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W874 [WCAG21 2.4.1 (A)] Add a skip navigation link as the first link on the page:
If your document has structure then you should add a skip navigation link to make it easier for accessible users to get to the page's content. To ensure detection, skip navigation links should point to a <main> element, or an element with role='main'. See Understanding 2.4.1, and Skip Navigation. <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
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2 P967 [WCAG21 3.1.1 (A)] Use the 'lang' attribute to denote the primary language of the document:
You should always identify the primary natural language of a document using a 'lang' attribute on the <html> element. See WCAG 2.1 HTML Technique H57. <html xmlns="http://www.w3.org/1999/xhtml">
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5 W605 Duplicate tag found: See matching tag on line: 22
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Style-Type" content="text/css" />
6 W605 Duplicate tag found: See matching tag on line: 23
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Script-Type" content="text/javascript" />
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8 <title>
8 Health Care Assessments and Plans | Next Stage 4Life
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22 W605 Duplicate tag found: See matching tag on line: 5
A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Style-Type" content="text/css" />
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A duplicate tag has been found with the same attributes. Although this should not affect the page, it indicates that a mistake may have been made. <meta http-equiv="Content-Script-Type" content="text/javascript" />
24 W609 The 'content-type' HTTP header specifies a character set of UTF-8, which is different to the value
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The 'content-type' HTTP header specifies a different character set to that specified in the tag. In this case the HTTP header takes precedence. <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
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51 I899 [WCAG21 1.3.2 (A)] Layout tables must represent their content in a meaningful sequence:
Screen readers can struggle to read out tables sensibly, so it is often better to use alternative mark-up and CSS to layout content. Try disabling the table mark-up to see if it still makes sense. See WCAG 2.1 Failure F49. <table width="97%" border="0" cellspacing="0" cellpadding="0">
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53 E885 [WCAG21 1.1.1/1.3.1/3.3.2/4.1.2 (A)] User interface controls should have a label or an accessible
name:
Associate form controls with <label> tags, or use the 'aria-label' or 'aria-labelledby' attributes to label controls where it might be confusing or not possible to use a label. See WCAG 2.1 Failure F68. <input type="text" name="zoom_query" class="search_input" size="20" id="zoom_searchbox" value="Search this
manual" onfocus="this.value=(this.value=='Search this manual') ? '' : this.value;"
onblur="this.value=(this.value=='') ? 'Search this manual' : this.value;" style="margin-right: 5px;" />
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61 <div id="container">
62 <div id="content_frame_overflow">
62 <div class="content_text">
63 <h1 class="h1">
63 Health Care Assessments and Plans
63 </h1>
64 <div class="scope_box" style="padding-bottom: 0px; padding-top: 15px;">
65 <h2 class="h3">
65 REGULATIONS AND STANDARDS
65 </h2>
66 <p>
66 <a
href="http://qualitystandards.proceduresonline.com/homes/p_quality_standards.html#health"
target="_blank">
66 The Health and Well-being Standard
66 </a>
66 <br />
67 Regulation 10
67 </p>
68 <h3 class="h3">
68 RELEVANT GUIDANCE
68 </h3>
69 <p>
69 <a
href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/413368/Promoti
ng_the_health_and_well-being_of_looked-after_children.pdf" target="_blank">
69 DfE and DoH Statutory Guidance on Promoting the Health and Well-being of Looked After
Children (2015)
69 </a>
69 </p>
70 <p>
70 <a href="https://www.nice.org.uk/guidance/ng26" target="_blank">
70 Children's Attachment: Attachment in Children and Young People who are Adopted from Care, in
Care or at High Risk of Going into Care NICE Guidelines [NG26]
70 </a>
70 </p>
71 <h3 class="h3">
71 RELATED CHAPTER
71 </h3>
72 <p>
72 <a href="p_health.html">
72 Health Notifications and Access to Services Procedure
72 </a>
72 </p>
73 </div>
74 <h2 class="h2_underlined">
74 <br />
75 Contents
75 </h2>
76 <ol>
77 <li>
77 <a href="#health_care_assess">
77 Health Care Assessments
77 </a>
77 </li>
78 <li>
78 <a href="#health_care_plan">
78 Health Care Plans
78 </a>
78 </li>
79 <li>
79 <a href="#designated_link">
79 Designated Keyworker
79 </a>
79 </li>
80 </ol>
81 <h2 class="h2_underlined">
81 <br />
82 <a id="health_care_assess" name="health_care_assess">
82 </a>
82 1. Health Care Assessments
82 </h2>
83 <p>
83 Each child should have a Health Care Assessment soon after being placed and then at specified
intervals; as set out below.
