esolution process if necessary. The local authority should, in turn, discuss any concerns with the designated nurse, so that outstanding issues are addressed without unnecessary delay. IROs should always ensure that looked-after children are involved in the review of their care plan and its component parts, and have their wishes and feelings heard and respected. Further information relating to the statutory requirements of the IRO’s role can be found in the Independent reviewing officers' handbook. 25 The contribution of primary care teams 69. Primary care teams have a vital role in identifying the individual health care needs of looked-after children. They often have prior knowledge of the child, of the birth parents and of carers, helping them to take a child-centred approach to health care decisions. They may also have continuing responsibility for the child when he or she returns home. 70. From 1 April 2015, all patients (including children) should have a named GP at the practice with which they are registered, who is responsible for the coordination of services provided under the GP contract. 71. GP practices should: • ensure timely access to a GP or other appropriate health professional when a looked-after child requires a consultation • provide summaries of the health history of a child who is looked after, including information on immunisations and covering their family history where relevant and appropriate, and ensure that this information is passed promptly to health professionals undertaking health assessments • maintain a record of the health assessment and contribute to any necessary action within the health plan • make sure the GP-held clinical record for a looked-after child is maintained and updated and that health records are transferred quickly if the