Request for Support Form

To request support for a child/young person within Bath and North East Somerset, there are three simple processes:

1. If you are concerned about the immediate safety of a child or young person, you should speak to your manager and/or seek advice from the Social Services Referral and Assessment team on 01225 477000, or email: childcaredutyteam@bathnes.gov.uk

2. For children and young people with a clearly identified need which can be met by one service complete the Request for Support form (see form under Related Documents) and return to the service needed. (This form does not replace the referral to health services via the single point of entry).

Please send only one copy of this request with signatures and any supporting paperwork.

To refer to a named practitioner:	To refer to a service:
Complete this form and return to the named practitioner.	Complete this form and return to:
	Children’s Centre Services	Inclusion Support Services
	Early Years Keynsham Town Hall Keynsham BS31 1ED early_years@bathnes.gov.uk	Locality Co-ordinator PO Box 25, Riverside Keynsham, BS31 1DN locality_coordinator@bathnes.gov.uk
	Specialist Behaviour Service	School Nurse support
	Pupil Administrator The Link Frome Road, Odd Down Bath BA2 5RF bap_pupil_administrator@bathnes.gov.uk	School Nurse Team Leader St Martin’s Hospital Clara Cross Lane Bath BA2 5RP schoolnursing@banes-pct.nhs.uk

3. For children with multiple/unclear needs, practitioners should start a Common Assessment in consultation with the child and family. For further information, or to submit a completed Common Assessment, please contact the Common Assessment and Lead Professional Co-ordinator, CAF@bathnes.gov.uk, 01225 395092.

Bath & North East Somerset Council

Request for Support Form

To request support for a child/young person within Bath and North East Somerset, there are three simple processes: