• 1 Current Child Indicators
  • 2 Carer Indicators
  • 3 Context Indicators
  • 4 Results
  • 5 Plan
  • 6 Declaration
  • 7 Complete

Child Indicators

Missed Appointments / Engagement with services
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • All health needs met
  • Fully compliant with all treatment plans and use of specialist equipment
  • Compassion for the child’s needs 
  • Missed and cancelled appointments but parent/ carer rearranges and attends rearranged appointments
  • Any lack of compliance is due to legitimate reasons
  • Compassion for the child’s needs
  • Consistent missed/cancelled appointments but did not phone to cancel/rearrange or did not attend the rearranged appointment
  • Compliance frequently lacking
  • Shows limited compassion for unborn / child’s needs and the reasons for needing to attend appointments and services
  • Parents not returning completed core screening consent to school health service
  • Chronic missed appointments that are significantly detrimental to the unborn /child’s health
  • Health needs unmet
  • Shows no compassion for the child’s needs and the reasons for needing to attend appointments and services
  • Difficulty in recognising and prioritising needs of the child
  • Serious compliance failure (medication not given for no reason, specialist equipment not used, treatment plan not followed)
  • Inexplicable deterioration in the child’s normal functioning behaviour
Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • The child is of optimum health
  • All health needs met
  • Good relationship with parents/carers
  • The child is reaching full potential for their medical condition
  • Detection of treatable conditions in the Unborn child/child at increased risk of becoming delayed
  • The child has health needs met within an appropriate timeframe
  • The child likely to reach full potential 
  • Good relationship with parent/carer
  • The child is not meeting their full health potential which will impact on health/wellbeing
  • Increasing need for support due to not accessing relevant health services and appointments
  • May not have the necessary equipment/services involved to meet their health needs and therefore impact on their growth, intellectual development and mental health
  • Detection of treatable conditions in the Unborn child/child delayed
  • A child suffering from preventable chronic ill health
  • Risk of child’s health and developmental needs not being met
  • Risk of child/ young person not reaching their full potential and intellectual development, and therefore impact on emotional health which may lead to depression, anxiety, self-harm
  • Missed appointments in children may be critical due to the potential acute nature of their condition – could lead to hospitalisation or death
  • Unborn child’s / child’s health needs undetected and therefore increased the likeliness of the child being born with health implications/child having health implications
  • Invisibility of the child due to increased isolation
  • Risk of severe or life-threatening harm
Hygiene
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • Child is clean
  • The child is treated for usual minor ailments
  • The child has necessary self-care skills
  • Child on occasion looks unwashed, hair uncombed, occasional body odour
  • An occasional episode of head lice / nappy rash treated appropriately
  • There have been low-level concerns raised from others, the parent is aware and agrees with the concerns and is engaging or willing to engage to address the issues
  • Occasionally needs reminding of self-care needs
  • The child is dirty, food spilt on clothes, dirty feet, dirty nails, nappy sodden, has body odour
  • Head lice / nappy rash treatment only used if prompted
  • Head often shaved or cut very short in severe style as head lice treatment
  • There have been concerns raised by others that are significant on one or more occasion
  • School often providing facilities for child / young person to wash
  • Poor self- care skills for level of ability due to the impact of parenting
  • The child is very dirty, has an offensive odour
  • Hair matted and unwashed
  • Repeated head lice infestation, untreated and may be showing signs of infection, head shaved or cut short due to infestation
  • Severe nappy rash, untreated and may be showing signs of infection
  • Ingrained dirt under finger and toenails
  • Dirty clothes, clothes have an odour
  • Invasive treatment unclean i.e. ng tubes, peg feeds, dialysis equipment
  • There are on-going significant concerns raised by others and/or referrals to agencies in the past
  • Inadequate self – care skills for level of ability due to the impact of parenting

