CHAPTER 8: Section 47 Enquiries (LAST REVISED JUNE 2010) |
AMENDMENT
Section 13.7 was amended in March and further clarified in June 2010. The revisions are highlighted in blue.
This chapter was also revised in June 2010 to take account of the changes in Working Together to Safeguard Children 2010. The specific changes, which are in 5.8, 5.19, 9.1, 10.1, 10.2, 13.4 and 14.4, are shown in blue italics.
Contents
| 1. | Duty to Conduct Section 47 Enquiries | |
| 2. | Section 47 Enquiries & the Assessment Framework | |
| 3. | Threshold for Section 47 Enquiries | |
| Section 47 Intervention Threshold | ||
| 4. | Role of Duty / Allocated Social Worker | |
| 5. | Strategy Discussion (LAST REVISED - JUNE 2010) | |
| 6. | Single & Joint Agency Investigations | |
| 7. | Immediate Protection | |
| 8. | Agency Information Sharing | |
| 9. | Involving Parents, Family Members and Children (REVISED - JUNE 2010) | |
| 10. | Meeting the Child (REVISED - JUNE 2010) | |
| Investigative Interviews | ||
| Inability to Access the Child | ||
| 11. | Medical Assessment | |
| Urgent Need for Treatment | ||
| Referrals for Medical Assessment by Children's Social Care / CAIU | ||
| Recording of Medical Assessment | ||
| 12. | Analysis & Assessment of Risk | |
| 13. | Outcome of Section 47 Enquiries (LAST REVISED - JUNE 2010) | |
| 14. | Recording of Section 47 Enquiries | |
| Record of Outcome of Enquiries (REVISED - JUNE 2010) | ||
| 15. | Feedback From Enquiries | |
| Disputed Decisions | ||
| 16. | Timescales | |
1. DUTY TO CONDUCT SECTION 47 ENQUIRIES
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| 1.1 | All agencies have a duty (professional, and in many cases statutory) to assist and provide information in support of Section 47 Enquiries (Section 47 enquiries). | |
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| 1.2 | Children's Social Care has the:
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| 1.3 | The responsibility for undertaking Section 47 Enquiries lies with the local authority in which the child lives or is found. | |
| 1.4 | Where the child's home address is in another authority (the 'home' authority), the 'host' authority has responsibility for undertaking enquiries e.g. alleged abuse on a school trip out of the local authority. | |
| 1.5 | In this case, the child's 'home' authority should be informed as soon as possible and involved in strategy discussions. It may sometimes be appropriate for the 'home' authority to undertake the necessary enquiries on behalf of the host authority e.g. in the case of a looked after child (see Children & Families Moving Across Boundaries Procedure). | |
| 1.6 | The home authority should take responsibility for further support of the child or family, following the Section 47 Enquiry. | |
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| 1.7 | The police have a responsibility to:
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2. SECTION 47 ENQUIRIES & THE ASSESSMENT FRAMEWORK
| 2.1 | Section 47 Enquiries must be initiated, usually following an Initial Assessment, whenever the threshold criteria are met. | |
| 2.2 | Section 47 enquiries may be justified at the point of referral, during the early consideration of a referral, the initial assessment or Core Assessment or at any time in an open case when the threshold criteria are satisfied. | |
| 2.3 | The Section 47 enquiries should begin by focusing primarily on information identified during referral and initial assessment and which appears most important in relation to the risk of Significant Harm. | |
| 2.4 | A Core Assessment must be commenced whenever Section 47 Enquiries are initiated. The information and conclusions of those enquiries will inform the core assessment which should cover all relevant dimensions in the Assessment Framework, including the systematic gathering of information about the history of the child, family and household members, and include any previous specialist assessments. | |
3. THRESHOLD FOR SECTION 47 ENQUIRIES
Please see the Indicator/Threshold Table (Section 4) in Chapter 7, Referral and Assessment which sets out thresholds and indicators for Initial Assessments and Section 47 Enquiries.
