Child in Need Plans and Reviews

1. Child in Need Planning Meetings

Child in Need Planning Meetings will follow an assessment where the assessment has concluded that a package of family support is required to meet the child's needs under Section 17 of the Children Act 1989.

The Planning Meeting provides an opportunity for a child and his or her parents/carers, together with key agencies, to identify and agree the package of services required and to develop the Child in Need Plan.

All Child in Need Planning Meetings should be attended by the child (depending on age and understanding), parents/carers and those agencies whose potential/actual contribution is recommended as an outcome of an assessment.

The relevant social worker should discuss potential attendees for the Planning Meeting with the child and the parents/carers prior to arrangements being made for the meeting.

It will be important that an appropriate venue suitable for the child and his or her family are used for the meeting. Consideration must be given to transport, timing and any child care issues. Where a child is attending a meeting and is of school age the meeting should be held outside of school time, wherever possible.

The first Planning Meeting will usually be chaired by the social worker's line manager.

The social worker is responsible for convening the meeting and arranging invitations.

A note of the meeting will be taken by the Chair. This record will be copied to those involved, including the child and parent/s, who will need to sign their agreement.

2. Child in Need Plans

A Child in Need Plan will be developed in a Child in Need Planning Meeting.

Most Child in Need Plans will envisage that Children's Services intervention will end within twelve months. However, some children and families may require longer term support, for example children with disabilities.

The Child in Need Plan must identify the lead professional, any resources or services that will be needed to achieve the planned outcomes within the agreed timescales and who is responsible for which action and the time-scale involved.

In particular, the Child in Need Plan should:

• Describe the identified developmental needs of the child, and any services required;
• Include specific, achievable, child-focused outcomes intended to promote and safeguard the welfare of the child;
• Include realistic strategies and specific actions to achieve the planned outcomes;
• Include a contingency plan to be followed if circumstances change significantly and require prompt action;
• Include timescales that are not too short or unachievable;
• Not be dependent on resources which are known to be scarce or unavailable;
• Identify the Lead Professional and his or her responsibilities, including frequency of visits to the child;
• Clearly identify the roles and responsibilities of other professionals and family members, including the nature and frequency of contact by professionals with children and family members;
• Lay down points at which progress will be reviewed and the means by which it will be judged.

The Chair of the Child in Need Planning Meeting is responsible for the distribution of the Child in Need Plan. A copy of the Child in Need Plan should be provided to the parents, child (if old enough) and the agencies or other professionals involved in the provision of services under the Plan.

The Lead Professional will be responsible for implementing the plan including making referrals to appropriate agencies for services as described in the plan.

Where it becomes necessary to make minor adjustments to the plan and services provided, any changes to the plan must be made in consultation with the parents and the child (where appropriate) and key professionals from other agencies.

3. Reviews of Child in Need Plans

(Note: if reviewing a child or young person who has health, disability or special educational needs in a residential home or hospital, please see Placing and Visiting Children with Special Educational Needs and Disabilities or Health Conditions in Long-Term Residential Settings Procedure).

Reviews will be conducted at intervals agreed with the Lead Professional's line manager, which will be at least every three months, unless there are exceptional circumstances when timescales can be longer. This can include disabled children whose circumstances remain consistent and the services provided do not require such a regular review.

If there are significant changes in the family circumstances, an early review should take place.

Any child protection or safeguarding issues which arise during the course of a Child in Need Plan must be responded to in line with Wiltshire Safeguarding Vulnerable People Partnership.

The Review will usually be carried out by the Lead Professional, who should invite or seek the views of the child, parents and any service providers. The responsible team will administer all Child in Need Reviews. 

The Review will generally take place within a meeting, unless the manager agrees otherwise. The Lead Professional or line manager will usually chair the meeting. If the case is not allocated, the manager of the responsible team must undertake the review or arrange for it to be undertaken on his/her behalf.

The purpose of the Review is to ensure that the services provided are contributing to the achievement of the objectives within the time-scales set.

Where it is proposed that a complex package of support being provided under a Child in Need Plan should continue beyond 12 months there should be a specific review chaired by the manager of the responsible team. Exceptions to this will be those cases where the plan acknowledges the need for longer term support, for example in relation to children who meet the criteria for a service in relation to a disability.

All decisions made should be recorded on the child's electronic record, together with reasons, and dated.

A copy of the record should be sent to the child (if old enough), parent and all other participants in the Review process.

The outcome of a Review will be:

1. That the child is no longer a child in need requiring Children's Social Care Services intervention, which will result in a recommendation to the team manager that the case be closed although the child may continue to receive services from a single agency or under a multi-agency plan not involving Children's Social Care;
2. That the child continues to be a Child in Need requiring the same level of services, resulting in the continuing provision of services and minor amendment, as necessary, of the Child in Need Plan;
3. That the child appears to be at risk of significant harm, resulting in the need for a strategy discussion/meeting and possible section 47 enquiry.

Where the outcome of the Review is an amendment to the Child in Need Plan, the Lead Professional should circulate a copy of the amended Plan to the child, parents, and other agencies/professionals involved in providing the services set out in the amended Plan, including any new services to be provided.

4. Children in Need Moving to Another Authority - Principles

This section deals with children who are subject to Children in Need Plans and who move to another local authority. The principles apply to local authorities in the circumstances of both transferring out and receiving in Children in Need.

In a number of situations, children and their families moving to another local authority offers a positive option. However, and particularly where children and their families may have moved on more than one occasion in a short space of time, any assessment should consider whether the child is subject to trafficking or modern slavery (see Assessments Procedure).

For Children Looked After see Out of Area Placements Procedure.

