Forms for Professionals

Please select the forms you need below:

Child Referral Forms

Universal Referral Form

A written confirmation of the referral must be completed and submitted within 24 hours.  Where possible, North Yorkshire CYPS request that you use their ”Referral Form to the Children and Family Service” to ensure that all relevant information is provided to ensure that the referral can be progressed as effectively as possible.

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Reports for Initial and Review Child Protection Conferences

ICPC Revised Template

RCPC Revised Template

CP Conference Report for Medical Practitioners

Agency reports for Initial Child Protection Conferences (ICPCs) and Review Child Protection Conferences (RCPCs).
It is essential that these reports are shared with the parents well before the conference to ensure that the family are prepared the meeting.  You may wish to do this at the last Core Group before the Child Protection Conference and then give a verbal update to the Conference to outline any subsequent information.
All reports should be made available to the Chair two working days before the ICPC and five working days before a RCPC.

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Child Deaths

Child Death Notification - Online Form

Child Death Notification - Word Form

A joint Child Death Overview Panel (CDOP) has been agreed for the North Yorkshire and York LSCBs.

Professionals who become aware of a child death are encouraged to contact the CDOP Administrator/Manager.

Notification should be made using the online Child Death Notification form which can be access from the link opposite.

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Partnership Information Sharing Form

Police Partnership Information Sharing Form

Form designed to provide the police with intelligence where professionals have concerns.

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National Referral Mechanism Form

NRM Form

Referrals to the NRM should be for all potential victims of trafficking and modern slavery, who can be of any nationality, and may include British national children, such as those trafficked for child sexual exploitation or those trafficked as drug carriers internally in the UK.

Modern slavery, including child trafficking, is child abuse. When an agency comes into contact with a child who may have been exploited or trafficked, Local Authority Children’s Services and the police should be notified immediately. A referral into the NRM does not replace or supersede established child protection processes, which should continue in tandem.

A guide on how to write a clear NRM referral can be viewed here.

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Allegations against Staff Forms

LADO Referral Form

Where appropriate a referral should be sent to the Local Authority Designated Officer using the LADO Referral Form, giving as much detail as possible. Completed LADO Referral Forms should be emailed using secure mail (e.g.  gov, pnn, cjsm, nhs.net, etc.) to safeguardingunit@northyorks.gov.uk. If you are an Egress user please email safeguardingunit@northyorks.gov.uk.  If you do not have secure email address please contact 01609 532477.

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