| 3.1 | A child's status - e.g. 'in need', or 'at risk of significant harm' must be ascribed in a flexible manner, which recognises the possibility of change and a consequent need to re-ascribe that status. | |
| 3.2 | SECTION 47 enquiries start when:
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| 3.3 | Children's Social Care is the lead agency for Section 47 Enquiries. | |
| 3.4 | Children's Social Care must consult the police Child Abuse Investigation Unit (CAIU) and other agencies involved with the child, so that relevant information can be taken into account (see Information Sharing & Confidentiality Procedure). | |
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| 3.5 | The Children's Social Care 1st line manager has the responsibility, on the basis of available information, to decide and authorise a Section 47 Enquiry. In undertaking the necessary assessment of risk, the manager must consider both the probability of the event or concern in question and its actual or likely consequence. | |
| 3.6 | In reaching her/his conclusion as to the justification for a Section 47 enquiry, the manager must consider the following variables:
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| 3.7 | A Section 47 Enquiry must always be commenced immediately there is a disclosure, allegation or evidence that a child is suffering or likely to suffer significant harm. This applies equally to new, re-referred and open cases. | |
4. ROLE OF DUTY / ALLOCATED SOCIAL WORKER
| 4.1 | Enquiries must be undertaken by a suitably qualified social worker, either a duty officer or the allocated social worker on an open case. | |
| 4.2 | The duty / social worker must:
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5. STRATEGY DISCUSSION (LAST REVISED - JUNE 2010)
| 5.1 | If there is reasonable cause to suspect a child is suffering, or is likely to suffer Significant Harm, Children's Social Care should convene a strategy discussion. This may take place following a referral or at any other time if concerns about significant harm emerge. | |
| 5.2 | Depending on the nature of the concerns and the urgency of the situation this may be undertaken via an actual meeting and / or through a series of telephone discussions with the police CAIU and other relevant agencies, including the consultant paediatrician in the case of a suspicious injury. | |
| 5.3 | Strategy discussions by phone will usually be adequate to plan a straightforward single agency enquiry. Meetings should be held in the case of complex cases and/or to plan joint investigations. | |
| 5.4 | More than 1 strategy discussion and/or meeting may be required during the Section 47 Enquiry to share information and plan any further enquiries required. A final strategy discussion should be held to agree outcomes. | |
| 5.5 | Where a Children's Social Care single agency enquiry is to be held there should be recorded discussions and/or meetings (in line with local procedures) between the team manager, social worker and other relevant agencies to explicitly plan the enquiry. | |
| 5.6 | Meetings should be held at a convenient location and time for the key attendees e.g. Children's Social Care office, police station, hospital, GP surgery or school. | |
| 5.7 | Paediatricians should be invited to all Strategy Discussions that involve physical injuries. | |
| 5.8 | Strategy discussions between Children's Social Care, the CAIU and other agencies involved with the child/ren should:
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| 5.9 | Where it is decided there are grounds to initiate or continue a Section 47 Enquiry and Core Assessment, decisions, in the context of the racial, cultural, religious and linguistic background of the child and her/his family, should be made about:
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| 5.10 | Possible outcomes include:
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| 5.11 | Where it is decided not to proceed with a Section 47 Enquiry consideration should be given to specifying:
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| 5.12 | The Strategy Discussion is essentially a meeting for professionals sufficiently senior to be able to contribute, although exceptional circumstances may arise where others may usefully contribute. | |
| 5.13 | The Strategy Discussion should ordinarily be co-ordinated and chaired by the Children's Social Care 1st line manager. | |
| 5.14 | The discussion must generally involve, at a minimum, both Children's Social Care and CAIU with other agencies included as appropriate, in particular the referring agency, the child's nursery / school, health and (where relevant) registered owner of service and registration authority. | |
| 5.15 | A CAIU manager must be involved in all cases of possible injury or harm to a child. If the manager is unable to be directly involved in the discussion, clear directions should be provided to the participating police officer/s and the reasons for non-attendance recorded. | |
| 5.16 | Where issues have significant medical implications, or a paediatric examination has taken place or may be necessary, a paediatrician should always be included. | |
| 5.17 | If the child is or has recently been receiving services from a hospital or child development team, the discussion should involve the responsible medical consultant and, in the case of in-patient treatment, a senior ward nurse. | |
| 5.18 | The local authority legal adviser's involvement may be appropriate. | |
| 5.19 | Consideration should be given to the need to include a professional with expertise in particular cases of complex forms of alleged abuse and neglect. Where parents or adults in the household are experiencing problems such as domestic abuse, substance misuse, mental illness, learning difficulties and criminal behaviour/convictions, it will also be important to consider involving the relevant adult services professionals. |
