 on any early signs of health issues. • The local authority that looks after the child must arrange for them to have a health assessment as required by The Care Planning, Placement and Case Review (England) Regulations 2010. • The initial health assessment must be done by a registered medical practitioner. Review health assessments may be carried out by a registered nurse or registered midwife. • The local authority that looks after the child must ensure that every child it looks after has an up-to-date individual health plan, the development of which should be based on the written report of the health assessment. The health plan forms part of the child’s overall care plan. • When a child starts to be looked after, changes placement or ceases to be looked after, the responsible local authority should notify, among others, the CCG – or, in the case of a placement out of authority, both the originating and the receiving • CCG (or local health board in the case of a child looked after by a local authority in England but living in Wales) – and the child’s GP. If the child is moved in an emergency, the notifications should happen within five working days. Prompt notifications are essential if initial health assessments are to be completed in good time.2 • Looked-after children should never be refused a service, including for mental health, on the grounds of their placement being short-term or unplanned. 2 The person to notify in the CCG could be the designated nurse, who should in turn inform the named professional and the local looked-after health team. 8 • CCGs and NHS England have a duty to cooperate with requests from local authorities to undertake health assessments and help them ensure support and services to looked-after children are provided without undue delay. • Lo