№ lp_2_3_62008
File format: docx
Character count: 21493
File size: 286 KB
Official NHS and Local Authority referral and consent form establishing the collection of personal, educational and health information and authorising multi-agency assessment for neurodevelopmental conditions in children and young people within St Helens.
Region:
St Helens
Country:
United Kingdom
Type of document:
Referral form and parental consent form
Service:
St Helens Neurodevelopmental Pathway
Subject:
Neurodevelopmental assessment of children and young people
Target group:
Children and young people with suspected neurodevelopmental needs and their parents or carers
Agencies involved:
Health, Education and Social Care services
Legal framework:
Data Protection Act 2018; General Data Protection Regulations 2018
Diagnostic standards referenced:
ICD-10; DSM V; NICE Guidelines (2011)
Assessment scope:
Autism spectrum disorder; Attention deficit hyperactivity disorder
Information sharing:
Multi-agency information sharing with named and relevant services
Consent duration:
Until the child is closed to the service
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.
The file will be delivered to the email address provided at checkout within 12 hours.
Don’t have cryptocurrency yet?
You can still complete your purchase in a few minutes:- Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
- In the app, tap Send.
- Select network, paste our wallet address.
- Send the exact amount shown above.
The final amount may vary slightly depending on the payment method.
The file will be sent to the email address provided at checkout within 24 hours.
The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Contextual Description:
A form requesting access to the ESR Supervisor Self-Service system, including sections for applicant details, smartcard information, organizational details, staff management, manager authorization, and employee confidentiality declaration.
Service name:
St Helens IASS (Information, Advice and Support Service)
Type of service:
Statutory information, advice and support service
Cost:
Free
Confidentiality:
Confidential and impartial
Target group:
Children and young people aged 0–25 with SEND/Disability and their parents/carers
Geographical area:
St Helens
Scope:
Education, social care and health related to SEND
Additional resources:
Information page within the St Helens Local Offer
Response timeframe:
7–14 working days
Contact methods:
Telephone, email, text message
Follow-up procedure:
Up to three contact attempts; follow-up email after telephone advice
In-person support:
Attendance at meetings subject to relevance and staff availability
Drop-in location:
Sutton Hub, Ellamsbridge Road, St Helens
Drop-in schedule:
Mondays (term time only), 13:00–15:00
Related processes:
EHC needs assessment, mediation and tribunal appeals
Date:
May 18, 1980
Region / City:
Washington
Topic:
Volcanic eruption, topography, geology
Document type:
Educational exercise
Organization / Institution:
Not specified
Author:
Not specified
Target audience:
Geologists, students, educators
Period of validity:
1980s, ongoing
Date of approval:
Not specified
Date of amendments:
Not specified
Year:
2022-23
Region / City:
St. Helens, OR
Topic:
Sports
Document Type:
Schedule
Organization:
St. Helens Middle School
Author:
Not specified
Target Audience:
Students, parents, and staff
Period of Action:
January 25, 2023 – February 16, 2023
Date of Approval:
Not specified
Date of Changes:
Not specified
Year:
2022-2023
Institution:
St. Helens Middle School
Type of document:
Sports schedule
Sport:
Track and Field
Region / City:
St. Helens, Oregon, USA
Target audience:
Students, Parents, Coaches
Event dates:
April 13, 2023 – May 13, 2023
Locations:
St. Helens High School, Banks High School, Scappoose High School
Contact numbers:
503-543-7111, 503-324-2281
Departure times:
8:30 am (bus for May 13 event)
Notes:
Return times approximate, students instructed to call home 30 minutes prior to arrival
Year:
2021
Region / City:
St Helens, Merseyside, United Kingdom
Subject:
Planning and land development
Document Type:
Planning inquiry report
Authority:
St Helens Borough Council
Appellant:
Peel L&P Developments Ltd
Site Area:
42.3 hectares
