CHAT Tool - Offender Health Research Network

CHAT PHYSICAL HEALTH ASSESSMENT
• Every young person admitted will be seen by a member of health care staff and receive a comprehensive
assessment of physical health using this tool within 3 days of arrival.
• The CHAT Physical Health Assessment can be completed by a Registered General Nurse (RGN) or Registered
Nurse (specialising in children; RNC).
• Seek information from other assessments, e.g. Looked After Children assessments. Liaise with the LAC nurse
or doctor regarding health assessment findings.
• Refer to other completed parts of the CHAT to inform the care plan.
Surname:
Physical Health Assessment: Young Person’s Details
Forenames:
NHS Number:
Admission Number:
Gender: DOB: Age:
Date & time of Reception Health Screening:
Date & time of this Assessment:
Completed by (print your name):
Your
designation:
Your signature:
OTHER AGENCIES INVOLVED RECENTLY/CURRENTLY (Is the young person currently receiving support
from any agency) Request to share information for each agency
Permission to
Involvement from agency:
Worker Name and Contact
share information
YOT Worker No Yes No Yes
GP No Yes No Yes
Hospital contact No Yes
(outpatient & A&E)
No
Yes
Children’s Services No Yes
(LAC, Children’s social care)
No
Yes
Leaving care services No Yes No Yes
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
21 | P age