1. Children’s Details
Family Name / First Names
Dates of Birth / Genders
Ethnicity / Religion
ICS IDs
Home Address
Immigration Status / Legal Status
First language / Disabilities
2. Core Group Record Details
Date of Core Group Meeting:
Date of Initial CP Conference:
Date of Review Conference:
Category of Abuse:
Key Worker:
Key Team: / Care Management Team ?
3. Core Group Members
Name / Role / Consulted / Invited / Attended / Apologies
Social Worker – Children’s Services, Sandwell Council
Council House, Freeth Street, Oldbury, B69 3DE
@sandwell.gov.uk / Y
Child’s Voice: Please detail how the Child’s Voice has been explored
Case Mapping / Record of Discussion
What are we worried about? / What’s working well? / What needs to Happen?Past Harm
Future Danger
Complicating Factors / Existing Strengths
Existing Safety / Safety Goals
Next Steps
Childs voice
On a scale of 0 to 10 …. 0 10
Need/Danger / Outcome/Safety Goal / Action/Next Steps / Timescale / Person Responsible
4. Any other Business
10. Team Manager Comments (Only required for RCPC)
TM Signature………………………………………………..
11. Date of Next Core Group
12. Information Shared with Other Agencies & Parents
Has the Core Group Record been shared with the children?
If no, when will this be completed?
Has the Core Group Record been shared with the parents?
Have the Core Group Minutes been shared with Core Group Members?
Date Minutes Sent / Details of the Core Group Member
13. Signatures
Key Worker’s Signature: / Date:
Team Manager’s Signature: / Date:
Parents’ Signatures: / Date:
Signatures of Core Group Members: / Date:
Data Protection Act, 1998
The information on this form will be used by the Children & Young People's Services for the purpose of Safeguarding Children. All information is regarded as confidential and any data collected via this form will be processed or disclosed only within the limits of the data protection notification.
[IL3: RESTRICTED]