Information needed when professionals raise a concern
As a professional completing a form to raise a concern you must provide detailed information, some of which is 'required', meaning you can't continue the form without it. As such, we recommend you gather and/or consider an amount of facts and data before you begin.
See what you need to gather about:
- the persons for whom you have concerns
- the Person Alleged to Have Caused Harm (PATCH)
- the person raising the concern
About the persons for whom you have concerns
To answer questions about the person or people for whom you have concerns, you will need:
- the NHS Number for the person for whom you have concerns (if known)
- name, and address (including postcode), telephone number and email address
- the date of birth, gender and ethnicity of person for whom you have concerns
- whether the person has any special communication needs preferred language and if an interpreter is needed
- whether the person has care and support needs and the primary reason for care and support, whether they receive services, details of the person working with the person
- whether the person is aware of the concern and that you're raising it, or why you're raising a concern while they are not aware
- whether the person has mental capacity to make decisions to safeguard themselves, or to accept support in relation to the outlined harm or potential harm
- a copy of the person's Mental Capacity Assessment in portable document format (pdf) or Microsoft Word format (optional upload)
- whether the person has support from a friend, relative, representative or formal advocate, and details of the support
- whether the person expressed any views or wishes about safeguarding intervention and details of their views
- details of your concern, including the date, type of abuse, and location of incident
- details of any injury, including description and copy of a completed body map
- whether the person continues to be at risk of harm or there is an emerging pattern of abuse
- details of any witness to the abuse (name, contact details)
- if any other professionals or agencies are aware of the concern, including their details
- an outline action taken to protect the individual and others
- whether the police have been informed (where a crime is suspected), including a crime reference number
- whether any medical attention has been sought, and details of the medical attention sought
- if anyone else is at risk of harm
- whether Children's Services need to be informed, and details of which service
- whether the person you're concerned about is a carer for another adult or child, and details of their role
About the Person Alleged to Have Caused Harm (PATCH)
To answer questions about the Person Alleged to Have Caused Harm (PATCH), you will need:
- the name, address (including postcode), telephone number and email address of the PATCH
- whether the PATCH is aware of the concern being raised
- the views of the PATCH on the concern being raised
- the relationship of the PATCH to the person of your concern
- what organisation the PATCH works for
- whether the PATCH is the main carer of the person of your concern
- whether the PATCH lives with the person of your concern
- whether there are any other people at potential risk from the PATCH, and details about who else is at risk
- whether the PATCH would pose a risk to anyone visiting the person they are allegedly harming, and details about the potential risk
- if the PATCH is someone who also has support and care needs
- if the PATCH is known to the City of York Council
About the person raising the concern
To answer questions about the person raising the concern, you will need:
- your own contact details (name, organisation, telephone number and email address)
- whether you're happy for these to be shared with third parties (or your reasons for wanting to remain anonymous)
Report concerns
As soon as you have sufficient details, don't delay, raise a concern.