• When a Child in Need moves from one local authority area to another, the Children Act 1989 is clear that the responsibility for safeguarding and promoting the welfare of the child lies with the local authority where the child is to be found;
• Given the child has already been identified as having particular needs or is vulnerable in some way, or urgent consideration / assessment should be given as to the impact of the move for the child in respect of their vulnerability, for example, through changes in the protective factors, increased risk with known perpetrators or whether they might be subject to trafficking or modern slavery;
• Given the circumstances, and in line with the above, a timely response should be made with regard to levels of assessed risk;
• The parent/carer should be made aware of their responsibility to ensure the child receives appropriate education and health support in the area they plan to move to, together with any other specialist service required for the child;
• The social worker should assist and promote the family accessing relevant and appropriate services with regard to meeting the child's needs. Any deficits in services to meet specific needs by the receiving local authority should be noted;
• The local authority Children's Social Care Services where the child and family are moving to should be formally notified and all relevant information should be shared:
  • Social work assessment;
  • Child in Need Plan;
  • Minutes of latest Child in Need Review;
  • A summary / case report.
• Parent / carer's permission should be sought to share this information with the receiving local authority in line with Information Sharing: Advice for Safeguarding Practitioners.
  
  However, the Data Protection Act should never be a barrier to 'sharing information where the failure to do so would result in a child or vulnerable adult being placed at risk of harm' or indeed on those occasions where seeking consent might increase the risk of harm.
  
  Otherwise, the social worker or team manager, should consider seeking advice from their Caldicott Guardian or their Legal Services;
• The social worker should ensure that other agencies involved in the Child in Need Plan are made aware and prepared to ensure that their relevant information is shared as soon as possible with their respective counterparts in the area the family have moved to, (for example school and GP records, etc.);
• The social workers and team managers of the respective authorities should ensure there is clear and good communication during any transition and any risks are clearly communicated and understood.
  
  Where possible, the social worker should seek to meet their counterpart and where geography allows, to consider a joint visit and attendance at the Child in Need Meeting, so that the issues can be fully shared. The process should reflect the family's needs and any associated risks;
• Where there is dispute about case responsibility; delay in the receiving local authority accepting responsibility of the case, or a dispute about Children in Need thresholds, the team manager should promptly notify the Service Manager who should make a decision regarding next steps, including, where necessary, to take legal advice;
• The family should be kept informed of any respective responsibilities during a transition stage and when the receiving local authority, (where the family reside), take full responsibilities.
• Receiving local authorities should seek to convene a Child in Need Meeting within 20 working days of the family being resident in their area and include all relevant agencies and, where possible, the social worker and other specialist staff where the child and family have moved from;
• All actions, decisions and arrangements should be fully recorded on the child's case record during this process. This should include management decisions, which should identify the rationale for any decisions made, especially where specific services cannot be provided and/or it is considered the child is no longer a Child in Need.

5. Joint Agency Complex Needs Panel

Principles

All professionals should be actively promoting the importance of children and young people living and being educated within their local community. A placement within the home area allows for continuity of social care, health care and education and makes it easier for the child or young person to maintain contact with birth parents and significant others.

In order to support this principle all professionals must ensure

• Effective multi-agency working in facilitating good and effective care health and education planning to ensure all needs are being met;
• A joint approach in searching for new creative solutions in order to meet a range of complex needs;
• A joint approach to providing appropriate advice and guidance to young people and their families;
• A joint approach to person centred, needs led based approach at all times that seeks to promote independence, choice and inclusion of the service users and carers.

Children with Complex Needs are those who have been assessed by appropriate / relevant professions and:

• They have needs that cannot be met locally from within the resources of a single statutory agency; and
• Where optimal inclusion arrangements have been employed and have not achieved a satisfactory outcome.

Membership

• Social Care - Head of Children in Care and Strategic Operational Manager for Disabled Children and Young People;
• SEN - Manager for Inclusion;
• Health (PCT) - Joint Service Director - Commissioning and Performance, NHS Wiltshire;
• Adult Care - Head of Service - to advise on young people aged 16+;
• Substitutes to be arranged by individual budget holder, as necessary.

Contracts/Finance support from LA/PCT - to advise panel on contract related matters, to liaise with finance and to cover administrative support.

The panel meets monthly. Meetings are chaired by Joint Service Director - Commissioning and Performance.

Role of the Panel

To consider applications for a jointly funded package of support for a child/ young person who has a range of complex needs where at least two out of the three agencies are required to agree a joint agency solution.

To consider applications for a joint funded placement for a child/ young person who has a range of complex needs where at least two out of the three agencies are required to agree a joint agency solution.

To monitor and review the appropriateness of current jointly funded packages/ placements.

To contribute to the development of a strategic approach to joint commissioning of services for children and young people with complex, multiple and high level needs.

Process

Before any case is presented to Joint Agency Complex Needs Panel it is essential that there is clear evidence of effective multi-agency input to try and meet the needs of the child/ young person there must evidence of the involvement of all relevant professionals in making the application.

For new applications use Joint Agency Complex Needs Panel Referral Form (Appendix A).

Before making an application to the Joint Agency Complex Needs Panel professionals must arrange a multi professional meeting to consider:

• The full range of needs of the child/ young person;
• The child's/ young person's/ parents/ carers views;
• The range of provision already in place;
• Consider a full range of options for a community based package of support;
• Total cost of current and potential support options;
• Potential implications for longer term support from adult care (for young people over 14 years of age).

For review of a support package/ placement, use Appendix B: Joint Agency Complex Needs Panel Review of Support Package/Placement Form to demonstrate that:

• Child/ young person's needs have been considered by all professionals involved;
• Outcomes of the current support package/ placement are clearly evidenced;
• Whether current support package/ placement needs to continue.

Applications will not be considered by the panel unless the referral is fully completed and minutes of the multi professional meeting are attached.

All applications must be discussed and endorsed by appropriate managers.