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| 5.20 | It is the responsibility of the chair of the discussion to ensure that the decisions and agreed actions are fully recorded using the strategy discussion form. | |
| 5.21 | Discussions held to plan Children's Social Care single agency enquiries should also be fully recorded. | |
| 5.22 | Each participant should leave the meeting with a copy of the record, or have a copy faxed to them where the discussion was by phone. | |
| 5.23 | The record should include:
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| 5.24 | Initial Strategy Discussions should be held within 1 working day. | |
| 5.25 | In the following circumstances, the child must be seen on the day of referral unless the strategy discussion decides (and records) the decision to defer seeing the child:
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| 5.26 | Where immediate action was required by either agency prior to a strategy discussion, a discussion must be held within 1 working day of that action. | |
| 5.27 | Where the concerns are particularly complicated e.g. complex abuse, a Strategy Discussion must occur on the day of referral, but the (first) face to face meeting may be delayed to within a maximum of 5 working days, unless there is a need to provide immediate protection to a child. | |
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| 5.28 | All enquiries should have a final discussion to agree outcomes and in general, this should not delay an Initial Child Protection Conference being held within 15 working days of the strategy discussion. Some enquiries will be more complicated and may require several review strategy discussions, which should be held at intervals not exceeding 15 working days. | |
| 5.29 | In all cases, any Initial Child Protection Conference must take place within 15 working days of the final Strategy Discussion. | |
| 5.30 | Planning discussions for Children's Social Care single agency enquiries should be consistent with these timescales. | |
6. SINGLE & JOINT AGENCY INVESTIGATIONS
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| 6.1 | The primary responsibility of CAIU staff is to undertake criminal investigations of suspected, alleged or actual crime. Children's Social Care has the statutory duty to make, or cause to be made, enquiries when circumstances defined in Section 47 Children Act 1989, exist. | |
| 6.2 | Criminal investigations and Section 47 enquiries may give rise to circumstances and information relevant to decisions that have to be taken by both agencies. | |
| 6.3 | Children's Social Care and CAIU / Police must inform each other of any allegations or suspicions of child abuse or neglect, including 'stranger abuse' in line with the Information Sharing & Confidentiality Procedure. Line managers should be consulted in cases of uncertainty and advice recorded. | |
| 6.4 | A written record must be made of telephone referrals (sharing information that a child is or is likely to be suffering Significant Harm). This written record must be agreed and shared across Police and Children's Services and must be recorded in Children's Services and Police databases. The written record must include details of:
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| 6.5 | A joint decision will be made regarding the appropriate level of intervention and of police involvement throughout the process, depending on the individual circumstances and context of each case. | |
| 6.6 | Where initial allegations are imprecise or concerns arise gradually, it is likely that agreement will be reached for further assessment to determine whether a child is at risk of significant harm. | |
| 6.7 | Where both agencies have responsibilities with respect to a child, they must co-operate to ensure joint investigation (combining the parallel processes of a Section 47 Enquiry and a criminal investigation) is undertaken in the best interests of the child. This should primarily be achieved through the co-ordination of activities at strategy discussions. | |
| 6.8 | If agencies agree a single agency enquiry or investigation is appropriate, there should still be an exchange of relevant information, possible involvement in strategy discussions and agreement reached as to the feedback required by the non participating agency. A case may start with single agency status, but further assessment / information indicates a need for joint investigation. | |
| 6.9 | Any decision to terminate enquiries or investigations must be communicated to the other agency for it to consider, and the rationale recorded by both agencies. | |
| 6.10 | The decision regarding single or joint agency investigations should be authorised and recorded by 1st line managers in both the police (CAIU) and Children's Social Care. | |
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| 6.11 | A joint investigation must always be initiated whenever there is an allegation or reasonable suspicion that one of the circumstances below applies, regardless of the likelihood of a prosecution: A sexual offence committed against a child by a child or adult, but excluding 'stranger abuse' see also Draft Guidance for Professionals working with sexually active young people under the age of 18 in Berkshire. Physical injury, which could be considered serious either by the extent of the injury, age of the child or by repeated assaults of a minor injury e.g. murder, manslaughter, violence to a child constituting actual or grievous bodily harm, repeated assaults causing minor injury.