Impact on child

Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • All hygiene needs met
  • The child can thrive, remain safe and enjoy and achieve 
  • May be at risk of gastrointestinal infections, threadworm
  • Chid at increased risk of pain, soreness, itching and discomfort
  • Irritability in babies
  • The child at increased risk of being bullied and isolated - impact on emotional health therefore possible emergence of depression, anxiety and low self-esteem, poor friendships and reduced education attainment
  • Increased risk of infections, fungal infection, threadworm – causing illness, pain and suffering for the child and increased stress levels
  • The child at risk of severe infection/septicaemia – illness, pain and suffering for the child
  • The child is isolated, lonely and at increased risk of bullying – increased risk of mental health issues, difficulty with forming and maintaining relationships, reduced educational attainment and at increasing risk of self-harm, severe anxiety, suicide
  • Children may be uncomfortable, itchy, sore - which may impact on their sleep and daily functioning
  • The child develops poor self-care skills
Dental Health
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • Good parental awareness of oral health
  • The child is registered with a dentist
  • Cleans teeth twice daily with toothpaste
  • Age appropriate cup used for drinks
  • Child given vitamin supplements to aid the absorption of calcium
  • The child over 6 months not registered with a dentist
  • Giving inappropriate drinks
  • Using a baby bottle for a child over 1 year
  • No evidence of decay
  • Parents not engaged in prevention but open to advice
  • Cleans teeth twice daily with children’s toothpaste
  • Inappropriate use of dummy over the age of 1 year, parent/carer open to supporting to cease use
  • The child not registered with a dentist
  • Cleans teeth usually once per day with toothpaste
  • Given inappropriate drinks in a baby bottle over 2 years
  • Evidence of discolouration of teeth and decay – may be lacking in vitamin D
  • Parents not accepting advice or engage in prevention
  • The young person does not own a toothbrush or toothpaste
  • Inappropriate use of dummy over the age of 2 years and/or parents reluctant to advise to cease use
  • The child not registered with a dentist
  • Does not clean teeth
  • Has frequent sugary snacks/drinks
  • Has obvious decay / or recurrent abscesses
  • Using a baby bottle for drinks over 3 years
  • Parents not taken on any previous advice
  • The child frequently complaining of toothache and absent from school as a consequence
  • Child given dummy over the age of 3 years and parents not open to advice
  • The child is attending for dental extractions of baby teeth  and or adult teeth due to decay
Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • The child has good oral health, free from pain and discomfort
  • The child has good dental health but is at risk of developing decay
  • Increased risk of developing speech and language delay
  • Some evidence of damage to teeth
  • At risk of pain, discomfort, decay and associated infections
  • Increased risk of reduced nutritional intake and communication – impacting on relationships
  • Increased risk of being bullied – impacting on emotional health needs which may lead on to the emergence of depression, anxiety and self-harm
  • Increasing risk of speech and language delay
  • Increased risk of disturbed sleep patterns, crying and irritability
  • The child has significant decay and dental caries
  • Increased risk of reduced nutritional intake and effective communication
  • At risk from sepsis, unclear speech, extreme pain and discomfort, disturbed sleep, low self-esteem due to appearance, frequent abscesses, halitosis, impact on diet and nutritional needs
  • Increasing risk of isolation from peers, bullying and therefore increasing impact emotional health and well-being which can lead to depression, anxiety and self-harm
  • At high risk of speech and language delay
Nutritional Needs and Weight Abnormalities
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • Child is thriving
  • BMI within normal limits and/or no concerns regarding centile chart information
  • Special food supplement always available and parents fully accomplished in use and care of alternative feeding methods
  • Parents always following the advice given by professionals
  • Weight is proportional to height and within normal BMI, however, may appear large or small in stature and/or centile charts proportional to the stature
  • (Consider parents build)
  • Not having vitamin supplements
  • Age appropriate diet and exercise is being considered but not always achieved
  • Diet and exercise is appropriately monitored
  • Special food supplements usually available and manage to provide adequate care in using specialised equipment
  • The child is outside of normal BMI and/or data on centile charts, not in proportion
  • Child’s weight increasing significantly
  • The child is not putting on weight, looks thin and pale
  • The child not engaging in healthy lifestyle activity, exercise, P.E
  • A poor diet of poor nutritional value
  • Not having vitamin supplements
  • Attending appointments with paediatricians/weight management/dieticians
  • Often does not have child’s food supplement and poor skills demonstrated in the use and care of specialised equipment
  • Inconsistently following advice from professionals
  • Parents not consenting to core/obesity screening in school, therefore, weight unable to be reviewed
  • Parents not promoting the development of varied diet
  • The child not encouraged in independency in eating
  • Parents not engaging with some or all advice is given
  • The child has BMI above or below the normal range and/or weight and height above or below centile charts normal range
  • Has not attended Paediatric/Weight Management/ dietician appointment.
  • Very unhealthy diet
  • No vitamin supplements
  • Breathless on exertion
  • Engaging in unhealthy lifestyle choices such as playing video games/watch TV for long periods
  • No priority is given to the provision of food supplement and feeding equipment not maintained or used
  • Not following advice from professionals
  • Parents not appropriately responsive to behavioural difficulties around meal time
Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • The child can remain healthy, enjoy and achieve
  • Nutritional needs fully met
  • The child is at emerging risk of being deficient of vitamins and nutritional elements – impacting upon energy levels and lethargy
  • The child may not be as active as is optimum and therefore impacting upon the child’s physical health and development
  • The child is at risk of becoming obese or anorexic
  • Less active and able to join in physical activities with peers
  • The child at risk of failure to thrive, anaemia, poor brain growth, malnutrition, electrolyte imbalance, poor vitamin absorption
  • Impact on self- esteem – can lead to eating disorders, depression, anxiety and self-harm
  • Increased risk of being bullied and associated impact on emotional health
  • The child is at increased risk of diabetes, asthma, heart disease
  • The child is undernourished and therefore at increased risk of health issues, growth problems, retardation and socio-emotional deficits, severe malnutrition
  • The child is tired and having unnecessary investigations
  • At high risk of developing an eating disorder and being bullied, impacting on emotional health and increased risk of depression, anxiety and self-harm
Clothing
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • The child is always dressed in clean and appropriate clothes
  • The child is wearing clothes appropriate to their age, level of maturity and occasion whilst promoting independence
  • Parents and/or child are following advice from professionals
  • The child is dressed appropriately but clothes appear unwashed
  • Does not have many clothes
  • Child occasionally seen wearing few or too many clothes for temperature, but plausible reasons are given by a carer
  • Parents happy to accept charity referral
  • The child is often dressed in unsuitable clothes for the environment/weather
  • Clothes are too small/too large
  • Shoes are too small/too big
  • Holes in clothes/shoes
  • The child frequently presents in school without school uniform even though school have previously provided one
  • School frequently washing child’s clothing in school
  • Clothing frequently unwashed, looks dirty, has an odour
  • The child is always dressed in clothes not appropriate to the environment/weather
  • Clothes are too big/small
  • Clothes have an offensive odour
  • Shoes too big/small and may have an offensive odour
  • Parents do not see an issue
  • The child is not wearing clothes appropriate to their age, level of maturity and occasion whilst promoting independence
  • Parent and/or child is not following advice from professionals