83 </p>
84 <p>
84 The purpose of Health Care Assessments is to promote children's physical and mental health and
to inform the child's Health Care Plan (which may be a separate plan or may be incorporated in
to the Child's Care Plan) and ensure that the placement meets the child's holistic health needs.
84 </p>
85 <p>
85 Health Care Assessments must be conducted by a suitably qualified medical practitioner; who
should provide the social worker with a written report:
85 </p>
86 <ul>
87 <li>
87 The first assessment must be conducted before the child's first placement, or if not
reasonably practicable, before the child's first
87 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/looked_aft_review.html"
target="_blank">
87 Looked After Review
87 </a>
87 – unless one has been conducted in the previous 3 months;
87 </li>
88 <li>
88 For children
88 <span class="bold">
88 aged between two and five years
88 </span>
88 , further assessments should occur at least every six months;
88 </li>
89 <li>
89 For children
89 <span class="bold">
89 aged over five years
89 </span>
89 , further assessments should be at least annually;
89 </li>
90 <li>
90 Health Care Assessments must be conducted more
90 <span class="bold">
90 frequently where the child's health
90 </span>
90 needs dictate.
90 </li>
91 </ul>
92 <p>
92 The Social Worker is normally responsible for ensuring that Health Care Assessments are
undertaken, but this responsibility may be undertaken by the home.
92 </p>
93 <p>
93 In order for the assessment to be conducted, it will be necessary to ensure the Consents section
of the child's
93 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/placement_plan.html"
target="_blank">
93 Placement Plan
93 </a>
93 has been completed and signed by the parent or a person with Parental Responsibility.
93 </p>
94 <h3 class="h3">
94 Young people aged 16 or 17
94 </h3>
95 <p>
95 Young people aged 16 or 17 with mental capacity are presumed to be capable of giving (or
withholding) consent to their own medical assessment/treatment, provided the consent is given
voluntarily and they are appropriately informed regarding the particular intervention. If the
young person is capable of giving valid consent, then it is not legally necessary to obtain
consent from a person with Parental Responsibility.
95 </p>
96 <h3 class="h3">
96 Children under 16 - 'Gillick Competent'
96 </h3>
97 <p>
97 A child of under 16 may be
97 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/gillick_competent.html"
target="_blank">
97 Gillick Competent
97 </a>
97 to give (or withhold) consent to medical assessment and treatment, i.e. they have sufficient
understanding to enable them to understand fully what is involved in a proposed medical
intervention.
97 </p>
98 <p>
98 In some cases, for example because of a mental health issue, a child's mental state may
fluctuate significantly, so that on some occasions the child appears Gillick Competent in
respect of a particular decision and on other occasions does not.
98 </p>
99 <p>
99 If the child is Gillick Competent and is able to give voluntary consent after receiving
appropriate information, that consent will be valid, and additional consent by a person with
Parental Responsibility will not be required.
99 </p>
100 <h3 class="h3">
100 Children under 16 - Not 'Gillick' Competent
100 </h3>
101 <p>
101 Where a child under the age of 16 lacks capacity to consent (i.e. is not Gillick Competent),
consent can be given on their behalf by any one person with Parental Responsibility. Consent
given by one person with Parental Responsibility is valid, even if another person with Parental
Responsibility withholds consent. (However, legal advice may be necessary in such cases). Where
the local authority, as corporate parent, is giving consent, the ability to give that consent
may be delegated to a carer (or registered manager of the children's home where the child
resides) as a part of 'day-to-day parenting', which will be documented in the child's Placement
Plan.
101 </p>
102 <p>
102 For further information on consent, see
102 <a
href="https://www.gov.uk/government/publications/reference-guide-to-consent-for-examination-or-t
reatment-second-edition" target="_blank">
102 Department of Health and Social Care Reference Guide to Consent for Examination or Treatment
102 </a>
102 .
