child prior to the conference

It should be sent to the district IRO Service office via egress (using one of email addresses below)

2 Days prior to an Initial Conference or 5 Days prior to a Review Conference wherever possible.

Allerdale & Copeland:	allerdale-copelandCPC@cumbria.gov.uk

Barrow & South Lakeland:	barrow-southCPC@cumbria.gov.uk

Carlisle & Eden:	carlisle-edenCPC@cumbria.gov.uk

G.P Practice (please print):	Enter Practice name

G.P Name (please print):	Enter GP name

Direct telephone no. for queries:	Enter telephone number here.

Date of Conference:	Click here to enter a date.

Representation from the GP practice select your attendance be attending the conference.

Family Composition (To include subjects, parents, carers and significant others; see invite)

Name	Date of Birth / EDD	Relationship	Address	Date registered at this practice?

PLEASE COMPLETE EACH BOX AS APPLICABLE BASED UPON INFORMATION HELD BY YOUR AGENCY AND PROFESSIONAL INVOLVEMENT WITH FAMILY MEMBERS.

Length of time with practice

Please detail any significant information regarding the children’s health (include any contact you may have had for child protection concerns). Please state whether there are any indications that the child is acting as a young carer.
[Delete this help text after completion: For each child please consider: A&E attendances –consider whether they were appropriate, their significance, include analysis re appropriate healthcare access and responding to needs Out of hours attendances – include number and same considerations as for A&E “Did Not Attend” – include number and what they were for, consider significance to the child Immunisations – Have they had all immunisations, if they are not up to date, why are they not up to date? Please detail any consent information and surgery follow up made GP consultations – who attended with the child, how often do they consult, do they access healthcare appropriately, is there evidence they follow the advice of healthcare professionals Medical problems – which are proportionate and relevant to child protection; using entire medical records would be a breach of information Medication – consider compliance, is it requested and used appropriately Development / behaviour – any issues that you are aware of Some of this e.g. numbers of A&E, OOH attendances, DNAs, immunisations can be completed by admin staff prior to completion by the GP. However the GP will need to consider the significance of this information in the report to help guide the case conference, especially if you are unable to attend. REMEMBER, as the GP, you are the ONLY person in the multi-agency team who has oversight of all of the A&E & OOHs attendances and DNAs. The conference need the facts but they are also seeking your expert opinion based on the interpretation of the information you hold in the medical records. It is valued so please do provide it. If you have little or no information on the children please still complete the report template saying this. The fact they are not engaging with the GP may be significant and therefore valuable information.]

Please detail any relevant information regarding the parents’ health (include any knowledge of alcohol/drug problems, mental health, any condition which would affect parenting capacity).
[Delete this help text after completion: For adults involved in the care of the children consider: Physical and mental health conditions – their impact on parental capacity, if relevant the prognosis and treatment for these conditions, consider engagement of patient and compliance with medication Substance misuse – consider how this is being managed (if known) For adults you should include RELEVANT information only, you do not need to provide all medical details. It is down to your professional judgement to decide what is relevant or not. In deciding whether something is relevant or not you might consider the impact it has on the day to day life of the adult and consequently the child. If you are unsure in a particular case please contact the Named GP or CCG Safeguarding Team for advice.]

Please detail any parental relationship difficulties or vulnerabilities, which may be apparent (include any evidence of domestic abuse). Please include what impact this may have on the child.
[Delete this help text after completion: You are only expected to provide comments based on what you know but they are interested in your PROFESSIONAL OPINION. So in this context consider: The interaction between parent and child in the GP/nurse consultation – comment on positive and negative aspects The physical presentation of the child – do they seem dirty, is the nappy always wet, do they have dental caries, are their clothes dirty, any signs of neglect, you are looking for patterns in behaviour, all of these things tell you something about parenting capacity What the parent has told you about their ability to parent – if this has come up in your consultations or any difficulties they may have disclosed e.g. difficulty getting out of bed in the morning so children are always late to school. There are many more examples but think widely. If you have never seen the child and the parent together then say this It is fine to say that you opinion is only based on what you have seen within the GP surgery and that you have no knowledge of parenting capacity outside of this Consider the impact of the parent’s medical problems/routine/social life & associations on the child in answering this question. SEE THE CHILD BEHIND THE ADULT.]

If either parent is being treated with medication, please indicate whether this is likely to significantly affect their behaviour or personality (include evidence of misuse of prescribed medication). Please include what impact this may have on the child.
[Delete this help text after completion: Only include RELEVANT medication reviews, but remember you may be the only person who knows they are addicted to prescription meds etc. Consider what life is like for that child living in that house. Put yourself in their shoes.]

Any other comments
[Delete this help text after completion: This is your opportunity to mention anything important that hasn’t been mentioned elsewhere.]

Summary

Based on the information held by your agency, do you think this child/ren is at risk of significant harm and if so why? [Delete this help text after completion: Be open and honest – don’t be concerned that the family will read this – the conference is a means to help families, not penalise them. The threshold for Child Protection: • Has the child suffered significant harm? and • Is the child likely to suffer significant harm in the future? The test for likelihood of suffering harm in the future should be that either: • The child can be shown to have suffered maltreatment or impairment of health or development as a result of neglect or physical, emotional or sexual abuse, and professional judgement is that further ill-treatment or impairment is likely; or • A professional judgement, substantiated by the findings of enquiries in this individual case or by research evidence, predicts that the child is likely to suffer maltreatment or the impairment of health and development as a result of neglect or physical, emotional or sexual abuse. If a child is likely to suffer significant harm, then they will require multi-agency help and intervention delivered through a formal child protection plan.]
From the information you are aware of, what needs to change for the level of risk to be reduced? [Delete this help text after completion: This could be anything from “addressing mental health needs” to “stopping drinking alcohol”]
How can your agency contribute to a child protection plan/ children in need plan? [Delete this help text after completion: Consider what you can do, as a GP, which would help reduce the risk of harm to this child.]

Report shared with family:	☐

It is good practice to share the report with parents prior to the conference. They will see it at the conference. This is not always practical or easy due to the short timescales. Suggest you contact parents to let them know it is available for them to see at the practice if they wish.

If you wish to share something with the conference in confidence you need to contact the Independent Reviewing Officer (IRO and Conference Chair) and discuss it with them. It is likely to need documenting separately to this report. Please note that conference aims to be transparent so you need to have good reason for it to be kept confidential e.g. damaging to person’s mental health.

NOTE: REMEMBER TO DELETE ALL THE RED PROMPTS BEFORE SUBMITTING REPORT

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