DA Hubs Professional Submission Form - Lewisham Children & Family Centre

Domestic Abuse Advisory Hub Submission Form (1)

NOTE: ALL INFORMATION RELATING TO THE FAMILY MUST BE ANONYMISED FOR THE PURPOSE OF DISCUSSION WITH EXTERNAL PROFESSIONALS. ANY SUBMISSIONS THAT CONTAIN PERSONAL IDENTIFIABLE INFORMATION WILL BE REJECTED.
First Name*
Surname*
Email*
Phone*
Role*
CSC or Family Thrive Team*
Team Manager invited and agreed to attend?*
Team Manager's Name*
Team Manager's Email: (Please note that your Team Manager will be invited to the Hub and recommendations emailed to them after)*
Child Protection Chair invited and agreed to attend?*
Child Protection Chair's Name*
Child Protection Chair's Email*
LCS or EHM Number*
I agree by attending the Domestic Abuse Advisory Hub that anything discussed will remain confidential unless we are worried about aspects of the case or that you, or someone close to, is at risk of harm. I also agree that all case information has been anonymised for the purpose of discussion with external professionals:
Consent*
I agree to the above
Provide a summary of your concerns in relation to Domestic Abuse*
What are you hoping to gain by presenting the case to the Domestic Abuse Advisory Hub?*
Select Date*
Disclaimer*
I agree by attending the Domestic Abuse Advisory Hub that anything discussed will remain confidential unless we are worried about aspects of the case or that you, or someone close to, is at risk of harm
Phone
This field is for validation purposes and should be left unchanged.

“My child and I have really enjoyed coming to Little Explorers. It has helped my child to get used to see other babies and have interaction with them, which has been really important for him after the pandemic.”

“It's absolutely fab to be able to have access to all of the Domestic Abuse services in one place and to just click on a link to get to the website.”

“The Children Centre is our favourite place to come, we have been coming here since my child was 6 months old, he is now 4 years old and is still enjoying! Well done staff”

“I have just found the ‘taking care of ourselves’ section, which is massively important for us all, especially compassion fatigue.”

“The help and support that my family support worker gave me was above and beyond, she was always there to listen to me and make me feel like I was good enough and I was being heard.”

“The Outreach Team have such outgoing, friendly and fun personalities and made each Outdoor Learning session a great experience.”

“The Explorers session has helped my child a lot with his communication and his development. It’s really been impactful for him; we are really grateful to have this opportunity to attend the session and meet other parents as well.”

“The sessions help my daughter with speaking English, as well as helping her to listen and follow directions. I am very happy, my baby is very happy, and I feel relief when I come.”

“The Children Centre is very beneficial for my child, she has developed lots of skills e.g., sharing toys and naming colours. Also, the staff are very friendly and helpful.”

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Domestic Abuse Advisory Hub Submission Form (1)