Caption: Level Two - Preventative Services - Single Service Response
1. Development Needs of Baby (including unborn Child), Child or Young Person

Health, e.g.

  • Defaulting on immunisations/checks;
  • Is susceptible to minor health problems;
  • Slow in reaching developmental milestones;
  • Minor concerns re diet/hygiene/clothing;
  • Smokes;
  • Starting to default on health appointments;
  • Continence problems, over/underweight;
  • Teenage pregnancy (targeted service).

Education and Learning, e.g.

  • Have some identified learning needs that place him/her on Early years/School Action/School Action Plus of the Code of Practice;
  • Poor punctuality;
  • Pattern of regular school absences;
  • Not always engaged in learning, e.g. poor concentration, low motivation and interest;
  • Not thought to be reaching his/her educational potential;
  • Reduced access to books/toys.

Emotional and Behavioural Development, e.g.

  • Some difficulties with peer group relationships and with adults;
  • Single episode of self harm (inc substance misuse);
  • Some evidence of inappropriate responses and actions;
  • Can find managing change difficult;
  • Starting to show difficulties expressing empathy.

Identity, e.g.

  • Some insecurities around identity expressed, e.g. low self-esteem for learning;
  • May experience bullying around "difference".

Family and Social Relationships, e.g.

  • Some support from family and friends;
  • Has some difficulties sustaining relationships.

Social Presentation, e.g.

  • Can be over-friendly or withdrawn with strangers;
  • Can be provocative in appearance and behaviour;
  • Personal hygiene starting to be a problem.

Self-care Skills, e.g.

  • Not always adequate self-care, e.g. poor hygiene;
  • Slow to develop age-appropriate self-care skills.
2. Parents and Carers 3. Family and Environmental Factors

Basic Care

  • Parental engagement with services is poor;
  • Parent requires advice on parenting issues;
  • Professionals are beginning to have some concerns around child's physical needs being met.

Ensuring Safety

  • Some exposure to dangerous situations in the home or community;
  • Parental stresses starting to affect ability to ensure child's safety.

Emotional Warmth

  • Inconsistent responses to child by parent(s);
  • able to develop other positive relationships.


  • Spends considerable time alone, e.g. watching television;
  • Child is not often exposed to new experiences.

Guidance and Boundaries

  • Can behave in an anti-social way in the neighbourhood, e.g. petty crime;
  • Parent/carer offers inconsistent boundaries.


  • Key relationships with family members not always kept up;
  • May have different carers;
  • Starting to demonstrate difficulties with attachments.

Family History and Functioning

  • Parents have some conflicts or difficulties that can involve the children;
  • Has experienced loss of significant adult, e.g. through bereavement or separation;
  • May be needed to look after younger siblings;
  • Parent has physical/mental health difficulties;
  • Multiple changes of address.

Wider Family

  • Some support from friends and family.


  • Adequate/poor housing;
  • Family seeking asylum or refugees.


  • Periods of unemployment of the wage earning parent(s);
  • Parents have limited formal education;
  • Parents starting to feel stressed around unemployment or work situation.


  • Low income.

Family's Social Integration

  • Family may be new to the area;
  • Some social exclusion experiences.

Community Resources

  • Adequate universal resources but family may have access issues.