, NHS England should be consulted and should arbitrate where necessary. 23. When a child is first placed, the local authority looking after them has a shared responsibility with the relevant CCG to ensure that a full health assessment takes place and that a health plan is drawn up and implemented. 24. The local authority should inform, among others, the relevant responsible CCG in writing of its intention to place a child in its area and advise whether the placement is intended to be long or short-term. Some placements need to be arranged urgently and prior notification will not always be possible. In these cases, in accordance with Regulation 13(3)(f) of the Care Planning, Placement and Case Review (England) Regulations 2010, the local authority is expected to notify the relevant responsible CCG within five working days or as soon as reasonably practicable. 25. Out of authority placements of looked-after children are dealt with in a different way. Where a CCG or a local authority, or both where they are acting together, arrange accommodation for a looked-after child in the area of another CCG, the “originating CCG” remains the responsible CCG for the services that CCGs have responsibility for commissioning. That is the case even where the child changes his or her GP practice. 26. The originating CCG is responsible for commissioning the child’s statutory health assessment(s). 27. Arrangements for primary healthcare are determined by GP registration. 28. CCGs and NHS England should ensure that a child is never refused a service, including for mental health, on the grounds of their placement being short- term or unplanned. 13 The sections of that guidance of particular relevance to looked-after children are paragraphs 29-31 and paragraphs 71-75. 15 The role of the designa