Child Protection Conference Booking Form

CHILD PROTECTION CONFERENCE BOOKING FORM

Social Worker to book the Conference within 2 working days of the Strategy meeting

Convenor Team to complete this section with information taken during telephone conversation with Social Worker:
Social Worker Details: / Name / Contact Details
Locality / Team Manager
CONFIRMED CONFERENCE DETAILS
DATE: / Click here to enter a date. / START TIME: / . / CONFERENCE CHAIR: / .
VENUE: / .
Conference Type: / Initial / If Transfer-In – where transferred from: / .
Date of Strategy Meeting/Discussion: / Click here to enter a date. / Reason for Conference:
If Initial has family been conferenced before? / Choose an item. / Date of Previous Conference: / Click here to enter a date. / Chair: / .
If Transfer-In, is family living permanently in Norfolk? / Choose an item. / Are there any other children in the household? / . / Any Special Requirements? Dangerous Adult, Translation, Mobility Issues etc. / .
Subjects of Conference:
Surname / First Name/s / DOB / Carefirst No / Address if different from below / To Be INVITED? Yes /No
Family Lives At: / .

Social Worker to complete the Invite and Police/Probation Check information below within 2 working days of making the booking:

Invites will only be sent to the Statutory Invitees, any Subjects of Conference you agree to when making the booking, and those you provide below at the time of sending the completed form to the Convenor Team – it isyour responsibility to invite anyone else:

Others Resident in the Household / OtherRelevant AdultsTO BEINVITED to Conference
Police & Probation Checks will be Done on these Invitees. Please indicate who has parental responsibility*
Name / DOB / *Relationship (PR?) / Dangerous Adult Y/N / Full Postal Address
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Police and Probation Checks
Others Resident in the Household / Other Relevant Adults NOT INVITED to Conference
but who need to have Police and Probation Checks Done. Please indicate if they have parental responsibility*
Name / DOB / Relationship (PR?) / Dangerous Adult Y/N / Full Postal Address
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Any Other Invitees to Conference: / Please list any “professionals” specific to this conference to be invited. SW to ensure thatALL invitees are on Carefirst.Police and Probation will be automatically invited.
Name / Job Title / Professional Email Address / Full Postal Address
RETURN COMPLETED FORM WITH INVITE INFORMATION TO: WITHIN 2 WORKING DAYS OF MAKING THE BOOKING
ADMIN USE ONLY
Date Booking Taken / Booking Made By
(BS initials) / Room Diary / Dual Diary / Room Header / CPA Programme / Email to Police – date sent
Click here to enter a date. / . / ☐ / ☐☐ / ☐ / Click here to enter a date. /
Completed: / Record Sheet / ☐ / West – Email Pat Eastman / ☐ / East – Initials and changes to Maria Covill / ☐ /
Additional Info for Convenors: / Timescale =
Is Conf Out of Timescale / Choose an item. / If out of Timescale Contacted CP Manager / ☐ / Details Input on to Carefirst: / ☐ / Chair on Network / ☐ /
Contact Advocacy if >10 Years
/ ☐ / If Transfer-In Email Keeper of the Register: / ☐ /