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Level 3 – Development of the Baby or Child


  • Physically unwell
  • Concerns re diet, hygiene, clothing
  • Child has some chronic/recurring health problems; not treated, or badly managed
  • Missing routine and non-routine health appointments
  • Weight gain – drop in centiles
  • Limited or restricted diet, e.g. no breakfast; no lunch money
  • Concerns about developmental progress, e.g. overweight/underweight; bedwetting/soiling
  • Developmental milestones are unlikely to be met
  • Dental decay
  • Smokes/ other regular substance misuse
  • ‘Unsafe’ sexual activity
  • Learning significantly affected by health problems
  • Significant speech language difficulties/delay or disordered development
  • Child has significant disability
  • Mental health issues emerging
  • Sexual activity which cause concern and/or sexually harmful behaviour

Emotional development

  • Good quality early attachments e.g. conduct disorder; ADHD; anxiety; depression; eating disorder; self-harming
  • Frequent accidents

Behavioural developments

  • Does not accept responsibility for own actions; finds it hard to understand how own actions impact on others or learn from consequences
  • Disruptive/challenging behaviour at school, home or in the neighbourhood
  • Starting to commit offences/re-offend
  • Interacts negatively with peers in learning and play contexts
  • Child/young person is withdrawn, isolated/unwilling to engage
  • Concerns of absences from home without parental consent
  • *Emerging behaviours which could suggest CSE

Identity and self-esteem

  • Child subject to persistent discrimination, e.g. racial, sexual or due to disabilities
  • Demonstrates significantly low self-esteem/confidence in a range of situations
  • Victim of crime or bullying
  • Signs of deteriorating emotional well-being/mental health
  • May not discriminate effectively with strangers
  • Clothing is regularly unwashed or unsuitable
  • Presentation (including hygiene) significantly impacts on all relationships
  • Child lacks confidence or is watchful or wary of carers/people
  • May be aggressive in behaviour/appearance

Family and social relationships

  • Relationships with carers characterised by inconsistencies
  • Child has lack of positive role models
  •  Child appears to have undifferentiated attachments
  • Misses school or leisure activities
  • Involved in conflicts with peers/siblings
  • Lack of friends/social network
  • May have previously had periods of LA accommodation
  • Concerns of absences from home without parental consent
  •  *Emerging behaviours which could suggest CSE

Self-care skills and independence

  • Disability prevents self-care in a significant range of tasks
  • Child takes little or no responsibility for self-care tasks compared with peers
  • Child lacks a sense of safety and often puts him/herself in danger
  • Child is main carer for family member


  • Identified learning needs that are being addressed at school level.
  • Regular underachievement causing concern at school
  • Poor nursery/school attendance and punctuality
  • Poor home-nursery school link
  • Some fixed-term exclusions
  • Very limited interests/skills displayed
  • Not in education (under 16)
  • Not in education, employment, or training post 16