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1 
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"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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">
3 <head>
4 <meta name="viewport" content="width=device-width, initial-scale=1.0"/>
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" />
7 <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
8 <title>
8 Health Notifications and Access to Services | Next Stage 4Life
8 </title>
9 <link rel='shortcut icon'
href='https://www.proceduresonline.com/resources/logos/procedures/favicon.ico' type='image/x-icon'/>
10 <link rel="apple-touch-icon"
href="https://www.proceduresonline.com/resources/logos/procedures/apple-touch-icon-57x57-precomposed.png
" />
11 <link rel="apple-touch-icon"
href="https://www.proceduresonline.com/resources/logos/procedures/apple-touch-icon-72x72-precomposed.png
" />
12 <link rel="apple-touch-icon"
href="https://www.proceduresonline.com/resources/logos/procedures/apple-touch-icon-114x114-precomposed.png
" />
13 <link rel="stylesheet" type="text/css"
href="https://www.proceduresonline.com/trix_cms_snippets/cookie/jquery.cookiebar.css" />
14 <script type="text/javascript"
src="https://www.proceduresonline.com/trix_cms_snippets/cookie/jquery.min.js">
14 </script>
15 <script type="text/javascript"
src="https://www.proceduresonline.com/trix_cms_snippets/cookie/jquery.cookiebar.js">
15 </script>
16 <script type="text/javascript">
21 </script>
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" />
23 W605 Duplicate tag found: See matching tag on line: 6
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
given here:
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" />
25 <meta name="author" content="Next Stage 4Life" />
26 <meta name="description" content="Next Stage 4Life" />
28 <meta name="robots" content="index, follow" />
29 <meta name="rating" content="all" />
30 <meta http-equiv="pragma" content="no-cache" />
31 <link title="small" href="scripts/style.css" type="text/css" rel="stylesheet" />
32 <link title="medium" href="scripts/style_larger.css" type="text/css" rel="alternate stylesheet" />
33 <link title="large" href="scripts/style_largest.css" type="text/css" rel="alternate stylesheet" />
34 <link title="hivis" href="scripts/style_hi_vis.css" type="text/css" rel="alternate stylesheet" />
35 <script type="text/javascript" src="scripts/print.js">
35 </script>
36 <script type="text/javascript" src="scripts/styleswitcher.js">
36 </script>
37 <script type="text/javascript" src="scripts/highlight.js">
37 </script>
39 </head>
40 <body onload="highlight();">
41 <div class="banner">
42 </div>
43 <div id="buttons">
43 <div id="menu">
44 <ul>
45 <li>
45 <a href="index.html">
45 Home
45 </a>
45 </li>
46 <li>
46 <a href="contents.html">
46 Contents
46 </a>
46 </li>
47 <li>
47 <a href="local_resources.html">
47 Local Resources
47 </a>
47 </li>
48 </ul>
49 </div>
49 <div id="search">
50 <form action="search/search.html" id="cse-search-box" style="margin: 0px;">
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">
52 <tr>
53 <td>
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;" />
53 </td>
54 <td>
54 <input type="submit" value="Go"/>
54 </td>
55 </tr>
56 </table>
57 </form>
57 </div>
57 </div>
58 <div id="topper">
58 </div>
60 <div id="printReady">
61 <div id="container">
62 <div id="content_frame_overflow">
62 <div class="content_text">
63 <h1 class="h1">
63 Health Notifications and Access to Services
63 </h1>
64 <div class="scope_box">
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 </p>
66 </div>
67 <h2 class="h2_underlined">
67 <br />
68 Contents
68 </h2>
70 <ol>
71 <li>
71 <a href="#notif">
71 Notifications and Registrations
71 </a>
71 </li>
72 <li>
72 <a href="#access">
72 Access to Health and Specialist Services
72 </a>
72 </li>
73 <li>
73 <a href="#appoint">
73 Appointments
73 </a>
73 </li>
74 </ol>
75 <h2 class="h2_underlined">
75 <br />
76 1.
76 <a name="notif" id="notif">
76 </a>
76 Notifications and Registrations
76 </h2>
77 <p>
77 When a child is placed in a home, the social worker must arrange for the Health Authority, in
the area where a child is placed, to be notified of the placement.
77 </p>
78 <p>
78 The Manager of the home should arrange for the following:
78 </p>
79 <ul>
80 <li>
80 For the child to be allocated with a Link Worker (Keyworker) who will be responsible for
promoting his/her health and educational achievement, liaising with key professionals,
including the Clinical Nurse Specialist, the child's GP and dental practitioner. The
Link/Keyworker will also be responsible for ensuring 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 (see
80 <a href="p_keyworker.html">
80 Keyworker Guidance
80 </a>
80 );
80 </li>
81 <li>
81 For the child to be registered with a GP;
81 </li>
82 <li>
82 For the child to have access to a Dentist in the home's locality;
82 </li>
83 <li>
83 For the child to be registered with an Optician in the home's locality;
83 </li>
84 <li>
84 For a Health Care Assessment to be carried out in relation to the child as set out in
84 <a href="p_hlth_assm_pln.html">
84 Health Care Assessments and Plans Procedure
84 </a>
84 .
84 </li>
85 </ul>
86 <p>
86 Details of the registration or any changes must be recorded, by the social worker, in the
Placement Information Record, a copy of which must be forwarded to the home by the Social
Worker, at the latest, within 14 days of the placement.
86 </p>
87 <p>
87 Additionally, the child's Medical Record should be updated.
87 </p>
88 <h2 class="h2_underlined">
88 <br />
89 2.
