Download chronology of significant events

Guidance for Implementation and Completion of the Chronology of
Significant Events form in School Nurse and Health Visitor records
Aim
The chronology of significant events will provide health professionals with
an overview of significant events, which may impact on the child’s health
and wellbeing. This enables health professionals to undertake a
continuous assessment of the child’s needs within the wider family
Implementation
The long-term aim is for each child’s health visitor and school health record
to include a chronology of significant events
Implementation of the chronology will be a phased process
 A chronology of significant events form should be commenced in all
new records i.e. all new births and transfers into Trafford
 A chronology of significant events should be commenced in all
records where the children are brought to safeguarding supervision
 A chronology of significant events will be commenced when the child
attends for a routine developmental check or health screening
appointment
 A chronology of significant events will be commenced by school
nurses at school entry and transition to year 7
The chronology will be completed from current date and only completed
retrospectively when safeguarding or other health concerns identify a need
for a chronology to be commenced.
Advice and support re this aspect of record keeping can be accessed from
the Named Nurses for Safeguarding Children.
The chronology of significant events is discussed at Level 3 safeguarding
children training
Completion of chronology
1. The first entry of the Health Visitor/ School Nurses chronology of
significant events will be the Health Visitor’s/ School Nurses first
assessment of level of need of the child and family (i.e. antenatal
contact, birth visit, transfer in contact) unless other information i.e.
2.
3.
4.
5.
6.
7.
8.
child protection information precedes the initial contact and
assessment
The chronology should include information from assessments and
documentation including observations at contacts
Chronology should include information received from other sources
i.e. A&E discharge information
Chronology should include information about referrals to other
services
Chronologies should include information about the parenting
capacity, family and environmental factors and child’s developmental
needs
Guidance on what information may be included in the chronology of
significant events is attached to the chronology of significant events
form see appendix A
Entries into chronology should be a brief statement of information
and not duplication of information recorded in records (therefore
significant events not all contacts need to be recorded).
Chronologies should be filed at front of health professionals records
and be immediately accessible
Review date of guidelines May 2011
Appendix A
Page Number:
TRAFFORD HEALTH RECORDS
CHRONOLOGY OF SIGNIFICANT EVENTS
Name:
Date of Birth:
Address:
Date & Time
Event
Signature/
Professional
Status
This form is to be used to record a brief chronology of events that could (singly or collectively) have an
adverse effect on health, safety or wellbeing of the children
This is a two page document – as indicated overleaf
SIGNIFICANT EVENTS
Address Changes
Record all changes of address and also other contact addresses where child can be found.
Level of Need Identified
Universal Services
Common Assessment Form Completed
Record and file common assessment documentation.
Child In Need Meetings
Child Protection Strategy Meeting/Case Conference
Record the outcome – to include conference recommendations.
Court Orders / Children in Care
Eg, Private law proceedings or care / supervision orders.
Death/Significant Illness of a Child/Parent Carer
To include incidents that may impact (directly or indirectly) on the safety or direct care of the child.
Drug and Alcohol Related Incidents
To include other agency involvement (if applicable).
Changes of GP or School (including not registered with GP or School)
A pattern of frequent changes may emerge.
Housing Problems
To include house repossession; family living in bed and breakfast accommodation; damp and squalid
conditions.
Hospital Attendance
Any attendance at A&E, Walk in Centre or GP Out of Hours of child. Attendance of a parent or main
carer, when it may impact on the direct care.
Inpatient Episodes
Such as injuries, accident or non-accidental – eg, RTA, ingestion, and safety/neglect issues.
Non-Compliance of a Parent/Main Carer with Health Services
Non-attendance/compliance with health care or prescribed treatment, that could adversely affect the
parent’s/carer’s ability to adequately care for/protect the child, eg, drug service; mental health services
etc.
Non-Compliance with Health Care / Paediatric/Health Related Services
This may indicate a pattern of repeated no access with planned visits; and failing to attend for
immunisation; health screening. Non-attendance for appointments that could result in the child’s health
being compromised, eg, cardiology, Audiology etc. treatment plan.
Concerns/Disclosure
To include concerns from health professional; friends; family or anonymous allegations. Child
accommodated by the local authority – record the reason for the child to be out of the family home.
Domestic Abuse
Domestic abuse incident received/MARAC referral.
Social Services Referrals
Record reason for contact.