 

Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • Confident and good self-esteem
  • Appropriate body temperature
  • Maybe self-conscious due to clothing and therefore impact on self-esteem
  • May be too warm or too cold impacting on the ability to enjoy and achieve in activities
  • Impact on emotional health due to poor self-esteem and increased risk of being bullied and isolation which can lead on to depression, anxiety, self- harm
  • Increased risk of infections
  • Issues with forming and maintaining relationships
  • Impact on educational attainment
  • The child is affected socially and emotionally, therefore, increased risks of depression, anxiety, self–harm and suicide
  • Issues with forming and maintaining relationships
  • Feet may be damaged which could lead on to issues with gross motor development, carrying out exercise and activities and play
  • Increasing risk of infection - leading on to poor health
  • Poor self-esteem and confidence – may negatively impact on educational attainment, peer relationships and emotional health
Multiple Injuries / A + E attendance supervision and safety
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • Child accesses health services promptly and appropriately
  • Optimal age appropriate supervision of children
  • Appropriate safety equipment in place and used
  • Appropriate road safety
  • Medication and alcohol stored safely
  • The child attends A & E for minor illnesses instead of GP
  • Occasional minor accident
  • Attends A&E in a timely manner
  • Lack of safety equipment in the home
  • Parents are willing to accept advice and have knowledge of child developmental needs
  • Occasionally child not supervised age appropriately
  • The child not registered with a G.P
  • There have been low level concerns raised by others, the parent is aware and agrees with the concerns and is engaging or willing to engage to address the issues
  • Storage of medication/alcohol inadequate
  • The child has had 2 or more accidents which could be due to lack of supervision within age appropriate time frame
  • Frequent A&E attendances for minor illnesses due to a poor home environment/ poor diet /anxious parents
  • Inappropriate use of A&E
  • Medical attention is not sought in a timely manner
  • Safety equipment is not in place
  • Parents reluctant to accept advice
  • Poor supervision of children
  • Poor road safety measures are taken and/or child has limited road safety awareness
  • There have been concerns raised by others that are significant on one or more occasion
  • The child attends A& E frequently for illness and accidents due to poor supervision
  • The child is not taken promptly to GP/ A&E when injured and/or ill
  • The home environment presents danger/risk of accidents to the child
  • Child is unsupervised
  • Parents do not accept advice
  • Reduced school attendance due to injuries, attendance at A + E
  • No road safety measures and/or have no awareness of road safety
  • There are on-going significant concerns raised by others and/or referrals to agencies in the past
Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • The child has all health needs met
  • Is safe and supervised
  • At risk of injuries
  • At risk of delay of seeking appropriate medical advice and neglecting basic health needs
  • The child is at increased risk of injuries
  • The child unable to enjoy and achieve for periods of time 
  • May be out of education, therefore, impact on attainment – child becoming more invisible to professionals
  • At risk of more severe health issues and consequences of illness and injuries
  • At risk of serious illness, severe injuries and death
  • The child unable to enjoy and achieve for significant periods of time – impact on peer relationships
  • Educational attainment impacted upon due to non-attendance at school
  • Increased risk of depression, anxiety and self-harm
Low birth weight / prematurity
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • The child is thriving and gaining weight
  • Development within expected limits
  • Having vitamin and folic acid supplements
  • Attending all follow-up appointments and baby clinic
  • Increased risk of sudden infant death being managed appropriately
  • Attending for immunisations
  • The child following adjusted growth centiles
  • Occasionally not attending a baby clinic for weight review but with a plausible explanation
  • Having vitamins and folic acid
  • Missed/could not attend the occasional appointment
  • Adhering to safe sleeping guidelines
  • The child frequently not attending a baby clinic for weight review
  • Has missed 2 or more follow-up appointments with no explanation
