3.2 Making a Referral
This policy was reviewed in March 2021.
Date of next review July 2023.
- Referral Criteria for Practitioners(Jump to)
- Ensuring the Child's Immediate Safety(Jump to)
- Urgent Medical Attention(Jump to)
- Listening to the Child(Jump to)
- Parental Consultation(Jump to)
- Making a Referral to Children's Social Care - Professionals(Jump to)
- Quick Referral Flowchart(Jump to)
- Referrals by Members of the Public(Jump to)
Referral Criteria for Practitioners
Safeguarding partner agencies and contracted service providers must make a referral to Children's Services (Social Care and Early Help services) if there are signs that a child under the age of 18 years or an unborn baby:
The timing of such referrals must reflect the level of perceived risk, but should usually be within one working day of the recognition of risk.
Where a child or young person is admitted to a mental health facility, practitioners should consider whether a referral to Children's Service is necessary.
Practitioners in most agencies should have internal procedures, which identify child protection designated/named managers /staff, able to offer advice and decide upon the necessity for a referral. However, a formal referral or any urgent medical treatment must not be delayed by the need for such consultation.
Consultation may also be made directly with Children’s Services. Where consultation with Children’s Services is sought, and Children’s Services then conclude that a referral is required, the information provided will be regarded and responded to as such.
An adopted child may divulge when they are in placement, that they have been abused at some time in their previous history. An adopted child may also be vulnerable to physical, sexual or emotional abuse and/or neglect whilst they are placed for adoption
If practitioners have concerns that a child may be a potential victim of modern slavery or human trafficking then a referral should be made to the National Referral Mechanism, as soon as possible.
Ensuring the Child's Immediate Safety
The safety of children is paramount in all decisions relating to their welfare. Any action taken by members of staff from a safeguarding partner agency should ensure that no child is left in immediate danger.
The law (Section 3(5) of the Children Act 1989) empowers anyone who has actual care of a child to do all that is reasonable in the circumstances to safeguard their welfare.
Where abuse is alleged, suspected or confirmed in a child presented at A&E or admitted to hospital, they must not be sent home / discharged until:
See also the sub-section Immediate Protective Action in the Action on Receipt of Referrals Procedure
Urgent Medical Attention
If the child is suffering from a serious injury, medical attention must be sought immediately from Accident and Emergency (A&E). In these circumstances, Children’s Services and the duty consultant paediatrician must be informed.
Except in cases where emergency treatment is needed, Children’s Services and the Safeguarding Investigations Unit are responsible for ensuring that any paediatric assessment or medical treatment required as part of a Section 47 Enquiry are initiated (see Section 47 Enquiries Procedure, Paediatric Assessment).
Listening to the Child
Responsibility for making enquiries and investigating allegations rests with Children’s Services and the Safeguarding Investigations Unit, along with other relevant agencies.
Where abuse is alleged, the initial response should be limited to listening carefully to what the child says to:
If a child is freely recalling events, the response should be to listen, rather than stop the child; however, it is important that the child should not be asked to repeat the information to a colleague or asked to write the information down.
If the child gives a clear disclosure to the first responder (e.g. a teacher) then there is no need for the Police to take a first account (Q&A). The child should be able to go straight to an Achieving Best Evidence (ABE) interview. Wherever possible the child should not have to repeat the disclosure before an ABE interview. In the cases where it is felt that an intermediary is needed to support the child and aid communication, this should be recorded and evidenced as to why it might delay the interview. The interview should be child-focused. The interview planning is important and should also be fully recorded.
A record of all conversations, (including the timings, the setting, those present, as well as what was said by all parties) and actions must be kept.
If the child is thought to be able to understand the significance and consequences of making a referral to Children’s Services, they should be asked their view.
Regardless of a child's expressed view, it remains the responsibility of the practitioner to take whatever action is required to ensure their safety and that of any other children.
Where practicable, concerns should be discussed with the family and an agreement sought for a referral to Children's Services unless this may:
For further guidance, see Information Sharing and Confidentiality
A decision by any professional not to seek parental consent before making a referral to Children's Services must be recorded and the reasons given.
Where a parent has agreed to a referral, this must be recorded and confirmed in the referral to Children's Services.
Referrals from named professionals cannot be treated as anonymous, so the parent will ultimately become aware of the identity of the agency making the referral.
Where the parent refuses to give consent for the referral, further advice should, unless this would cause undue delay, be sought from a manager or the nominated child protection officer and the outcome fully recorded.
If, having taken full account of the parent's wishes, it is still considered that there is a need for a referral:
Making a Referral to Children's Social Care - Professionals
In urgent situations outside office hours, the referral should be made to the relevant Emergency Duty Service/Out of Hours Team (see Local Contact Details).
If the child is known to have an allocated social worker, referrals should be made to them or in their absence the manager or a duty officer in the relevant social work team. Where this is considered to be a child protection referral the referrer should follow this up in writing and Children’s Services should respond as set out in Action on receipt of Referrals Procedure.
All referrers should have an opportunity to discuss their concerns with a qualified social worker.
Where available, the following information should be provided with the referral (but the absence of information must not delay the referral):
All professional referrals made verbally must be confirmed in writing in all cases covering the areas above (in the bullet points above) by the referrer, within 24 hours.
Professional referrals cannot be anonymous and should be made in the knowledge that during the course of enquiries it will be made clear which agency has originated the referral.
If there is no acknowledgement by Children's Services of the referral within a further 24 hours, the professional should contact Children’s Services to establish the current status of the referral.
The referrer should keep a written record of:
Quick Referral Flowchart
Referrals by Members of the Public
When members of the public are concerned about the welfare of a child or an unborn baby, they should contact the local Children's Services of the area in which the child lives/is found or, in the case of an unborn baby, where the care-giver lives (see Local Contact Details).
In urgent situations outside office hours, the member of the public should contact the relevant Emergency Duty Service/Out of Hours Team (See Local Contact Details).
The NSPCC help line offers an alternative means of reporting concerns
Individuals may prefer not to give their name to Children's Services or the NSPCC. Anonymous referrals by members of the public will be investigated thoroughly by Children’s Services.
Alternatively the member of the public making the referral may disclose their identity, but not wish for it to be revealed to the parents / carers of the child concerned.
Wherever possible, staff should respect the referrer's request for anonymity. There are however, certain limited circumstances in which the identity of a referrer may have to be given i.e. the court arena.
Local publicity material should make the above position clear to potential referrers.
All referrers will have an opportunity to discuss their concerns with a qualified social worker.