Information Sharing form - SYVE

This information is to be shared with:	GRASP ☐ Direct to ReSET (18+) ☐
Date form completed	Enter a date.

Your Details

Name	Enter text.	Contact Number	Enter text.
Role & Service / Organisation	Enter text.	Email	Enter text.

Child / Young Person details

Child / Young Person Name	DOB	Gender	Ethnicity
Enter text.	Enter text.	Choose an item.	Enter text.
Telephone Number	Enter text.	Email Address (if 18+)	Enter text.
ETE Status	Enter text.	Name of school / college:	Enter text.
Current Address: (include length of time at address)	Enter text.
Current accommodation type and provider:	Enter text.	Is accommodation stable?	Choose an item.
If less than 6 months at current address, please provide previous address with start / end dates	Enter text.
Current framework / status	CFA ☐	CP ☐	CIN ☐	LAC ☐	Care Leaver ☐	Other LA LAC / Care Leaver ☐	Early Help Service ☐	YOS Order ☐	N/A ☐
FWi ID. (if app)	Enter text.	IYSS ID (if app)	Enter text.	PNC / Probation ID (if app)	Enter text.
Is child / young person also a parent?	Yes ☐ No ☐

SYVE concerns

Reason for sharing this information. Please include all details of relevant incidents, information and immediate risk issues which we would need to know about to keep the child / young person or others safe
Enter text.

Risk profile. Based on your current knowledge of the child / young person, please score the following risk areas. (Guidance on how to complete this section is at the end of this form.)
Concern Area	Low	Medium	High	Very High	Unable to confirm at this stage
Exploited CSE (Child Sexual Exploitation)	☐	☐	☐	☐	☐
Exploited CCE (Child Criminal Exploitation)	☐	☐	☐	☐	☐
Exploited MDS (Modern Day Slavery)	☐	☐	☐	☐	☐
Harm from others - violence	☐	☐	☐	☐	☐
Missing	☐	☐	☐	☐	☐
Radicalised	☐	☐	☐	☐	☐
Use of Weapons	☐	☐	☐	☐	☐
Harm to others – physically	☐	☐	☐	☐	☐
Harm to others - sexually	☐	☐	☐	☐	☐
Harm to others – emotionally	☐	☐	☐	☐	☐
Harm to others – criminal exploitation perpetrator	☐	☐	☐	☐	☐

Relationships / associations of concern. If applicable, please provide details of known associates or relationships of concern (individuals and or groups). Please include nature of relationship and the source of this information.
Enter text.

Offending history. If applicable, please outline relevant offending concerns and history to date. Please include details of any court orders (type / length / conditions and dates).
Enter text.
If there are any outstanding police/court matters, please give details.	Enter text.
If currently in prison, please confirm if remanded or sentenced with court dates or release date if known.	Enter text.

Other needs and vulnerabilities

Communication needs (including language / interpreting needs) – provide details if applicable
Enter text.

Additional needs or disabilities - provide details if known
Enter text.

Provide details of any other needs and vulnerabilities e.g. mental health, substance misuse, physical health
Enter text.

Other agencies and professionals involved /currently working with child / young person

Organisation / Service	Name of professional involved	Phone number and email	What role does this agency / professional have in the support and protection of this child / young person?	Impact of involvement including child / young person’s engagement level
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Family and household

Child/ren (if a parent)
Name	Current children’s Social Care framework / status (CFA, CIN, LAC etc)	Fwi ID (if app)
Enter text.	Enter text.	Enter text.
Enter text.	Enter text.	Enter text.
Enter text.	Enter text.	Enter text.

Parents / Carers (if under 18)
Name	Relationship to child / young person	Address if different to child / young person	Phone number	Email address
Enter text.	Enter text.	Enter text.	Enter text.	Enter text.
Enter text.	Enter text.	Enter text.	Enter text.	Enter text.

Other members of the household
Name	DOB (if known)	Gender	Relationship to child / young person
Enter text.	Enter text.	Enter text.	Enter text.
Enter text.	Enter text.	Enter text.	Enter text.
Enter text.	Enter text.	Enter text.	Enter text.
Enter text.	Enter text.	Enter text.	Enter text.

Desired outcomes

What would you like to happen as a result of sharing this information?
Enter text.

Once complete, please email to syve-panels@royalgreenwich.gov.uk

Risk rating guidance Low – There is little or no concern in this area. The behaviours (child/young person or another) are in line with typical child/adolescent development and relationships, which may include a level of exploration or risk-taking. Medium – There is an emerging or moderate concern in this area. The behaviours (child/young person or another) may not be part of an established pattern, and it is unlikely they will have resulted in serious harm – this is either serious injury/death or the equivalent in emotional harm. Serious harm to the individual or others may result if the behaviours continue or worsen. High – There is an established or higher-level concern in this area. The behaviours (child/young person or another) are repeated or increasing in severity. Harm to the individual or others is likely to have been caused, or there is a clear reason for believing it is imminent. Harm has the potential to be significant – either serious injury/death or the equivalent in terms of emotional harm. Very High – There is a clear, imminent risk of significant harm to the individual or others – either serious injury/death or the equivalent in terms of emotional harm. The likelihood is that behaviours (child/young person or another) are repeated, increasing in severity, and that past harm has been caused that is serious and/or frequent. There are additional risk factors, e.g. using weapons, adults or networks of particular concern, extreme recklessness.