  • Evidence of developmental delay occurring
  • Not up-to-date with immunisations
  • Safe sleeping guidelines only being adhered to when reminded
  • The young person presents in school as failure to thrive
  • Frequent absence from school due to frequent illnesses
  • The child has been discharged from hospital follow-up due to non-attendance
  • Not having vitamin supplements
  • Not attending a baby clinic for weight review
  • Not accessing services
  • No evidence of toys/play and stimulation
  • Childs development clearly below what is expected
  • Outstanding immunisations
  • Not adhering to safe sleeping guidelines
  • Not attending school due to health needs
Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • The child is having all health needs met
  • Thriving and well stimulated
  • No lasting effects of prematurity
  • Potential issues with weight gain and development
  • Emerging risk of effects of prematurity becoming prolonged
  • The child not achieving full developmental and educational potential
  • Increased risks of prolonged effects of prematurity
  • At risk of failure to thrive
  • At risk of rickets
  • At risk of communicable disease
  • Increased risk of sudden death
  • The child at risk of death
  • Significant risk of severe developmental delay
  • Significant risk of failure to thrive, rickets and other health issues
  • Significant risk of communicable disease
  • Significant risk of sudden death
  • Significantly at risk of prolonged effects of prematurity
Physical Development
Threshold Universal Services Threshold Early Help Threshold Specialist Support
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
Description
  • The child is meeting all developmental milestones
  • Observed playing with age appropriate toys
  • Parent adapts the stimulation/leisure activities that meet the child’s level of need;
  • This includes the use of readily available outside agencies and this is overseen carefully
  • Specialised equipment and advice is fully implemented.
  • Child occasionally seen strapped in buggy/car seat in the home
  • Child occasionally seen sat in a highchair in the home when not meal times
  • Attends occasional Stay and Play Sessions
  • Occasionally age appropriate stimulation and play needs of the child not achieved
  • Parents open to advice
  • There have been low level concerns raised by others, the parent is aware and agrees with the concerns and is engaging or willing to engage to address the issues
  • Occasionally specialist equipment not used when needed
  • The child often seen strapped in buggy/Highchair
  • No toys in reach
  • Frequent use of television as stimulation
  • Only attending local groups if required to by professional
  • Some developmental/speech delay evident
  • Parent reluctant to accept advice
  • The parent uses inappropriate stimulation/leisure activities for the child’s level of need
  • Referrals needed to community paediatrician due to concerns of developmental delay
  • The young person not allowed to engage in school activities, activities after school or access to peers as parental permission is not given
  • There have been concerns raised by others that are significant on one or more occasion
  • Limited use of specialist equipment
  • The child is always seen in highchair/buggy
  • No toys observed in the home
  • Missed appointment with Community Paediatrician
  • Not attending any groups
  • Parents not engaging with services and not receptive to advice
  • No overseeing of support or outside agency involvement to ensure if they are appropriate
  • No stimulation or leisure activities for the child
  • There are on-going significant concerns raised by others and/or referrals to agencies in the past
  • No use of specialist equipment
Impact on child
Score 1 Score 2a - Single Agency Early Help Score 2b – Multi Agency Early Help Score 3
  • Child is thriving
  • The child is reaching their full potential
  • Able to enjoy and achieve
  • The child is healthy and safe
  • Child occasionally unable to enjoy and achieve for periods of time
  • Emerging risk of delay of gross and fine motor development
  • Delayed gross motor and fine motor skills
  • Delayed Speech and Language
  • Evidence of some behaviour issues
  • Isolation from peers causing an impact on self – esteem and social development which may lead on to depression, anxiety, self-harm
  • Marked developmental delay in all areas and significant behaviour problems
  • The child is unable to communicate needs
  • Socially isolated – leading on to depression, anxiety, self-harm and suicide
  • Risk of developing asthma, heart disease, obesity

Analysis

14688