Land Use:
Agricultural and Green Belt
Proposed Development:
Up to 167,225 sq m B8/B2 with ancillary offices, car parking, landscaping, and infrastructure
Site Access:
A49 Lodge Lane, A580 East Lancashire Road
Nearby Settlements:
Haydock, Golborne, Ashton-in-Makerfield
Environmental Designation:
Merseyside Green Belt
Planning History:
Multiple prior applications including gas well drilling (2000), methane extraction (2001/2002), buried pipeline (2009), and electricity generation plant (2015)
Transportation:
Adjacent to M6, bus routes, pedestrian and cycle access, nearby train stations
Year:
2017
Location:
St. Helens, UK
Topic:
Local Offer website redevelopment
Document type:
Consultation report
Organization:
St. Helens Council
Author:
SEND Development and Local Offer Officer, St. Helens Young Advisor
Target audience:
Children and young people, school staff, parents and carers
Dates of sessions:
17–21 April 2017
Participating schools:
Cowley International Language College, Allanson Street Primary School, Broad Oak Primary School, Carr Mill Primary School, Queens Park Primary School
Participants’ age range:
6–15 years
Participants with SEND:
Included, with support provided
Session duration:
1.5–2 hours per session
Tasks conducted:
Visual surveys, design sheets, verbal discussions
Consent:
Obtained from parents and carers prior to sessions
Year:
20___ - 20___
Location:
Westfield, New Jersey, USA
Institution:
St. Helen Parish
Type:
Community service record / Student volunteer log
Audience:
Students participating in parish service
Author/Responsible:
Parish staff
Service guidelines:
Based on Corporal and Spiritual Works of Mercy (Matthew 25:31-46)
Parental consent:
Required
Supervisor signature:
Required for validation
Contact:
Mike Fusco, 908-232-1214, ext. 103, [email protected]
Year:
2019
Region / City:
St. Helens
Theme:
Equity, Education, Social-Emotional Learning
Document Type:
Action and Response Plan
Organization / Institution:
St. Helens High School
Author:
St. Helens High School Administration
Target Audience:
Students, Staff, Families, Community Members
Effective Period:
January 2019 - Ongoing
Approval Date:
January 2019
Date of Changes:
Ongoing
Note:
Contextual Description
Year:
1980
Location:
Mount St. Helens, Washington, USA
Topic:
Volcanology, Natural Hazards
Document Type:
Educational Assignment
Institution:
United States Geological Survey (USGS)
Author:
Not specified
Target Audience:
Students studying geosciences
Period Covered:
Pre-eruption and eruption of May 18, 1980
Resources:
Videos, USGS hazard maps, seismic data
Year:
2026
Region:
North East Essex, UK
Subject:
Neurodevelopmental disorders in children and young people
Document type:
Guidance booklet
Organization:
Suffolk and North East Essex Integrated Care Board; East Suffolk North East Essex Foundation Trust (ESNEFT)
Audience:
Parents and carers of children and young people
Content focus:
Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), neurodiversity, diagnostic pathway, support services
Purpose:
Explanation of assessment and diagnostic pathway for neurodevelopmental disorders
Acute Inpatient Psychiatric Admission Form for Patients Aged 10–17 with Neurodevelopmental Disorders
Patient Name:
____________________________________________
Date of Birth:
____________________
Home Address:
_________________________________________________________________________
Parent/Guardian Name/Phone/Email:
______________________________________________________
Expected Admission Type:
Voluntary / Involuntary
Referral for:
Acute Inpatient Psychiatric Treatment, approximately 30 days
Target Population:
Patients aged 10–17 with autism spectrum disorder, intellectual disability, or related neurodevelopmental disability
Current Psychiatric Provider:
UNC Psychiatry Outpatient (if applicable)
Diagnoses:
_____________________________________________________________________________
Current Medications:
____________________________________________________________________
Medical Problems:
______________________________________________________________________
Isolation Precautions:
No / Yes
Past Medical Hospitalizations or Surgeries:
__________________________________________________
Previous Psychiatric Treatment:
