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I am an agency HV in London new to the site who has recently joined a

trust with which current practice I feel very uncomfortable with.

My concerns are these;

There appears to be no minimum standards in relationship to Child

Protection/Families of concern

Routine risk assessments are not carried out and there is no tool in

which to faciliate this

A corporate caseload has no named accountable HV

Record Keeping is at an absolute minimum, a deliderate move 4 years

ago, a family card is not raised unless concerns are raised...as a

risk assessment is not carried out..how can health needs be identified

I would welcome views and opinions on national minimum standards,

good standardised practice, whether these exist, and in an agency

setting with whom does the acountability lie?

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