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PART 1
CarmarthenshireJoint Assessment Family Framework (JAFF)
Request for Support
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CARE FIRST ID NAME & SURNAME D.O.B. AGE RELATIONSHIP
For office use only:-
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Information for familiesChildren, Young People and their
Families sometimes need a little extra help for happy, healthy and
successful lives. A TAF approach can pull the right people together
to help you.
What TAF is all about...
What sort of things can a TAF approach help with?• Parenting
stresses and problems• Difficulties in accessing services•
Signposting families looking for support
Team Around the Family (TAF) inCarmarthenshire
It’s about talking about strengths as well as areas that could
be improved
It’s about bringing the right people together who can help into
your Team Around the Family
If you think TAF can help you, you can:Speak to someone who is
already working with
you ORSpeak to your child’s school OR
Contact the Family Information Service
Family Information ServiceTelephone: 01267 246555
FIS text service: Please start your message with ‘Children’ and
send to 07786 202747
email:
[email protected]/team-around-family/
TAF is all about making life better for you and your family
It’s about getting you the right help at the right time
TAF is VOLUNTARY and you can say NO at any time
It’s about working with you, because you are an important member
of that team
It’s about listening to you and giving you the right choices
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Personal information processed by Carmarthenshire County Council
is done so in accordance with Data Protection legislation. Your
information will be kept secure at all times and only used with
your full knowledge and consent. In certain circumstances
Carmarthenshire County Council may be required to share your
information without your consent, for example where legally
required to do so to protect an individuals’ safety, or to prevent
fraud etc.
Carmarthenshire County Council will use the information
contained within this form for the purpose of delivering the TAF
service to you. This may involve sharing your information with
partner organisations to do so.
If you would like further information about how the TAF service
is delivered or have any specific queries in relation to how your
information is processed, please contact the team on:
Telephone: 01267 246555Text: Please start your message with
‘Children’ and send to 07786 202747
Email: [email protected]:
fis.carmarthenshire.gov.wales/team-around-family/
I confirm that I have read and understood the information
contained within this form and consent to Carmarthenshire County
Council processing my information for the purpose of delivering the
TAF service to me/my family.
Your attendance at the TAF Panel is not required. However if you
wish to be present, the necessary arrange-ments can be made. Please
tick this box if you would like to attend the TAF Panel.
Request for support cannot be accepted without either written or
verbal consent on the JAFF Part 1
Please note the date if verbal consent gained.
Signed (Parent/Carer) Print Name Date
Signed (Young Person if applicable) Print Name Date
Consent
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Please complete all that is applicable. Fields marked * are
MANDATORY.
Please state who is completing this form:
Parent/Carer Young Person Practitioner/Professional
Name of Child or Young Person (under 25)*
Date of Birth of Child / Young Person*
Previous TAF Support Yes/No TAF No if known
Preferred language
Preferred correspondence language
Name of GP Practice
Name of Dental Practice
Contact Details of Parent/Carer or Young Person if relevant
*
Gender of Child / Young Person
Main address inc postcode*
Free School Meals*
Name of school, college or setting
Name of Health Visitor or School Health Nurse
Home: Mobile: Email:
Do you consider that the person named above has a disability? If
YES, please provide additional information how this affects the
Child/Young Person
Has the person named above been diagnosed? If yes, please state
diagnosis
Is the person named above receiving any additional support for
their learning at school/college?
Y / N Details
Y / N Details
Y / N Details
The Special Educational Needs and Disability Act defines a
disability if a person ‘has a physical or mental impairment which
has a substantial and long term adverse effect on his/her ability
to carry out normal day to day activities’. ‘Special needs’ is
defined as someone that has significantly greater difficulty in
learning than the majority of pupils of his/her age.
Child/Young Person’s Details
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Please note: if this form is being submitted electronically by a
practitioner/professional please confirm your agency holds the
original signed copies
Yes No
Name
Address
Contact phone no
Email address
Professional’s Details Job title/role (if applicable)
Agency
Lone working risks
Person raising the request (e.g. parent, carer, professional,
young person)
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First Name Surname D.O.B. GenderRelationship
to Child/Young Person
Name of School, Nursery, other
Disability Y / N
Consenting to request
Y / N
Household member
Y / N
Key Family M
embers
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Family member Currently Previously Waiting for
What support have individual family members previously received,
currently receiving, or waiting to receive? Can you explain how
this is going/went?
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Who’s view?
Family’s view
Professional’s view(if applicable)
What is working well? What are you worried about? What could be
better?
What are your best hopes?How can we help?
To help us understand what m
atters to you and your fam
ily, can you tell us what your fam
ily strengths are, please com
plete in as much detail as possible
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Thank you for completing this form, we will respond within 10
working days of receipt.
Please return this form to your child’s school or the person who
assisted you to complete the form or email to:
[email protected] post to
Team Around the FamilyCarmarthenshire County Council
Building 2Parc Dewi SantJobs Well Road
CarmarthenSA31 3HB
At this moment how happy do you and your family feel?
Please circle a number below...
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5 67 8
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