___________________________________________________________
Substance Use:
_________________________________________________________________________
Post-Treatment Residence Confirmed:
No / Yes
Department of Social Services / Child Protective Services Involvement:
_________________________
Consent for Medical Treatment:
___________________________________________________________
Last COVID Test:
___________________
Laboratory Results:
Within normal limits / Not done / Any abnormalities: ______________________
Pregnancy Status:
No / Yes
Seizure History:
No / Yes, well-controlled / Yes, uncontrolled
Last Vital Signs:
T______ P______ BP______ RR______ O2 Sat _____ Weight______ Height_______ BMI_________
Pending/Past Legal Problems:
_____________________________________________________________
ADL Support:
Independent / Needs Assistance with Eating, Hygiene, Walking (specify assist device)
Communication Method:
Verbally (sentences/words/phrases), Sign language, Pictures, Device, Gestures
Sensory Needs:
Hearing impaired / Visually impaired / Over/undersensitive to ____________________
Year:
2024
Region / City:
Rotherham
Topic:
Neurodevelopmental Assessments
Document Type:
NHS guidance
Organization:
NHS South Yorkshire ICB
Target Audience:
Patients, families, GPs, healthcare providers
Period of Validity:
Ongoing
Approval Date:
March 2024
Date of Changes:
None
Context:
NHS guidance on the Right to Choose and referral pathways for neurodevelopmental assessments in Rotherham for both children and adults.
Year:
2026
Region / city:
Not specified
Document type:
Questionnaire
Target audience:
Parents / Carers of child/young person
Associated service:
Single Point of Access (SPOA) for Neurodevelopmental assessments
Child details:
Name, Date of Birth, Gender, School / Nursery, Home education status
Professional involvement:
GP, Community Paediatrician, Health Visitor/School Nurse, Speech and Language Therapist, Clinical Psychologist, Educational Psychologist, Early Years Inclusion Team, Occupational Therapy, CAMHS, Physiotherapy, Social Worker
Family history:
Autism Spectrum Disorder, ADHD, Learning difficulties, Mental health difficulties, Genetic conditions
Medical history:
Pregnancy, birth, hospital admissions, current medications
Year:
2026
Region:
North East Essex, United Kingdom
Topic:
Neurodevelopmental disorders in children and young people
Document type:
Guidance booklet
Organization:
Suffolk and North East Essex Integrated Care Board, East Suffolk North East Essex Foundation Trust (ESNEFT)
Audience:
Parents and carers of children and young people
Content focus:
Autism, ADHD, neurodiversity, diagnostic pathway, local support services
Distribution:
Publicly available for families in North East Essex
Year:
Not specified
Region / City:
North East Essex
Topic:
Neurodevelopmental disorders, Autism, ADHD
Document Type:
Guide
Organization / Institution:
Suffolk and North East Essex Integrated Care Board, East Suffolk North East Essex Foundation Trust
Author:
Not specified
Target Audience:
Parents and carers of children with neurodevelopmental disorders
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Organization / institution:
Suffolk and North East Essex Integrated Care Board, East Suffolk North East Essex Foundation Trust (ESNEFT)
Target audience:
Parents and carers of children and young people with possible neurodevelopmental disorders
Note:
Year
Theme:
Neurodevelopmental disorders, Autism, ADHD
Document type:
Guide
Organization / institution:
Suffolk and North East Essex Integrated Care Board, East Suffolk North East Essex Foundation Trust (ESNEFT)
Target audience:
Families of children and young people with neurodevelopmental disorders
Year:
2023
Region / city:
Forth Valley
Topic:
Neurodevelopmental Disorders, Education
Document type:
Guidance
Organization:
Forth Valley NHS
Author:
Not specified
Target audience:
Local Authority Education Staff
Period of validity:
Not specified
Date of approval:
Not specified
Date of changes:
Not specified
Note:
Year
Contextual description:
Professional resume detailing academic and clinical appointments, education, certifications, and service commitments in the field of psychiatry, particularly child and adolescent mental health.