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| 6.12 | Cases of minor injury should always be considered for a joint enquiry / investigation if the child is:
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| 6.13 | In other cases of minor injury, the circumstances surrounding the incident must be considered to determine the 'seriousness' of the alleged abuse. The following factors should be included in any consideration by the CAIU and Children's Social Care:
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| 6.14 | There will be times that after discussion, or preliminary work, cases will be judged less serious and it will be agreed that the best interests of the child are served by a Children's Social Care led intervention, rather than a joint investigation. | |
| 6.15 | In all cases the welfare of the child remains paramount and always takes precedence over the need to commence or conclude any criminal investigation. | |
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| 6.16 | Where Children's Social Care assess that the circumstances fall into 1of the following criteria, it may progress single agency enquiries following discussion with the CAIU (and making relevant checks):
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| 6.17 | Where information is received indicating a person who has been identified as being a risk to children (see Management of Those Presenting a Risk to Children Procedure) is living in or who has access to a household where there are children, Children's Social Care and CAIU must discuss the circumstances and agree the need for a single enquiry or joint investigation. | |
| 6.18 | Where a minor crime, initially agreed by CAIU as inappropriate of further police investigation, is subsequently discovered to be more serious, the case must be referred back to the CAIU. | |
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| 6.19 | Criteria for police single agency investigations are those where:
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| 6.19 | Where the police conduct a single agency investigation out of hours, (in response to the duty to respond and take action to protect the child or obtain evidence), Children's Social Care EDT must be informed immediately, and if appropriate, a joint investigation commenced. | |
| 6.20 | In all cases where the alleged abuser has current contact with children, a referral should be made to Children's Social Care for a strategy discussion to consider joint investigation and the protection of the child victim and other children. | |
| 6.21 | In all cases where police undertake a single agency investigation, details of any victim aged under 18 must be referred to Children's Social Care, which is responsible for assessing if the investigation raises any child protection issues and if supportive or therapeutic services are appropriate. | |
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| 6.22 | Further discussion should occur between the line managers (detective sergeant and team manager) if there is any disagreement between agencies about the:
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| 6.23 | If line managers disagree, the matter should be referred to the responsible detective inspector and service managers (see Resolution of Professional Disagreement Procedure). | |
7. IMMEDIATE PROTECTION
| 7.1 | Where there is a risk to the life of a child or the possibility of serious immediate harm, the police officer or social worker must act quickly to secure the safety of the child. | |
| 7.2 | Emergency action may be necessary as soon as a referral is received or at any point of involvement with child/ren, parents or carers. | |
| 7.3 | Responsibility for immediate action rests with the authority where the child is found in consultation with any 'home' authority e.g. if looked after or subject to a child protection plan in another local authority. | |
| 7.4 | Only if the 'home' authority is prepared to accept explicit responsibility is the host authority absolved of the responsibility to take action. This must be confirmed in writing immediately by fax or e-mail. | |
| 7.5 | Immediate protection may be achieved by:
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| 7.6 | The social worker must seek the agreement of her/his 1st line manager and obtain legal advice before initiating legal action. | |
| 7.7 | Children's Social Care should only seek police assistance to use their powers in exceptional circumstances where there is insufficient time to seek an EPO or other reasons relating to the child's immediate safety. | |
| 7.8 | The agency taking protective action must always consider whether action is also required to safeguard other children in the same household, in the household of an alleged perpetrator or elsewhere. | |
| 7.9 | Where there has been an unexpected (unexplained) child death (see Rapid Response to the Unexpected Death of a Child Procedure), consideration may need to be given to the safety of other siblings / children in the home. | |
| 7.10 | Planned immediate protection should normally be initiated following a Strategy Discussion. | |
| 7.11 | Where an agency has to act immediately i.e. prior to a strategy discussion, to protect a child, a Strategy Discussion should take place within 1 working day after that action, to plan the next steps. | |
8. AGENCY INFORMATION SHARING
| 8.1 | The social worker must consult with other agencies involved with the child and family in order to obtain a fuller picture of the child's circumstances and those of any others in the household, including risk factors and parenting strengths. | |
