GP's, Dentists and Opticians

SCOPE OF THIS CHAPTER

This procedure applies to all Children Looked After.

RELATED CHAPTER

See Health Care Assessments and Plans Procedure.

This chapter was added to the manual in March 2019.

1. Notifications and Registration with GP's, Dentists and Opticians

As soon as a child becomes looked after, the child's social worker will notify the child's GP and the Health Team for Children Looked After, and arrange for the child's Statutory Health Needs Assessment - see Health Care Assessments and Plans Procedure.

The social worker must ensure that the child is registered with a GP, Optician and Dentist, preferably retaining registration with a practitioner known to the child. The social worker should liaise with the provider/carer to make these arrangements. For children who are unable to be registered with a dentist, contact the NHS Advice Line in the first instance. If this is unsuccessful a Social Worker can access the Community Dental Service. 

Details of the registration or any changes must be recorded, by the social worker, on LiquidLogic.

The child's GP should be recorded on LiquidLogic.

2. Appointments with GP's, Dentists, Opticians

If children appear to require or request it, appointments should be made for them to see their GP or other medical practitioners as appropriate.

When appointments are made, account should be taken of the child's wishes, for example, to see a practitioner of a preferred gender. Also, appointments should preferably be made which do not disrupt the child's education.

Parents and the child's social worker should, if possible, be consulted before making appointments; and they should be informed of the outcome. If a young person is Fraser Competent they should be asked whether they want parents/carers to know of the appointment and or outcome.

As appropriate, LiquidLogic should be updated to take account of these appointments. For children placed in foster care and residential care, these details must also be recorded in the relevant child's Daily Record.

3. Frequency of Checks by Dentists and Opticians

Children, who are looked after, need to be registered with, and have been seen by a dentist by the age of 12 months. They should have dental checks every 6 months or as directed by the dentist but no less than annually. They should also have the usual childhood checks to their eye-sight by a Health Visitor/School Nurse. Any concerns should lead to an urgent follow up appointment with an optician. If the child wears glasses, the checks should be as required by the optician.