Wokingham Threshold Guidance
Wokingham Thresholds Guidance Booklet explains the thresholds (including risk factors and protective factors) and the appropriate routes into services. This is a guide only and should not be read as a definitive list of risk factors. It is important that good quality, appropriate referrals are made to ensure that the right service is given to the right child/young person, at the right time and in the right place. However, you must use your professional experience and if you feel a child/young person is at significant risk, you should make a referral.
You can download a PDF version of the Wokingham Threshold Guidance Booklet here.
Whilst the threshold guidance documents across Berkshire West are very similar, this document should be used for children who reside in Wokingham. For children residing in West Berkshire or Reading, please access the guidance for those areas at:
Berkshire West Safeguarding Children Partnership - West Berkshire Threshold Guidance
Berkshire West Safeguarding Children Partnership - Reading Threshold Guidance
Wokingham Threshold Guidance
Introduction
Resolving Professional Difference of Opinion and Escalation
Levels of Help
Description of Thresholds – Risk factors and protective factors to consider
Level 1 – Help for Everyone
Level 2 – Additional Help
Level 3 – Intensive Help
Level 4 – Specialist Help
The Duty, Triage and Assessment Team Pathway
What happens when I contact the Duty, Triage and Assessment Team (DTA)?
Consent and Information Sharing
Additional Service Information
Wokingham Directory, Family Information Service and Local offer
Early Help
Risk of harm outside the family home
Allegations Management
Useful Links
Acronyms
Introduction
Every child and family are unique; their needs must be carefully considered with them so that the help they receive is right for them. This threshold document supports practitioners to make a professional judgement about the best way to respond appropriately to individual children and their family contexts where there are needs or risk of harm.
This threshold document is intended to support the wider service partnership to work together, to share information and put the child and their family at the centre, providing effective support to help them solve problems and find solutions at an early stage to prevent problems escalating. This document is not an assessment tool and does not replace any professional judgement, rather it should be treated as a guide to assist in decision making.
This document provides example indicators for each level of need but by no means is this list exhaustive or prescriptive. The examples shown are indicative and not definitive of each level of need. The examples, when taken in isolation, may not amount to a cause for a concern, but when several of them are taken together, this helps to inform judgement about what to do next. This is not a science but an art – use your professional judgement when considering both the range and scale of needs in the threshold document as well the resilience and protective factors that surround the child’s life.
This guidance should be used as a reference point alongside your organisation’s policies and procedures. Berkshire Child Protection procedures can be found here.
Remember: safeguarding is everybody’s responsibility!
Members of the public and professionals requiring advice should contact the Multi-Agency Safeguarding Hub (MASH) Team who will then review the information about those needs and determine the most appropriate level of service to be provided, which may be universal, Early Help or statutory provision. Professional referrers are expected to gain parental consent to share information prior to making a referral for further services, unless to do so would place the child at risk of further harm.
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Resolving Professional Difference of Opinion and Escalation
Differences of opinion relating to the level of risk will exist and are an expected part of day-to-day quality practice. Professionals are expected to discuss these differences in a professional and productive manner with a view to finding a solution that best serves the child’s needs. However, in order to be able to resolve differences within and between agencies quickly and openly there are a number of key principles that need to be adopted by all professionals:
- Seek to resolve any professional differences of opinion at the lowest possible level and within the shortest possible timescales
- Encourage others to challenge or question your own practice
- Respond positively to feedback
- The tone of challenge should be one of respectful enquiry, not criticism – ‘be curious’
- Challenge should be evidence based and solution focused
- Be persistent and keep asking questions
- Always keep a written record of actions and decisions taken
If differences are not able to be resolved at a practitioner level, then the issue needs to be raised with line managers/designated post holder who will investigate and liaise with the other relevant manager(s). Full details of the Resolving Professional Difference of Opinion and Escalation Procedure can be found here.
We also have local guidance and tools to support this process in a solution focused way, which can be found here.