| 8.2 | Generally permission is sought from parents prior to seeking such information, but the first line manager may authorise 'checks' to be completed without such permission if:
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| 8.3 | The responsible manager should record the reasons for such a decision. For further discussion of the issues involved in information sharing, see Information Sharing & Confidentiality Procedure. | |
| 8.4 | Even when there has been a recent Initial Assessment or Common Assessment completed, agencies must be consulted and informed of the new information / referral. | |
| 8.5 | Agency checks should be undertaken directly with involved professionals and not through messages with intermediaries. | |
| 8.6 | The relevant agency should be informed of the reason for the enquiry, whether or not parental consent has been obtained and asked for their assessment of the child in the light of information presented. | |
| 8.7 | Agency checks should include accessing any relevant information that may be held in other local authorities or abroad (Appendix 2, Key National Contacts contains national contacts for sources of information about children from abroad). | |
9. INVOLVING PARENTS, FAMILY MEMBERS & CHILDREN (REVISED - JUNE 2010)
| 9.1 | The social worker has the prime responsibility to engage with family members in order to assess the overall capacity of the family to safeguard the child, as well as ascertain the facts of the situation causing concern. Children should always be seen and communicated with alone by the Lead Social Worker. | |
| 9.2 | Parents and those with Parental Responsibility must be informed at the earliest opportunity of concerns, unless to do so would place the child at risk of Significant Harm, or undermine a criminal investigation. | |
| 9.3 | Parents and children (where appropriate) should, in addition to being offered a verbal explanation of the Section 47 Enquiry process, be provided with explanatory leaflet/s. | |
| 9.4 | Due consideration must be given to parent/s' capacity to understand this information in a situation of significant anxiety and stress. | |
| 9.5 | Consideration must be given to those for whom English is not their first language or who may have a physical / sensory / learning disability and may need the services of an appropriate interpreter. | |
| 9.6 | It is also essential factors such as race, culture, religion, gender and sexuality together with issues arising from disability and health are taken into account. | |
| 9.7 | It may be necessary to provide the information in stages and this must be taken into account in planning the enquiry. | |
| 9.8 | In planning any intervention with parent/s, the following points must be covered:
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| 9.9 | In the event of any conflict between the needs and wishes of the parents and those of the child, the child's welfare is the paramount consideration in any decision or action. | |
| 9.10 | Recognising that there may be alternative accounts and disparities, parents should be provided with an early opportunity to explain their perception of the concerns. | |
| 9.11 | In the course of an enquiry it may be necessary for statutory agencies to make decisions or initiate actions to protect children, or require the parents to agree to such action. | |
| 9.12 | The social worker must inform relevant agencies of any such decisions or actions and confirm them in writing without delay. | |
10. MEETING THE CHILD (REVISED - JUNE 2010)
| 10.1 | All children within the household must be directly communicated with during an enquiry (unless the Strategy Discussion decides this is not appropriate). Those who are the focus of concern should be seen alone by the Lead Social Worker, subject to age and preferably with parental permission. | |
| 10.2 | Working Together to Safeguard Children 2010 paragraph 5.68 indicates that... 'exceptionally, a joint enquiry / investigation team may need to speak to a suspected child victim without the knowledge of the parent or caregiver. | |
| 10.3 | Relevant circumstances that could justify this would include:
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| 10.4 | Consideration must be given to child's developmental stage and cognitive ability. Specialist help may be needed if:
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| 10.5 | If the child is unable to take part in an interview because of age or understanding, alternative means of understanding should be used e.g. observation of very young children. | |
| 10.6 | Consideration should be given to the gender of interviewers, particularly in cases of alleged sexual abuse and it is also essential factors such as race, culture, religion, gender and sexuality together with issues arising from disability and health are taken into account. | |
| 10.7 | Children may need time, and more than 1 opportunity to develop trust and communicate concerns, especially if they are very young or have a communication impairment, learning disability or mental health problems. | |
| 10.8 | The objectives in seeing the child are to:
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| 10.9 | The Strategy Discussion must decide where, when and how the child/ren should be seen and if a video interview is required. The child should be seen within 24 hours if s/he:
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| 10.10 | In order to avoid undermining any subsequent criminal case, in any contact with a child prior to an investigative interview, staff must:
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| 10.11 | All subsequent events up to the time of any video interview must be fully recorded. | |
