Team around the Family Assessment Form
Date assessment started
Immediate family information
Children and Young People
Name
Date of birth
Gender
M/F
Ethnicity
Disability
Who has parental
responsibility
Date of birth
Gender
M/F
Ethnicity
Disability
Relationship
Parents/Carers details
Name
Primary language of the family:
Family address(es):
Contact numbers:
Relevant information including immediate family and/or other significant adults details:
Those who took part in the assessment
Including family/wider family/professionals
Team around the Family Assessment Form
Practitioner details
Lead professional completing the assessment
Name
Job role and
Address
agency
Contact details
Telephone
Mobile
Email
Name
Job role and
agency
Address
Contact details
Telephone
Mobile
Email
Who else is working with the family
Please include Health, Education and any other agencies currently involved with the family
Agency:
Main contact
Contact details
Agency:
Main contact
Contact details
Agency:
Main contact
Contact details
Agency:
Main contact
Contact details
Agency:
Main contact
Contact details
Reason for assessment
Team around the Family Assessment Form
Assessment information
Development of unborn/Children/Young People
In this part you should assess all children and young people in the family. Please consider health, education,
emotional and behavioural development, identity, family and social relationships, social presentation and self care
skills
What works well and needs to continue?
What doesn’t work well and needs to change?
Are there any clear next steps for the family?
Are there any clear next steps for professionals?
Parents and Carers
In this part you need to consider parental factors that may influence the parenting capacity and in turn affect the
needs of the children and young people. Please consider ability to offer basic care, safety, emotional warmth,
stimulation and play, guidance and boundaries and stability.
Other factors may include learning capacity, any disabilities, mental health and substance misuse
What works well and needs to continue?
What doesn’t work well and needs to change?
Are there any clear next steps for the family?
Are there any clear next steps for professionals?
Team around the Family Assessment Form
Wider family and environment
In this part you need to consider any further issues that affect the family functioning. Please consider family history,
wider family, housing, employment, income, social integration and community resources
What works well and needs to continue?
What doesn’t work well and needs to change?
Are there any clear next steps for the family?
Are there any clear next steps for professionals?
Summary and analysis
Summary of strengths/resilience
Summary of worries and concerns
Desired outcomes (how will we know things have changed?)
Team around the Family Assessment Form
Are there any safeguarding concerns?
If so how are these being managed?
Wishes and feelings of Children and Young People
Views and wishes of Parents/Carers
What needs to happen next
Are there any immediate actions?
Action?
Who?
When?
Outcome of TAF assessment
Family can be supported through universal services or
single agency targeted response
TAF Plan not needed:
Family can be supported via a TAF plan to coordinate
multiple and/or complex needs:
TAF meeting to be arranged
Family have complex and multiple needs. More information
needed/unsure of next steps?
Discuss with line manager and consider Consultation with ESAT
tick if appropriate
Level 1/2
tick if appropriate
Level 2/3
Level 3
Contact ESAT
0300 123 7047
tick if appropriate
Team around the Family Assessment Form
Family are in need of specialist intervention from Children’s
social care:
Discuss with line manager and Contact CART immediately
Level 4
Contact CART
01606 275099
tick if appropriate
Date assessment completed
Consent to store and share this information
I understand the information that is recorded on this form. I understand it will be stored securely
and used for the purpose of providing services. I understand how my information will be shared.
I agree that the agencies who need to receive this information are:
Parents/Carers received a copy of the TAF assessment
Children/Young People received a copy of the TAF assessment
Print Name
Signature
Date
Date
Date
Parent/carer
Parent/carer
Child/Young person
Child/Young person
Practitioner
Manager’s authorisation
Name:
Comments:
Signature :
Date:
Team around the Family Assessment Form