89 <a name="access" id="access">
89 </a>
89 Access to Health and Specialist Services
89 </h2>
90 <p>
90 The Home's Manager must ensure the home has good links with health agencies, is well informed
about local health services such as CAMHS and sexual health services in the area it covers and
takes this into account when deciding on admissions.
90 </p>
91 <p>
91 Staff should have sufficient understanding of relevant health services including the function of
the Designated Nurse for Looked After Children. The home should liaise with the child's placing
authority to enable proper and immediate access to any specialist medical, psychological or
psychiatric support. Staff challenge if these services are not met or they do not happen for the
child.
91 </p>
92 <p>
92 If a child's needs are such that specialist health care is required e.g. children with a
disability or visual impairment, the Home's Manager must ensure that local specialist services
are secured, in conjunction with the Social Worker and relevant healthcare professionals from
the
92 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/placing_authority.html"
target="_blank">
92 Placing Authority
92 </a>
92 . The Home's Manager should keep the General Medical Practitioner informed of the process of
care and any suggested changed to the child's care.
92 </p>
93 <p>
93 If there are any serious concerns about the emotional or mental health of a child, the Home's
Manager must alert the Social Worker, and seek a review of the Child's placement and/or request
an assessment under the Mental Health Act 1983.
93 </p>
94 <p>
94 Any strategies/services that are provided, must be outlined in the Child's Placement Plan/Health
Care Plan.
94 </p>
95 <p>
95 Also see
95 <a
href="https://www.gov.uk/government/publications/registration-of-healthcare-at-childrens-homes
" target="_blank">
95 Registration of Healthcare at Children's Homes
95 </a>
95 .
95 </p>
96 <h2 class="h2_underlined">
96 <br />
97 3.
97 <a name="appoint" id="appoint">
97 </a>
97 Appointments
97 </h2>
98 <p>
98 If children appear to require or request it, appointments should be made for them to see their
GP or other medical practitioners as appropriate.
98 </p>
99 <p>
99 When appointments are made, account should be taken of the child's wishes, for example, to see a
practitioner of a preferred gender. Also, appointments should preferably be made which do not
disrupt the child's education.
99 </p>
100 <p>
100 Parents, those with
100 <a href="http://trixresources.proceduresonline.com/nat_key/keywords/parental_respons.html"
target="_blank">
100 Parental Responsibility
100 </a>
100 and the child's social worker should, if possible, be consulted before making appointments; and
they should be informed of the outcome.
100 </p>
101 <p>
101 See
101 <a href="p_consents.html">
101 Consents and Delegated Authority
101 </a>
101 .
101 </p>
102 <p>
102 As appropriate, the Chronology/Referral and Information Record should be updated to take account
of these appointments. Care should be taken to ensure that the top copy, held by the social
worker, and the copy held in the home are updated.
102 </p>
103 <p>
103 Additionally, the child's Medical Record should be updated.
104 </p>
106 <p>
106 <br />
107 <br />
108 </p>
109 </div>
110 </div>
111 </div>
112 </div>
113 <div id="footer-wrap">
114 <div id="footer-container">
114 <div id="footer">
115 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">
116 <tr>
117 <td width="60%" align="left" style="padding-top: 0px;">
117 <a href="http://www.trixonline.co.uk/" target="_blank">
117 <img src="images/trix_logo.gif" width="57" height="22" alt="tri.x logo" border="0"/>
117 </a>
117
117 <span class="darkdivider">
117 |
117 </span>
117 Copyright ©
117 <a href="http://www.trixonline.co.uk/" target="_blank">
117 tri.x
117 </a>
117
117 <span class="darkdivider">
117 |
117 </span>
117
117 </td>
118 <td width="40%" align="right" valign="top" style="padding-top: 0px;">
120 <div class="footer_box">
120 <a href="#">
120 visibility:
120 </a>
120
120 <a href="#" onclick="setActiveStyleSheet('small'); return false;">
120 <img src="images/icons/small_a.gif" alt="View this website with small text" border="0" />
120 </a>
120 <a href="#" onclick="setActiveStyleSheet('medium'); return false;">
120 <img src="images/icons/medium_a.gif" border="0" alt="View this website with medium
text" />
120 </a>
120 <a href="#" onclick="setActiveStyleSheet('large'); return false;">
120 <img src="images/icons/large_a.gif" border="0" alt="View this website with large text" />
120 </a>
120 <a href="#" onclick="setActiveStyleSheet('hivis'); return false;">
120 <img src="images/icons/hivis.gif" border="0" alt="View this website with high
visibility" />
120 </a>
120
120 <span class="darkdivider">
120 |
120 </span>
120
120 </div>
121 <div class="footer_box">
121 <a href="#" onclick="window.external.AddFavorite(location.href, document.title)">
121 <img src="images/icons/favourite.gif" alt="Add this page to your favourites" width="18"
height="18" border="0" />
121 </a>
121 <a href="#" onclick="window.external.AddFavorite(location.href, document.title)">
121 favourites
121 </a>
121
121 <span class="darkdivider">
121 |
121 </span>
121
121 </div>
122 <div class="footer_box">
122 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"
src="images/icons/print.gif" onmouseover="images/icons/print.gif'"
onmouseout="this.src='images/icons/print.gif'" alt="Print this page"/>
124 <a href="#" onclick="printSpecial()">
124 print
124 </a>
124
124 <span class="darkdivider">
124 |
124 </span>
124
124 </div>
125 </td>
126 </tr>
127 </table>
128 </div>
128 </div>
129 </div>
130 </body>
131 </html>