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| 10.12 | The conduct of and criteria for visually recorded interviews with children are laid out in Achieving Best Evidence in Criminal Proceedings and should be undertaken by those with specialist training and experience in interviewing children. | |
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| 10.13 | See Missing Person Protocol Between Thames Valley Police and the 9 Thames Valley LSCBs. | |
| 10.14 | Children's Social Care should make all reasonable efforts to persuade parents to co-operate with a Section 47 Enquiry. If a child's whereabouts are unknown, or s/he cannot be traced by the social worker within 24 hours the following actions must be undertaken:
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| 10.15 | If police efforts to locate the child have been unsuccessful within 48 hours, Children's Social Care must call an urgent strategy meeting, involving CAIU and any other directly relevant agency. This meeting must consider whether or not there is sufficient concern to recommend that Children's Social Care circulate information about the child to all other agencies nationally (see also Missing Child, Adult or Family Procedure). | |
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| 10.16 | If access to a child is refused or obstructed by parents or caregivers, the social worker, in consultation with her/his manager, should have a strategy discussion with the police and seek legal advice as appropriate about the need for a Child Assessment Order (where concerns are not so urgent as to require an EPO) or an Emergency Protection Order. | |
11. MEDICAL ASSESSMENT
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| 11.1 | Where the child appears in urgent need of medical attention s/he should be taken to the nearest A & E department, regardless of age, explanation or any other factors e.g. where there are suspected fractures, bleeding or loss of consciousness. | |
| 11.2 | A & E staff should call the paediatricians to assess the child if abuse or neglect is suspected when a child presents at A & E without Children's Social Care involvement. | |
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| 11.3 | The Strategy Discussion will determine, in consultation with the paediatrician, the need for and timing of a medical assessment for the child and for any other children in the household. If the child is in urgent need of medical attention see Immediate Protection. | |
| 11.4 | Medical assessments must be considered when there is a suspicion or allegation of child abuse and/or neglect involving:
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| 11.5 | An explicit record must be made of the decision about whether to undertake a medical assessment, and its rationale clearly stated. | |
| 11.6 | The strategy discussion must plan what will be explained to parents / carers so that they understand the reason for the assessment. | |
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| 11.7 | Injuries in babies under 1 year old are unusual and worrying, and should always be referred to the hospital paediatricians by contacting the paediatric ward registrar at Wexham Park Hospital. | |
| 11.8 | Children over 1 year, when medical opinion is needed as part of the assessment of risk, where the explanation differs between carer and child or seems incompatible with the history, should be seen by the hospital paediatricians. | |
| 11.9 | Children over 1 year, where the history is consistent between child and carer and with the injury, and who are not in need of urgent medical treatment, should be seen by the GP for documentation of injuries. When a GP is asked to see a child s/he must be briefed by Children's Service (Social Care) prior to the examination. | |
| 11.10 | If there are ongoing concerns about repeated minor injuries, signs of developmental delay, growth failure, behavioural difficulties or neglect, the child should be referred to the Community Paediatrician covering her/his area of residence. | |
| 11.11 | Examinations for suspected child sexual abuse are shared between the designated doctor for child protection at St Mark's Hospital and the police examiners. Early discussion is needed to consider the need for forensic specimens. | |
| 11.12 | Cases of emotional abuse should be discussed with CAMHS or with the designated doctor. | |
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| 11.13 | Referrals of children between 9.00am - 5.00pm with possible physical abuse or non-accidental injury who do not require immediate medical treatment should be made to the Day Child Protection Team based at 3 Craven Road, Reading (Tel: 01189 315800 or 0789 9915718. | |
| 11.14 | Referrals of children for paediatric assessment owing to possible sexual abuse should be made to the made to the Day Child Protection Team based at 3 Craven Road, Reading (Tel: 01189 315800 or 0789 9915718 for the attention of the Dr A J MacRae, (Consultant Community Paediatrician) | |
| 11.15 | Referrals of children for paediatric assessment owing to neglect, but about whom there are no concerns about physical abuse, should be referred by letter to Dr A J Macrae (Consultant Community Paediatrician) at 3 Craven Road, Reading RG1 5LF who will arrange an appropriate appointment. | |
| 11.16 | Referrals at any other time should go to the duty Paediatric Specialist Registrar on call who can be contacted through the Royal Berkshire Hospital switchboard (Tel: 01189 875111). However if the child is not in need of immediate medical treatment it would be preferable if possible to contact the Day CP team the following day (details above). | |