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Levels of Help
Our framework follows the ‘windscreen’ model illustrated below. It is a model of practice whose aim is to assist practitioners and managers in assessing and identifying a child’s level of need, what types of services/resources might meet those needs and the process to follow in moving from the identification of need to the provision of services. It is important to say that each child is an individual within their own context and realise that each child’s situation is unique and specific to them. The model provides a guide to support professional judgements in determining the next course of action to meet those needs.
Our approach is underpinned by the following principles:
- Children at levels 2 to 4 can also benefit from, and should access, universal services (for example education and healthcare services) and voluntary sector organisations
- Children can be at different levels for education, health and care within the continuum of need diagram
- Children should be enabled to move quickly and effortlessly to the required service response without necessarily going through each level
- Families should only have to tell their story once
- Children and their families have a right to have their views heard, including children who are non-verbal – and this should have a strong influence on what happens next and be at the centre of what we do
- Our services should be child focused but also operate within the context of whole family working
Continuum of Need:
The terms ‘step up’ and ‘step down’ are commonly used to describe children moving between levels of need and are used within the guidance to describe the process by which children’s needs can change.
Children’s and young people’s situations and needs can change unexpectedly, and this means that practitioners should be familiar with the continuum of need so that if and when a child’s needs change due to a reduced or increased level of concern, then they do not fall between the services. Instead, children are held safely in the transition from one service/step to another. Well managed ‘step up’ and ‘step down’ processes between levels are a critical element of effective practice and decision making. Wherever possible, a successful intervention should result in a safe step down to universal services.
Level 1: Help for Everyone
Children and their families who receive universal services have no additional needs; all their health and developmental needs will be met by universal services. These are children who consistently receive child focused care-giving from their parents or carers.
Level 2: Additional Help
Children with additional needs (including disabilities), who may be vulnerable and showing early signs of abuse and/or neglect; their needs are not clear, not known or not being met. These children and their families need some additional help so that their children can develop, learn and achieve their full potential. They may be living in a situation where the worries, concerns or conflicts are becoming more frequent or over an extended period. In order to resolve the issues, these children may require additional support, advice, direction and sometimes planned intervention or additional resources. This may include children with disabilities accessing universal short breaks with support or targeted short breaks.
Level 3: Intensive Help
Children and families who require significant or complex personalised support, often from several agencies working together, to help them to reach their potential. The child may be dealing with multiple longer-term issues such as a significant disability, anti-social or challenging behaviour, neglect or poor family relationships, long-term problems with education or health and they need support from services to ensure that the impact of these significant issues are minimised as much as possible. This is the threshold for a statutory assessment led by children’s social care under section 17, Children Act 1989.
Level 4: Specialist Help
Children who are living in circumstances where they are suffering or are likely to suffer significant harm, where the young person themselves may pose a risk of serious harm to others or where there are complex needs in relation to disability and may require a more specialist intervention. Children and young people will be referred to children’s social care and dealt with under section 47, 20 or 31 of the Children Act 1989. This will also include children who have been remanded into custody and statutory youth offending services.
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Framework for assessment of children in need and their families
Each level is broken down into three sections based on the standard Government ‘framework for assessment of children in need and their families’ (see diagram below). Under each section we have grouped the risk factors and protective factors to enable you to navigate the document more easily and track/compare increasing levels of risk. For children with disabilities, increasing/decreasing levels of need are just as necessary to track alongside risk.
We use the assessment model that describes three parts of a child’s life:
- Child development
- Parenting capacity
- Family and environmental factors – to consider extra-familial and contextual risks
Child’s Viewpoint
Practitioners should always consider the factors above in terms of what it means for the child; consider their needs and the impact of any risk. The Scottish Government have created the ‘My World Triangle’ to help practitioners look at need and risk from the child’s point of view and understand the child’s world.
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Description of Thresholds – Risk factors and protective factors to consider
This following section provides a table of information outlining a set of possible descriptors and related protective factors for each of the levels of need. The list of features outlined in the tables is not an exhaustive list; please remember to use your professional judgement.
