ment has a duty of clinical care to the child. That includes making the necessary referrals for investigation and treatment of conditions identified at the assessment. Even if the placement is brief, the practitioner should follow up concerns and if the child returns home, every effort should be made to continue to implement the health plan. Who should carry out the health assessment? 49. It is the responsibility of the local authority that looks after a child to arrange their health assessment in partnership with health professionals. The responsible CCG and, if different, the CCG in the area where the child is placed should reach agreement without delay as to which CCG’s service will carry out the health assessment. 50. Factors that should determine any decision about which CCG’s commissioned service undertakes the health assessment are: • the distance at which the child is placed. If a child is placed far from home, the responsible CCG should consider if it is more practicable, and will lead to 21 the child receiving a better healthcare experience, to commission health professionals in the area of the receiving CCG • the need to ensure they are satisfied with the quality of health assessment and follow-up to the actions that are identified • knowledge about the availability of local services that can meet the child’s needs. 51. The Department of Health, with NHS England, Monitor, the Royal Colleges and other partners, has developed a mandatory national currency and tariff for statutory health assessments for looked-after children placed out of area. Details are set out in the current National Tariff Payment System.23 Reviews of the health plan 52. The local authority that looks after the child must make arrangements for a registered medical practitioner or a register