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| 11.17 | Medical assessments should comply with the following standards;
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| 11.18 | The response time from referral to examination should be appropriate:
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| 11.19 | Child sexual abuse paediatric assessments should be undertaken in accordance with the guidance for paediatricians and FMEs issued by the Royal College of Paediatrics and Association of Police Surgeons Child Health Guidelines (September 2004). | |
| 11.20 | In sexual abuse the need for both forensic and sexually transmitted infection samples should be considered. | |
| 11.21 | The examining doctor should provide a written statement of her/his medical opinion, which could be used in a child protection conference and/or in subsequent legal proceedings. | |
| 11.22 | Clinical details of the medical examination should be recorded at the time of the examination on agreed child protection 'pro formas' and accompanying body charts. | |
| 11.23 | Necessary investigations e.g. blood tests for clotting, X-rays and medical photographs should be carried out immediately in appropriate cases - facilities will need to be available on site in acute abuse (a skeletal survey may have to be delayed until the next day but the child's safety should always be ensured before then). | |
| 11.24 | Children who present to hospital and the initial examining doctor has child protection concerns must be examined by the paediatric registrar on the hospital site. No patient about whom there are child protection concerns should be allowed home without informing the consultant on call:
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| 11.25 | Junior paediatric doctors in training who see patients with a possibility of non-accidental injury should immediately refer to their more senior colleague. | |
| 11.26 | In cases of suspected non accidental injury initially admitted under a specialty, it is the responsibility of the consultant to work closely with the named doctor for child protection in a child protection plan and inform the paediatric team before discharge, so that the discharge protocol is followed. | |
| 11.27 | In Wexham Park hospital, if a child is treated under a surgical specialty and abuse / neglect is suspected, s/he must be referred to the consultant within that specialty and to the duty paediatric consultant, with a written referral slip handed to the ward registrar. | |
| 11.28 | Advice and assistance may be sought:
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| 11.29 | Paediatricians examining children for child sexual abuse will participate in a clinical peer review group. | |
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| 11.30 | Appendix 5, Medical Assessment & Consent offers guidance on this complex subject. | |
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| 11.31 | The examining doctor must provide a written report of her/his medical opinion, which can be used in a child protection conference and/or subsequent legal proceedings. | |
| 11.32 | This report should be structured as:
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| 11.33 | The report must:
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| 11.34 | Agreed body charts should be used for both physical and sexual abuse and appended to the report. Photographs should also be used in physical abuse in all complex injuries. | |
| 11.35 | Photo documentation in sexual abuse should be anonymised and retained separately from the child's details in a safe store. | |
12. ANALYSIS & ASSESSMENT OF RISK
| 12.1 | The scope and focus of the assessment during the Section 47 Enquiry will be that of a Core Assessment which specifically addresses the risks for the child/ren. It should address the assessment framework dimensions and specifically:
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| 12.2 | In evaluating the risk to the child specifically consider:
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| 12.3 | Where the child's circumstances are about to change the risk assessment must include an assessment of the safety of the new environment e.g. where a child is to be discharged from hospital to home the assessment must have established its safety and implemented any support plan required to meet the child's needs. | |
13. OUTCOME OF SECTION 47 ENQUIRIES (REVISED - JUNE 2010)
| 13.1 | At the completion of the planned enquiry, the social worker and line manager should decide how to proceed, following strategy discussion/s with relevant agencies and professionals. The aim of the Strategy Discussion at this point is to share information, plan any further enquiries and agree. | |
| 13.2 | In all cases the manager must authorise the outcome and any plans for further service. | |
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| 13.3 | Where the concerns are not substantiated it will still be important to complete the core assessment and consider if further help or support is needed. In some cases, there may remain concerns about Significant Harm, despite a lack of evidence and it may be appropriate to put in place explicit arrangements to monitor the child's welfare. In these circumstances, the Core Assessment will need to be completed to an appropriate depth and consideration given to service provision and future monitoring by agencies. | |