Level 1 – Help for Everyone:
All children and families using widely available universal services in the community to help them to learn, progress and develop to their full potential. The majority of children living in Wokingham require support from universal services alone. Children at this level have no additional needs; all their health and developmental needs will be met by universal services. These are children who consistently receive child focused caregiving from their parents or carers.
If you believe the child falls within this level but would like some additional information, explore options for support for the family via the Wokingham Family Information Service:
https://www.wokingham.gov.uk/children-and-families/find-services-for-children-and-families/
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Level 2 – Additional Help
Level 2 is for children with additional needs (including disabilities), who may be vulnerable and showing early signs of abuse and/or neglect; their needs are not clear, not known or not being met. These children and their families need some additional help so that their children can develop, learn and achieve their full potential. They may be living in a situation where the worries, concerns or conflicts are becoming more frequent or over an extended period. In order to resolve the issues, these children may require additional support, advice, direction, planned intervention or additional resources.
The majority of children with additional needs will require interventions from universal and targeted support through the graduated pathway (such as schools, health visitors, speech and language service, early year’s settings etc.) Some children will have more complex needs that are best served by several partners working together in a coordinated way, requiring planning and leadership. This may include children with disabilities accessing universal short breaks with support or targeted short breaks.
REMEMBER: It is possible for different agencies to provide a targeted service to different members of a family at this level. Practitioners will need parental consent to share relevant information with other involved professionals.
If you believe the child falls within this level please complete the following Multi-Agency Referral Form (MARF) for the Duty, Triage and Assessment team – MARF.
Then contact the team on:
The MARF will be reviewed within 2 working days and a decision made as to who would be best to help the family. You will be contacted to confirm the decision taken.
A process chart is available in the MASH section of this document along with a description of what happens when you contact the MASH team.
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Level 3 – Intensive Help
Intensive help is Level 3 is for children who have a significant disability or children and families who are unlikely to achieve or maintain a satisfactory level of health or development, or their health and development will be significantly impaired without the provision of services. Children might require significant or complex personalised support, often from several agencies working together, to help them to reach their potential. The child may be dealing with multiple longer-term issues such as a significant disability, anti-social or challenging behaviour, neglect or poor family relationships, long-term problems with education or health and they need support from services to ensure that the impact of these significant issues are minimised as much as possible.
REMEMBER: Consent to share information from the parents (or young person if appropriate) is required unless there are concerns that doing so would leave a child or young person at risk of significant harm – in which case you should go straight to level 4.
If you believe the child falls within this level please complete the following Multi-Agency Referral Form (MARF) for the Duty, Triage and Assessment team – MARF. Then contact the team on:
Within 2 working days a decision will be made about who is best to help the child and family and you will be informed of the decision made.
A process chart is available in the Duty, Triage and Assessment Pathway section of this document along with a description of what happens when you contact Duty, Triage and Assessment team.
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Level 4 – Specialist Help
If you think a child is at immediate risk of significant harm, contact the Children’s Social Care Front Door or in an emergency phone 999.
Level 4 is for children who are living in circumstances where they are suffering or are likely to suffer significant harm, where the young person themselves may pose a risk of serious harm to others or where there are complex needs in relation to disability and may require a more specialist intervention. Level 4 also includes Tier 4 health services which are specialised services in residential, day patient, or outpatient settings for children and adolescents with severe and/or complex health problems.
Children and young people will be referred to children’s social care and dealt with under section 47, 20 or 31 of the Children Act 1989. This will also include children who have been remanded into custody and statutory youth offending services.
REMEMBER: Consent to share information from the parents (or young person if appropriate) is required unless there are concerns that doing so would leave a child or young person at risk of significant harm.
If you believe the child falls within this level please contact the Duty, Triage and Assessment team on: :
Then complete the following Multi-Agency Referral Form (MARF) for – MARF. Within 2 working days a decision will be made about who is best to help the child and family and you will be informed of the decision made.
A process chart is available in the Duty, Triage and Assessment Pathway section of this document along with a description of what happens when you contact Duty, Triage and Assessment team.
