Joint Record Form

The form used by health visitors, school nurses etc to notify the joint agency team of children who meet the threshold for a Joint Record (at least one area of difficulty at a moderate level).

Outcome

• Child's details entered on record and a copy sent to parents/carers.
• Parents/carers will be contacted by the Referal Co-ordinator to see if they wish to receive an information pack and regular newsletters etc.
• Parents/carers can contact Referal Co-ordiantor for information/advice.

CSN1 - Initial Information Record

This does not constitute a referral - it is used to make the joint agency aware of a particular child's circumstances. Professionals have to ensure that the child meets the threshold for a joint record.

Outcome

• Advice or emergency services can be given at this stage.
• The parent/carer will be sent a copy of the CSN1.
• If the child is not already on the Joint Record the parent/carer will be asked if an appropriate professional can check this with them.

Self referral

You can refer your child yourself to your local Joint Agency Service by completing a CSN1 form.

more information

CSN2 - Information Gathering Form

If the Referal Co-ordinator considers an integrated assessment may be required, parents/carers will be contacted to see if they will complete a CSN2 - professional support will be arranged by the Referal Co-ordinator if required.

Outcome

• Receipt of CSN2 constitutes a referral which is discussed at the next Joint Agency Service Consultation/Allocation Meeting.

Joint Agency Service Consultation/Allocation Meeting

Outcome remain on Joint Record only:

• request to single agency for further assessment
• advice to single agency to enable them to retain case management

Outcome integrated assessment required:

CSN3 (assessment summary) 

• initial keyworker allocated.
• CSN3s requested from appropriate professionals.

CSN4 (integrated assessment and service plan)

• CSN4 completed.
• key worker agreed with parents/carers.

CSN5 (service plan revue)

• CSN4 will be reviewed at least 12 monthly to ensure that services are adequately meeting the requirements of the child and family.

• self-referral