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| 13.4 | There may be substantiated concerns that a child has suffered Significant Harm, and the agencies most involved, having ensured the child / any others in the household and her/his carers have been seen and spoken with, agree that a plan for ensuring the child's future safety and welfare can be implemented without a conference. This decision must be endorsed by a suitably experienced and qualified social work manager. | |
| 13.5 | In these circumstances the Core Assessment should be completed and consideration given to the use of multi-agency meetings and/or Family Group Conferences to develop, implement and review the Child in Need Plan. | |
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| 13.6 | Where concerns are substantiated and the child is assessed to be at continuing risk of Significant Harm the line manager must authorise the convening of an Initial Child Protection Conference and completion of the Core Assessment (if incomplete), having ensured the child / any others in the household and the child's carers have been seen. | |
| 13.7 | Where concerns are substantiated and the child is assessed to be at risk of Significant Harm the line manager(s) may decide to initiate Care Proceedings, either an Emergency Protection Order (EPO) or an Interim Care Order (ICO) or other order as appropriate. This may lead to an Initial Child Protection Conference (ICPC) not being held or an ICPC being held but the decision made not to develop a Child Protection Plan. In these circumstances a letter should be sent to the child and both parents' GP informing the GP of this decision and requesting that the letter is kept on the child's and parents' records. | |
14. RECORDING OF SECTION 47 ENQUIRIES (REVISED - JUNE 2010)
| 14.1 | All agencies must keep accurate and detailed records of information, actions and decisions relating to the Section 47 Enquiry, using any agency 'pro-formas' (legibly) signed and dated by the staff or inputted into their electronic record. | |
| 14.2 | Both CAIU and Children's Social Care records must identify managers' decision making on forms and in electronic records. | |
| 14.3 | Practitioners should wherever possible, retain signed and dated rough notes until the completion of anticipated legal proceedings. | |
| 14.4 | Children's Social Care recording of enquiries should include:
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| 14.5 | The outcome must be clearly recorded, with the reasons for decisions clearly stated on the Outcome of Section 47 Enquiries Record (ICS) or equivalent form and signed off by the line manager. | |
| 14.6 | At the completion of the enquiry Children's Social Care line manager must ensure that the concern and outcome have been entered on a chronology at the front of each file / on the electronic record. | |
15. FEEDBACK FROM ENQUIRIES
| 15.1 | Parents, and children of sufficient age and appropriate level of understanding, together with those agencies and professionals significantly involved in the Section 47 Enquiry, should be given written information on the outcome of the enquiry (in advance of any subsequent Child Protection Conference held). | |
| 15.2 | Feedback about outcomes should be provided to non-professional referrers in a manner that respects the confidentiality and welfare of the child. If there are ongoing criminal investigations, the content of the social workers feedback should be agreed with the CAIU. | |
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| 15.3 | Where Children's Social Care has concluded an Initial Child Protection Conference is not required but professionals in other agencies remain seriously concerned about the child's safety, they should consult the relevant designated person within their agency. | |
| 15.4 | Where serious concerns remain that a child's welfare may not be adequately safeguarded without one, the designated professional (or other senior manager) of the agency should discuss the concerns with the child protection co-ordinator and may request a child protection conference. | |
| 15.5 | Any such request should normally be agreed, but if disagreements remain the procedures for resolution of professional disagreement should be followed (see Resolution of Professional Disagreements Procedure). | |
16. TIMESCALES
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| 16.1 | The initial Strategy Discussion instigates the Section 47 Enquiry and the Core Assessment must be completed within 35 working days from the date of that discussion / meeting (Framework for the Assessment of Children in Need and their Families p.32 paragraph 3.11). | |
| 16.2 | The maximum period from the initiation of the Section 47 Enquiry to the date of the Initial Child Protection Conference is 15 working days, which means that initial conferences may be held prior to the completion of the core assessment. | |
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| 16.3 | The time-scales above are the minimum standards required by Working Together and national performance indicators. Where the welfare of the child requires shorter time-scales these must be achieved. | |
| 16.4 | There may be exceptional circumstances where it is not in the child's interests to work to the above time-scales. The circumstances which may lead to an alternative time-scale include:
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| 16.5 | Any proposal to justify variation of routine time scales must be authorised by the service manager following line manager's consultations with the CAIU and any relevant agencies. | |
| 16.6 | Reasons for diverging from these time-scales must be fully recorded together with a plan of action detailing alternative arrangements. | |
End