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The Duty, Triage and Assessment Team Pathway
What happens when I contact the Duty, Triage and Assessment Team (DTA)?
MASH will establish if the threshold for statutory intervention has/has not been met. If statutory intervention is not required, an Early Help offer will be considered, and if appropriate this will be progressed through the Early Help Hub.
For any concerns about a child, you may speak to a social worker who will discuss your concerns with you and may request additional information. They will provide advice, guidance and consultation. It may be agreed, that based on the information provided, that a targeted Early Help Service is required, or you may be redirected to an early help or universal service. If the threshold for statutory intervention is met, a Child and Family Assessment will be processed. If there are Child Protection concerns this will be progressed alongside a Section 47 enquiry. The Multi-Agency Safeguarding Hub process will be utilised for those cases deemed appropriate.
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Consent and Information Sharing
All practitioners should aim to gain consent to share information but should be mindful of situations where to do so would place a child at increased risk of harm. Practitioners should be aware that consent is not necessarily needed in order to share personal information but where possible, consent should be pursued in an open and honest manner.
Consent will need to be sought for each episode of work that a professional undertakes with a family. An example of this would be if a case has been closed then re-opened, the consent must be re-sought when the case is re-opened.
All practitioners should be confident of the processing conditions under the UK General Data Protection Regulation (GDPR) and the Data Protection Act 2018. This includes the lawful basis for processing data adopted by Local Authorities as set out in article 6 of the UK GDPR, which allow them to store and share information for safeguarding purposes, including information which is sensitive and personal. The GDPR and Data Protection Act 2018 do not prevent, or limit, the sharing of information for the purposes of keeping children and young people safe.
Working Together to Safeguard Children (2018) emphasises the importance of sharing information early and that practitioners should be proactive in sharing information as early as possible to assist in identifying, assessing and responding to risks or concerns about the safety and welfare of children. This should be the case whether the child is already known to the local authority’s children’s social care or if the risk is emerging. Information sharing can also be pivotal for identifying patterns of behaviour for when a child has gone missing or to provide contextual background when multiple children appear associated to similar locations of risk.
Fears about sharing information must not be allowed to stand in the way of the need to promote the welfare, and protect the safety, of children, which must always be the paramount concern. It should not be assumed that someone else will pass on information that may be critical in keeping a child safe. All organisations and agencies should have arrangements in place that set out clearly the processes and the principles for sharing information.
For further advice on information sharing please follow this link to the Pan Berkshire Procedures.
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Additional Service Information
Wokingham Directory, Family Information Service and Local offer
The Wokingham Family Information Service (FIS) is a statutory service providing free impartial information and signposting for families with children. It offers an on-line directory service, dedicated to providing free up to date information, advice and guidance for parents, parents to be, carers and professionals to help support children up to their 19th birthday or 25th birthday if a child has special educational needs and/or disabilities (SEND). This service is suitable for any child accessing universal services appropriately but where some additional information or exploring additional options for support for the family would be beneficial, this includes information on SEND services – known as the Local Offer. Search the broad range of national and local information to give you easy access to registered childcare, leisure activities, support and services in our area:
Children and Families
Local offer for 0-25 year olds with additional needs
Wokingham Borough Council also offers a dedicated services called the CAN (Children with Additional needs) Network which provides information and support for children and young people with additional needs and their families.
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Early Help
Early Help refers both to help in the critical early years of a child’s life and to help throughout a child, young person and family’s life too. Early help intervention should happen as soon as possible when difficulties emerge in order to prevent problems from worsening or becoming entrenched. Working Together 2018 states that ‘Providing early help is more effective in promoting the welfare of children than reacting later. Early help means providing support as soon as a problem emerges, at any point in a child’s life, from the foundation years through to the teenage years.’