102 </p>
103 <h2 class="h2_underlined">
103 <br />
104 <a id="health_care_plan" name="health_care_plan">
104 </a>
104 2. Health Care Plans
104 </h2>
105 <p>
105 Each child's Placement Plan, drawn up by the Home, must include the health care needs for the
child and how they will be promoted by the Home.
105 </p>
106 <p>
106 Additionally, each Child must have a Health Care Plan (which may be part of the Child's Care
Plan or may be a separate Plan) drawn up by the Placing Authority/Social Worker.
106 </p>
107 <p>
107 The initial Health Care Plan should be drawn up in time for the first Looked After Review, after
a Health Care Assessment has been undertaken. The Health Care Plan should then be updated after
each Health Care Assessment or as circumstances change.
107 </p>
108 The matters that should be considered in drawing up the Health Care Plan (and addressed in the
Home's Placement Plan as necessary) are as follows:
109 <ol>
110 <li type="a">
110 Whether there are any specific health care needs - and how the home will meet them;
110 </li>
111 <li type="a">
111 If it is agreed that Paracetamol or other painkillers can be used to provide relief for
headaches, menstrual or other pain; also whether there are any restrictions;
111 </li>
112 <li type="a">
112 On the use of non-prescribed medicines,
112 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/home_remedies.html"
target="_blank">
112 Home Remedies
112 </a>
112 or use of first aid;
112 </li>
113 <li type="a">
113 The involvement of the child's parents or significant others in health issues during the
placement;
113 </li>
114 <li type="a">
114 Any specific medical or other health interventions which may be required, including whether it
is necessary for any Invasive Procedures and how they will be undertaken;
114 </li>
115 <li type="a">
115 The extent to which the child is able to retain or administer medication, or requires support
to do so;
115 </li>
116 <li type="a">
116 Whether it is necessary for any immunisations to be carried out;
116 </li>
117 <li type="a">
117 Any specific treatment or Therapeutic Interventions, strategies or remedial programmes
required;
117 </li>
118 <li type="a">
118 Any necessary preventative measures to be adopted;
118 </li>
119 <li type="a">
119 Whether there are any illegal or other activities including self harming which it is known or
suspected the child is engaged in which may be harmful to the child's health, and the
interventions/strategies to be adopted in reducing or preventing the behaviour;
119 </li>
120 <li type="a">
120 Whether the placement will contribute to any other health related assessments;
120 </li>
121 <li type="a">
121 Whether the home will contribute to any health monitoring.
121 </li>
122 </ol>
123 <h2 class="h2_underlined">
123 <br />
124 3.
124 <a name="designated_link" id="designated_link">
124 </a>
124 Designated Keyworker
124 </h2>
125 <p>
125 One of the key responsibilities of the child's Keyworker will be for promoting his/her health
and educational achievement, liaising with key professionals, including the Clinical Nurse
Specialist, the child's GP and dental practitioner.
125 </p>
126 <p>
126 The Keyworker will also ensure that up to date information is kept on the child in relation to
his/her health needs, development, illnesses, operations, immunisations, allergies, medications
administered, dates of appointments with GP's and specialists.
126 </p>
127 <p>
127 The Keyworker must also ensure the child is registered with a GP and other health care
professionals as set out in
127 <a href="p_health.html">
127 Health Notifications and Access to Services Procedure
127 </a>
127 .
127 </p>
128 <p>
128 Also see
128 <a href="p_keyworker.html">
128 Keyworker Guidance
128 </a>
128 .
129 </p>
130 <p>
130 <br />
131 <br />
132 </p>
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139 I899 [WCAG21 1.3.2 (A)] Layout tables must represent their content in a meaningful sequence:
Screen readers can struggle to read out tables sensibly, so it is often better to use alternative mark-up and CSS to layout content. Try disabling the table mark-up to see if it still makes sense. See WCAG 2.1 Failure F49. <table width="100%" border="0" cellspacing="0" cellpadding="0">
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146 W884 [WCAG21 2.1.1/2.1.3 (A/AAA)] Mouse/Pointer event handlers require keyboard equivalents:
When using mouse/pointer event handlers on elements that can be accessed by keyboard, ensure that you provide an equivalent keyboard handler. See WCAG 2.1 Failure F54. <input name="printMe" type="image" onclick="printSpecial()" value="Print this Page"
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