CYSCP
City of York Safeguarding Children Partnership Documents and Resources
Forms
This page contains all CYSCP multi-agency Forms
- Child Death Notification
- Child Protection Agency Report
- Fabricated Induced Illness Chronology
- Ivison Trust Referral
- LADO Referral
- MASH Referral
- Multi-Agency Risk Assessment Conference
- North Yorkshire and City of York Partnership Information Sharing
- St Giles Trust Referral
- Team Around the Child and Family
- York Drug and Alcohol Services Referral
- York Prevent Referral
- Young Carer Referral
These files may not be suitable for users of assistive technology; contact the CYSCP to request an accessible format.
Child Death Notification
It's a statutory requirement to notify CDOP of all child deaths for children and young people from birth up to until their 18th birthday.
If there are a number of agencies involved, liaison should take place to agree which agency will submit the Notification. However, unless you know someone else has done so, please notify CDOP with as much information as possible.
Child Protection Agency Report
The Child Protection Agency Report Form is to be used by agencies to submit in preparation for Child Protection Conferences.
Please note that the information in your report will be shared with colleagues and family at the conference.
Fabricated Induced Illness Chronology
The Fabricated Induced Illness Chronology Form is to be used to record any concerns in relation to suspected fabricated induced illness.
Ivison Trust Referral
Ivison Trust (formerly known as Parents Against Child Exploitation, or PACE) offers a Parent Liaison Officer (PLO) support service in North Yorkshire for parents and carers of children who are, or who are at risk of being, exploited by individuals from outside the family.
This includes all the main forms of child exploitation, including child sexual exploitation (CSE) child criminal exploitation (CCE) modern slavery, human trafficking and criminalisation (including county lines), and those who repeatedly go missing from home.
The service deals with medium and high risk referrals, which can be referred into Ivison Trust by statutory and third sector agencies, self-referrals are also welcome.
LADO Referral
The Local Authority Designated Officer (LADO) Referral Form is to be used when you want to report an allegation or concern against someone working with a child or young person. Once the form is completed it must be sent to email: [email protected].
All allegations and concerns must be reported to the LADO within the same working day.
MASH Referral
The MASH Referral Form can be used to make a safeguarding referral about a child or young person who has been or may be hurt or neglected or who has significant vulnerabilities.
Multi-Agency Risk Assessment Conference
The MARAC Referral Form NY&Y and MARAC Research Form NY&Y are available on the North Yorkshire Police website.
North Yorkshire and City of York Partnership Information Sharing
The North Yorkshire and City of York Partnership Information Sharing Form can be used if you think you have information to share with the police about situations in which children, young people or adults may be vulnerable to exploitation.
If someone is at risk of immediate harm you need to call 999.
North Yorkshire Police can now accept online reports from partners via their website. These will be directed to the Force Control Room (FCR) and dealt with just like a 101 call. In the case of partner intelligence, this will route directly to the Intelligence Unit from our website.
This service offers you (our partners) the opportunity to submit forms through a standardised format, used by a growing number of Police forces across England and Wales. There is no need to wait on the phone. Accessible on computers, tablets and mobile the forms make it easier to share details from your systems. They are structured around the details we need to act quickly and keep people safe.
These services are for agencies and partners of the police, they aren’t for public use.
In an emergency you should still use 999.
Report online?
The forms available for wider partners include:
- Missing Persons (including returned persons and further information)
- Request police help with a Mental Health Act Assessment
- Request police help with a Welfare Check
- Community Partner Intelligence (goes directly to the intelligence unit)
On submission you will receive an immediate email receipt and reference number.
Partners can access the Community Partnership Intelligence form at the following website: Community partnership intelligence.
St Giles Trust Referral
North Yorkshire SOS+ St. Giles Trust is delivering North Yorkshire SOS+, an exploitation support service for children and young adults in York and North Yorkshire.
The SOS+ service will:
- support those aged 10 to 25 who have been victims of, or are at risk of all forms of exploitation, and those who repeatedly go missing
- focus on early intervention and prevention via community outreach and awareness raising across youth and educational settings
- provide support to victims of exploitation to cope with the immediate impacts of the crime, and to rebuild resilience from the harm experienced
- provide bespoke support via keyworkers, who will establish the most appropriate type of support dependent upon needs; support can be offered via brief intervention or longer-term support
- include support from those with lived experience of exploitation
- capture the voice of the child/young adult, and ensure this is fed into local arrangements
- raise awareness of the signs and symptoms of all forms of exploitation
- improve outcomes for the individuals supported by the service, across a range of pathways.
Use the St Giles Trust Referral Form to make a referral.
Team Around the Child and Family
The Team Around the Child and Family (TACF) form is to be used to record discussion taken place between the team around the family of professionals and the family.
See further information and documentation in relation to support for partners in delivering Early Help for families.
York Drug and Alcohol Services Referral
The Change Grow Live York Drug and Alcohol Services Referral Form can be used to refer a child or young person to York Drug and Alcohol Services if they are using substances or are being affected by someone else’s substance use.
Information about the Change Grow Live York Drug and Alcohol Services, and the referral form, can be found on the following page on the Change Grow Live website:
- York Drug and Alcohol Services Referral Form (Change Grow Live)
York Prevent Referral
You should consider making a Prevent referral if you have information that suggests an individual is exhibiting behaviour or making comments that suggest they may be involved in activity which could be linked to terrorism.
Examples of such behaviour include:
- accessing information on the internet with links to terrorist activity
- using extreme right wing symbols
- exhibiting significant changes in behaviour
- spending significant periods of time alone, withdrawing from social interaction
- having a sudden and obsessive interest in topical terrorist related news stories
- using terminology or words associated with terrorism - notice, check and share
- The York Prevent Referral form is available by emailing [email protected].
Young Carer Referral
Young carers are children and young people under 18 years of age, who provide unpaid care to a family member who is physically or mentally ill, has a long-term health condition, or a physical/learning difficulty or addiction problem.
Young carers may provide practical and/or emotional support to the person they care for, and to siblings and other family member, beyond their experience and ability.
To be eligible for support from Young Carers, a young person must meet their definition of a young carer and be:
- aged between 5 and 18 years
- helping to care for someone who is experiencing mental/physical ill health, has a long-term health condition, physical and/or learning difficulty or addiction problems
- providing practical and/or emotional caring on a regular basis that is having a negative impact on their lives, for example affecting their social lives, education, physical or emotional state
If the young carer is 5 months or less away from turning 18, please refer them to York Carers Centre Young Adult Carer service, which supports young people aged 18 to 25.