We recognise that emerging needs within families are often best supported by practitioners known to the family, such as health visitors, schools or community-based programmes offered by the voluntary sector. Wokingham Borough Council has developed an Early Help Hub to promote children and young people’s access to Early Help and Emotional Health support. The Early Help Hub does not provide direct support to children and young people but is a partnership between services across the public and voluntary sectors to enable children, young people and families in need of additional support to be linked into the most appropriate early help support to meet their needs.
Discussion at the Early Help Hub can help to reduce the need for agency waiting lists, identify opportunities for joint working, problem solves gaps or blockages in early help provision and ensure families who are discussed have a named professional for them to contact directly. The Early Help Hub will identify the most appropriate agency to take lead responsibility for cases where single agency support is required, which may include support within the family’s local community. Where families would benefit from support from more than one agency, the Early Help Hub will identify a lead professional to complete an Early Help Assessment and where appropriate arrange a Team around the Family meeting to agree a time limited, outcome focused plan with the family. All work is done with the consent of the family.
The key principles behind this approach are:
- Children and their families/carers will be supported to live safe, happy, healthy and fulfilling lives which promotes their development into responsible adult citizens
- Effective and timely early help services, and earlier response and intervention can break the inter-generational cycle of risk and vulnerability
- Effective early help services, and earlier response and intervention approaches, underpinned by robust Universal Services will support families to become more resilient and develop the capability to prevent and resolve problems themselves - this is our vision for community capacity building and developing an asset-based approach
- Effective and timely early help services with earlier response and interventions can help to reduce demand for higher cost specialist services and achieve much greater use of community based preventative services. These include our Children’s Centres, schools and voluntary services
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Risk of harm outside the family home
Contextual Safeguarding is an approach to understanding, and responding to, young people’s experiences of harm beyond their families.
It recognises that the different relationships that young people form in their neighbourhoods, schools and online can feature violence and abuse. Parents and carers have little influence over these contexts, and young people’s experiences of extra-familial pressures can undermine parent-child relationships. Therefore, children’s practitioners need to engage with individuals and sectors who do have influence over/within extra-familial contexts, and recognise that assessment of, and intervention with, these spaces/locations are a critical part of safeguarding practices.
Contextual Safeguarding, therefore, expands the objectives of child protection systems in recognition that young people are vulnerable to abuse in a range of social contexts.
We are developing a multi-agency approach to working with young people where traditional safeguarding approaches are not appropriate, but where significant harm to that young person exists. The levels of need described below include risks for these young people and cases that meet the threshold criteria, as with any other case, should be referred to the Duty, Triage and Assessment Team at Wokingham Children’s Services.
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Allegations Management
If a contact, regardless of the need of the child, indicates that a person who works with children (including volunteers) has:
- behaved in a way that has harmed, or may have harmed a child
- possibly committed a criminal offence against or related to a child or children; or
- behaved towards a child or children in a way that indicates they may pose a risk of harm to children
- behaved or may have behaved in a way that indicates he or she is unsuitable to work with children.
This must be referred to the Local Authority Designated Officer (LADO). The LADO will assess and determine any necessary action in relation to the worker. Responsibility for statutory safeguarding and assessing the needs of the child remains with Children’s Social Care. If it is not clear whether the Allegations Management threshold (as listed above) is met, the LADO is available for consultation. (Contact details are in the Useful Links section below.)
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Useful Links
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Acronyms
| ADHD |
Attention Deficit Hyperactivity Disorder |
| BWSCP |
Berkshire West Safeguarding Children Partnership |
| CYPMHS |
Child & Young People Mental Health Service |
| DTA |
Duty, Triage and Assessment Team |
| FGM |
Female Genital Mutilation |
| FIS |
Family Information Service |
| GP |
General Practitioner |
| LADO |
Local Authority Designated Officer |
| LSCB |
Local Safeguarding Children Board (replaced locally by the BWSCP) |
| MARF |
Multi-Agency Referral Form |
| MASH |
Multi-Agency Safeguarding Hub |
| NEET |
Not in Education, Employment or Training |
| SEND |
Special Education Needs and/or Disabilities |
| YOS |
Youth Offending Service |