North Wales Advocacy Referral Form

Section 3: Issue Based Advocacy Information

Please outline the issues and reasons for this referral*

Prove you're not a robot. Which number is the highest, 3 or 5?*

Section 3: to be completed for children and young people entering the Child Protection arena requiring an Active Offer Meeting

The referred child/young person is entering the Child Protection arena and their Initial Child Protection Case Conference meeting is scheduled to take place as follows:

Type of meeting

Date of meeting*

Time of meeting*

:

Venue of meeting*

Prior to the above meeting taking place, please arrange for an advocate to meet with the child/young person to explain the following:

the role of advocacy, what it can and cannot do – the right for children and young people to be supported to express their views, wishes and feelings as well as their right to make a complaint
the range of advocacy support options available including Formal/Practitioner Advocacy (i.e. social worker, teacher, health professionals), Informal Advocacy (a family member or carer), Peer Advocacy and Independent Professional Advocacy
the role and contact details of MEIC Cymru Helpline and the Children’s Commissioners Office information about the UNCRC and children’s rights
Child Protection processes including what happens in a Child Protection Conference and the role of the different professionals present in those meetings
their right to advocacy support

The advocate will record that the meeting has taken place along with the outcome of the meeting and this detail will be reported back to the referrer.

Prove you're not a robot. Which number is the highest, 3 or 5?*

Section 3: to be completed for looked after children and young people requiring an Active Offer Meeting (only an Independent Professional Advocate can conduct an Active Offer Meeting)

The above named child/young person came into Local Authority Care on:*

Type of meeting

Date of meeting*

Time of meeting*

:

Venue of meeting*

Prior to the above meeting taking place, please arrange for an advocate to meet with the child/young person to explain the following:

the role of advocacy, what it can and cannot do – the right for children and young people to be supported to express their views, wishes and feelings as well as their right to make a complaint
the range of advocacy support options available including Formal/Practitioner Advocacy (i.e. social worker, teacher, health professionals), Informal Advocacy (a family member or carer), Peer Advocacy and Independent Professional Advocacy
the role and contact details of MEIC Cymru Helpline and the Children’s Commissioners Office
information about the UNCRC and children’s rights
Child Protection processes including what happens in a Child Protection Conference and the role of the different professionals present in those meetings
their right to advocacy support

The advocate will record that the meeting has taken place along with the outcome of the meeting and this detail will be reported back to the referrer.

Prove you're not a robot. Which number is the highest, 3 or 5?*

Referer's email address*

Referral reply will be sent to this address

North Wales Advocacy Referral Form

North Wales Advocacy Referral Form

Step 1 of 3

Section 1: Child/Young Person’s Personal Information

Section 2: Referral Information

Section 3: Issue Based Advocacy Information

Section 3: to be completed for children and young people entering the Child Protection arena requiring an Active Offer Meeting

Section 3: to be completed for looked after children and young people requiring an Active Offer Meeting (only an Independent Professional Advocate can conduct an Active Offer Meeting)

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