Guidance on Health Assessments for Looked After Children in Scotland
This guidance has been produced to assist those involved in carrying out health assessments of our looked after children and young people. It sets out the minimum standardised elements of a health care pathway which we would expect Boards to implement in collaboration with local authorities and other organisations.
Annex A
Subset of Data to be Captured on All Looked After Children and Young People's Health Assessments
The following core subset of information should be captured electronically on all completed assessments using the definitions specified.
| Variable | Definitions | Comment |
|---|---|---|
| Child's personal identifiers and demographics | ||
| First name | ||
| Surname / family name | ||
| Gender | Male/female | |
| DOB | DD/MM/YYYY | |
| Ethnicity | See code list at end | |
| Family home postcode | Full postcode e.g. EH12 9EB | |
| Current residence postcode | Full postcode e.g. EH12 9EB | |
| CHI number | Unique identifier of patients within Scottish health service | |
| LA child social work identifier | Unique identifier of children within LA management information systems | If known |
| Scottish Candidate Number | Unique identifier of pupils within the Scottish education system | If known |
| Looked after history | ||
| Looked after status | See code list at end | |
| Date this episode of being looked after started | DD/MM/YYYY | |
| First episode of being looked after? | Yes/no | |
| Assessment provision | ||
| Date of health assessment | DD/MM/YYYY | Indicate date on which assessment was completed if undertaken over more than one appointment |
| Professional conducting assessment | Health Visitor School Nurse LAC specialist nurse General practitioner Community paediatrician Other | Tick all that apply if more than one professional involved |
| Health Assessment | ||
| Growth | ||
| Weight | Weight in kg to one decimal place | Weight and height centiles, BMI, and BMI centile can be calculated from this, date of birth, date of review, and gender |
| Height | Height in cm to one decimal place | |
| Gestation | Gestation at delivery in completed weeks | For infants aged <1 year only to indicate if gestational correction needed when calculating growth centiles |
| Development | ||
| Developmental concern | No concern, concern newly suspected (i.e. as a result of the health assessment), concern/disorder previously identified | Concern about a child's development in any domain (e.g. motor, language, cognitive, social) identified after history, observation, and any formal assessments such as SOGs or ASQ For children aged 0-9 years only to fit with BAAF form? If so, note this doesn't quite fit with the age appropriate assessment content suggested in this guidance |
| Immunisation | ||
| Child fully immunised for age | Yes/no | Based on current Scottish vaccination schedule, child's vaccination history, and child's age |
| Dental Health | ||
| Currently registered with a dentist | Yes/no | |
| Attended dentist within last 12 months? | Yes/no | Lower age limit eg ≥1 year? |
| Mental Health | ||
| SDQ result | Score for each of the SDQ subscales ie Emotional symptoms Conduct problems Hyperactivity Peer problems Prosocial | |
| Type of SDQ used | Parent completed 4-16 years Teacher completed 4-16 years Parent completed 3-4 years Educator completed 3-4 years Self completed 11-17 years | This may be needed to understand the scores recorded above |
| Substance use | ||
| Current smoker | Does the child smoke at least one cigarette a week (SALSUS and Scottish Health Survey definition for children) | Note this is not clearly recorded in the BAAF form but I would have thought this was pretty straightforward to collect. Children age ≥11 years only |
| Disability | ||
| Has a disability | Binary yes/no. If yes, longer list of types of disability to select from (e.g. list of longstanding illnesses from Scottish Health Survey). | |
Ethnicity code list
Please note that this code list is the one developed for the 2011 census and is used as standard across the NHS. Alternative code lists should not be used.
Code 99 indicates that the individual was not asked to give their ethnicity. If they are asked but decline to answer, code 98 should be used.
Group A - White
1A Scottish
1B Other British
1C Irish
1K Gypsy/ Traveller
1L Polish
1Z Other white ethnic group
Group B - Mixed or multiple ethnic groups
2A Any mixed or multiple ethnic groups
Group C - Asian, Asian Scottish or Asian British
3F Pakistani, Pakistani Scottish or Pakistani British
3G Indian, Indian Scottish or Indian British
3H Bangladeshi, Bangladeshi Scottish or Bangladeshi British
3J Chinese, Chinese Scottish or Chinese British
3Z Other Asian, Asian Scottish or Asian British
Group D - African
4D African, African Scottish or African British
4Y Other African
Group E - Caribbean or Black
5C Caribbean, Caribbean Scottish or Caribbean British
5D Black, Black Scottish or Black British
5Y Other Caribbean or Black
Group F - Other ethnic group
6A Arab, Arab Scottish or Arab British
6Z Other ethnic group
Group G - Refused/Not provided by patient
98 Refused/Not provided by patient
Group H - Not Known
99 Not Known
Looked after status code list
Please note that this code list is that used by the Scottish Government for national LAC returns. Alternative code lists should not be used.
01 At home with parents (or 'relevant persons' as defined in Sec. 93(2)(b) of the Children's (Scotland) Act 1995)
02 With friends/relatives (who are not approved foster carers)
03 With foster carers provided by local authority
04 With foster carers purchased by local authority
05 With prospective adopters
06 In other community placement (e.g. supported accommodation)
07 In Local Authority home
08 In voluntary home
09 In residential school (LA, voluntary, private or independent)
10 In secure accommodation
11 Crisis care (e.g. women's refuge, hostel for offenders, hostel for drug/alcohol abusers)
12 Other residential setting
Contact
Email: Carolyn Younie
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