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9. Telford and Wrekin Team around the Child Plan (TAC)
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Please restrict your answers to the space available.
Date of TAC: TAC no:
Child/young person name: Dob:
Ethnicity: Religion: Telephone:
Address:
Postcode:
Parent(s)/carers name (if different from child/young person):
Parent(s)/carers address (if different from child/young person):
Postcode:
Telephone:
Name of school, other education/employment placement:
Lead professional details
Name: Job Title:
Agency: Email:
Telephone:
TAC members (continued overleaf)
Attended
Name Agency or relationship Contact no or email Yes / No Comments
Please remember to send the completed signed TAC (with Impact measures) to: The Children and Family Locality Services
D1501
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Attended
Name Agency or relationship Contact no or email Yes / No Comments
Any significant events (Since CAF, previous TAC)
Action plan - Please ensure all actions are SMART
Action to be taken
Outcome to be achieved
Identied by Action lead By when
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Action to be taken
Outcome to be achieved
Identied by Action lead By when
Action to be taken
Outcome to be achieved
Identied by Action lead By when
Action to be taken
Outcome to be achieved
Identied by Action lead By when
Please remember to send the completed signed TAC (with Impact measures) to: The Children and Family Locality Services
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Action to be taken
Outcome to be achieved
Identied by Action lead By when
Action to be taken
Outcome to be achieved
Identied by Action lead By when
Please remember to send the completed signed TAC (with Impact measures) to: The Children and Family Locality Services
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Summary
Improvements/milestones/positive outcomes achieved since last meeting and Information discussed at this meeting.
Please remember to send the completed signed TAC (with Impact measures) to: The Children and Family Locality Services
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Summary (continued)
Child or young person’s comments
Parent or carer’s comments
Please remember to send the completed signed TAC (with Impact measures) to: The Children and Family Locality Services
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PLEASE ENSURE THIS SECTION IS COMPLETED
Date, time and venue of next meeting:
OVERALL LEVEL OF NEED (please note this is mandatory)
Universal Vulnerable Complex Acute
Plan agreement and consent to share information
I understand the information that is recorded on this form and that it will be stored and used for the purpose of providing
services to:
Me The child/young person for who I am the parent The child/young person for who I am the carer
Do you agree to the information recorded on this form being shared with other people/services? Full Partial No
If partial or no, outline the child/young person or parent/carer reasons (refer to the Integrated Working-Practice
Guidelines for legal guidance if necessary):
Signature of parent/carer: Print name:
Signature of child/young person: Print name:
Date:
I agree to the actions recorded in this TAC: Yes No
If No please state why?
Can the TAC be closed? Yes No (if No please set Review date)
If Yes please state why?
Please remember to send the completed signed TAC (with Impact measures) to: The Children and Family Locality Services
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