Copies to Parents, Social Worker, Regional Emergency Social Work Service, Midwife, Liaison Midwife, Ambulance Service and Police in child protection cases. Recommendations and Proposed Child Protection Plan Recommendation Regarding Proposed Registration of baby upon birth (including category) Recommendation Regarding Composition of Core Group Proposed Child Protection Plan Responsibility Needs Planned Action Desired Outcome Child’s Target Date Responsibility Parental Capacity Planned Action Desired Outcome Target Date Responsibility Environmental Factors Planned Action Desired Outcome Target Date Has Specialist Assessment been considered? Yes No If yes please specify (offered/accepted/provided) Has Family Group Conference been considered? Yes No If yes please specify (offered/accepted/provided) About the Person Completing/Coordinating the Pre-Birth Risk Assessment Name: Position: Agency: Signature: Date: Supervising Manager: Signature: Date:
Copies to Parents, Social Worker, Regional Emergency Social Work Service, Midwife, Liaison Midwife, Ambulance Service and Police in child protection cases. Recommendations and Proposed Child Protection Plan Recommendation Regarding Proposed Registration of baby upon birth (including category) Recommendation Regarding Composition of Core Group Proposed Child Protection Plan Child’s Needs Planned Action Desired Outcome Responsibility Target Date Parental Capacity Planned Action Desired Outcome Responsibility Target Date Environmental Factors Planned Action Desired Outcome Responsibility Target Date Has Specialist Assessment been considered? If yes please specify (offered/accepted/provided) Yes No Has Family Group Conference been considered? If yes please specify (offered/accepted/provided) Yes No About the Person Completing/Coordinating the Pre-Birth Risk Assessment Name: Position: Agency: Signature: Date: Supervising Manager: Signature: Date:
Pre-BirthSafeguardingReportandMinute.docx