Welsh Statutory Instruments
2002 No. 3013 (W.285)
CHILDREN AND YOUNG PERSONS
The Arrangements for Placement of Children (General) and the Review of Children’s Cases (Amendment) (Wales) Regulations 2002
Made 4th December 2002
Coming into force 1st January 2003

The National Assembly for Wales, in exercise of the powers conferred by sections 23(2)(a) and (f), 26(1),(2),(5) and (6) and 104(4) of the Children Act 1989, hereby makes the following regulations:
1989 c. 41. The powers are conferred upon the Secretary of State. They are exercisable by the National Assembly for Wales in relation to Wales by virtue of section 22(1) of the Government of Wales Act 1998 (c. 38), and article 2 of the National Assembly for Wales (Transfer of Functions) Order 1999 (S.I. 1999/672) and the entry in respect of the Children Act 1989 in Schedule 1 to that Order.

Citation, commencement and application
1. (1) These regulations may be cited as the Arrangements for Placement of Children (General) and the Review of Children’s Cases (Amendment) (Wales) Regulations 2002 and shall come into force on 1st January 2003.
(2) These regulations apply in relation to Wales.

Amendment of the Arrangements for Placement of Children (General) Regulations 1991
2. (1) The Arrangements for the Placement of Children (General) Regulations 1991 shall be amended in accordance with the following provisions of this regulation.
S.I. 1991/890 as amended by S.I. 1991/2033, S.I. 1993/3069, S.I.1995/2015 and S.I. 1997/649.
(2) In regulation 5(1) (notification of arrangements)—
(a) For sub-paragraph (b) substitute—

“(b) the Health Authority for the area in which the child is living and, if it is different, the Health Authority (or, where applicable, Primary Care Trust) for the area in which the child is to be placed;”;

(b) in sub-paragraph (c), at the end, add “ and, if it is different, for the area in which the child is to be placed;”; and
(c) in sub-paragraph (d), at the end, add “and, where applicable, any registered medical practitioner with whom the child is to be registered following the placement;”.
(3) For regulation 7 (health requirements) substitute—

“Health assessments
7. (1) subject to paragraphs (3) and (4), a responsible authority shall—
(a) before making a placement, or if that is not reasonably practicable, as soon as reasonably practicable after a placement is made, make arrangements for a registered medical practitioner to conduct an assessment, which may include a physical examination, of the child’s state of health;
(b) require the registered medical practitioner who conducts the assessment to prepare a written report of the assessment which addresses the matters listed in Schedule 2; and
(c) having regard to the matters listed in Schedule 2 and, unless paragraph (4) applies, to the assessment report, prepare a plan for the future health of the child if one which fully reflects the current needs of the child is not already in existence.
(2) A responsible authority shall ensure that each child is provided during the placement with—
(a) health care services, including medical and dental care and treatment; and
(b) advice and guidance on health, medical and dental care and health promotion issues appropriate to his needs.
(3) Paragraph (1) does not apply if, within the three month period immediately preceding the placement, the child’s health has been assessed, and a report of the assessment prepared, in accordance with that paragraph.
(4) Sub-paragraphs (a) and (b) of paragraph (1) do not apply if the child, being of sufficient understanding to do so, refuses to consent to the assessment.”.

(4) In Schedule 2 (health considerations to which responsible authorities are to have regard)—
(a) in paragraph 1, at the end, add “including his physical, emotional and mental health.”;
(b) in paragraph 2, at the end, add “including, as far as practicable, his family health history.”; and
(c) in paragraph 6, at the end, add “and for advice and guidance on health, personal care and health promotion issues appropriate to the child’s needs.”.

Amendment of the Review of Children’s Cases Regulations 1991
3. (1) The Review of Children’s Cases Regulations 1991 shall be amended in accordance with the following provisions of this regulation.
S.I. 1991/895, as amended by S.I. 1991/2033, S.I. 1993/3069, S.I. 1995/2015 and S.I. 1997/649.
(2) For regulation 6 (health reviews), substitute—

“Health reviews
6. (1) Subject to paragraph (2), the responsible authority shall, in respect of each child who continues to be looked after or provided with accommodation by them—
(a) arrange for an assessment, which may include a physical examination, of the child’s state of health, to be conducted by a registered medical practitioner, or a registered nurse or registered midwife acting under the supervision of a registered medical practitioner—
(i) at least once in every period of six months before the child’s fifth birthday; and
(ii) at least once in every period of twelve months after the child’s fifth birthday;
(b) require the person who carried out the assessment to prepare a written report which addresses the matters listed in Schedule 2; and
(c) review the plan for the future health of the child which complies with regulation 7(1)(c) of the Arrangements for Placement of Children (General) Regulations 1991 at the intervals set out in sub-paragraphs (i) and (ii) of paragraph (a).
(2) Sub-paragraphs (a) and (b) of paragraph (1) do not apply if the child, being of sufficient understanding to do so, refuses to consent to the assessment.”.

(3) In Schedule 3 (health considerations to which responsible authorities are to have regard)—
(a) In paragraph 1, at the end, add “ including his physical, emotional and mental health.”;
(b) In paragraph 2, at the end, add “including, as far as practicable, his family health history.”;
(c) In paragraph 6, at the end, add “, and for advice and guidance on health, personal care and health promotion issues appropriate to the child’s needs.”.
Signed on behalf of the National Assembly for Wales under section 66(1) of the Government of Wales Act 1998
1998 c. 38.
D Elis-Thomas
The Presiding Officer of the National Assembly
4th December 2002

(This note is not part of the Regulations)
These regulations, which apply in relation to Wales, make amendments to the Arrangements for Placement of Children (General) Regulations 1991 and the Review of Children’s Cases Regulations 1991.
The effect of the amendments is to extend a responsible authority’s duty of notification on placing a child, to include not only the identified bodies in the area where the child is living, but also the equivalent bodies in the area where the child will be placed. It also provides for responsible authorities to require that a health assessment is carried out and then to draw up a health plan for the child and to ensure that he receives suitable health care services during placement.
The Review of Children’s Cases Regulations are revised so as to include a review of the health plan into the review process established under those Regulations. The age of younger children, whose health review is required to be every six months, is extended up to the age of five years.