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INDEPENDENT SOCIAL CARE ASSESSMENT -
Family's request
Please complete the form below to request an assessment from an independent social worker

INDEPENDENT SOCIAL CARE ASSESSMENT

This service is provided by independent social workers:

Duncan Siret, is a qualified and registered child care social worker (SW40073). Before retirement he has been a social worker, social work team manager, Child Protection Conference Team Manager, and Complaints Manager amongst other roles. Duncan has worked with the Parent and Carer Alliance since August 2018 and has built up a lot of experience as a parent advocate.

Sarah Drake is a qualified and registered social worker (SW49732). Over her career, Sarah has worked with adults with physical and learning disabilities both in a social work and provider capacity. She has worked as a Social Worker and Senior Practitioner, in hospitals, physical rehabilitation and Intermediate Care, Adults’ and Children’s Services, in an 18 – 25 Disabilities Service, and as a Team Manager within Adult Safeguarding, Duty and Intake Teams.

Social care assessment report cost: from £750 
the cost may be agreed to be more due to the complexity of the assessment and the number of interviews needed

Travel time will be charged at £47.50 per hour, with mileage at £0.45 per mile

Following submission of this form you will be contacted to discuss your situation in more detail and to agree costs WHICH MUST BE PAID IN ADVANCE

Completing the Form

Please complete the form fully, giving as much information as possible.
Once you are at the front of the waiting list an independent social worker will contact you to arrange the assessment

Details of person making the request

Please give the name of the person making this request 
Please tell us a number that we could contact you on
If there is a date soon that the assessment is needed for, such as a Tribunal, meeting or case conference please tell us here

Details of the person who is to be assessed

Please give the name, address, and other details of the person who is to be assessed
Please highlight all that apply, hold down the control key and click to select.
Please give as much detail as possible

Submit

Please click the submit button below to send this form. Once the button is clicked a please wait message should appear, then disappear - the form has now been submitted. You will then be emailed a copy of the form, showing that it has been submitted.

If this doesn't happen, please scroll up for any error messages, as questions with a red star need to be answered for the form to submit. Any issues click here to contact us
AFTER CLICKING SUBMIT SCROLL UP TO CHECK THAT 'THANK YOU' MESSAGE APPEARS. YOUR PLACE WILL BE CONFIRMED ONCE YOUR PAYMENT IS RECEIVED
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