CYPS Service Request

Section One
1. Have you used the St Helens descriptions of need document as a tool in completing this referral?*
2. View St Helens descriptions of need document
3. What is the level of need?*
4. Q45wrapper
  1. What date and time where you made aware of this immediate safeguarding concern?
  2. Have you rang your immediate concerns through to contact cares as per the guidance at the beginning of the form?
5. Have you discussed your concerns with the parent/carer and subsequently advised them that you are making this referral? *
6. Ifnowhylayout
  1. If no why not?
  2. Please consider doing this now or reconsider if your concerns are in fact level 4
7. Has the parent/carer given consent to the referral been made?*
8. I am sorry you cannot continue with this form submission
9. Level 2
  
  If your referral relates to Early Help and Support (Level 2) you MUST have the parent/carer’s FULL CONSENT. They must agree to engage in support. If this is not the case then the referral will not be progressed
10. Level 4
  
  Please ring through to the Contact Carers Team on 01744 676767 without delay and follow up in with this form within 1 hour of making the call.
  Whilst it is good practice to gain the consent of the parent/ carer when reporting a concern, in the context of safeguarding it is not always necessary to seek consent. In situations where the children are at significant risk, it may be necessary to report the concern without consent. However, a clear reason for not gaining consent must be provided.
11. Level 3
  If your referral relates to Children in Need (level 3) then you MUST have INFORMED CONSENT from the parent/carer for the child in order to make the referral. This means that the person giving consent should understand:
  
  Why the information needs to be shared
  
  What information is being shared
  
  What the information will be used for
  
  What the implications of sharing information are
  
  The parent may not agree with your professional concerns, but they should know what your professional concerns are

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CYPS Service Request

Level 2

Level 4

Level 3