equests to undertake health assessments on behalf of the originating CCG. For guidance on who pays for assessments, see the section in this guidance on the responsible commissioner. The principles of a good health assessment and planning 44. Health assessments should: • not be an isolated event but, rather, be part of the dynamic and continuous cycle of care planning (assessment, planning, intervention and review) and build on information already known from health professionals, parents and previous carers, and the child himself or herself. That includes routine health checks received through the universal healthy child programme 0-5 years and 5-1919 17 Gov.uk: Comprehensive information on immunisation, including the current routine childhood vaccination schedule; and an algorithm that is helpful where either children born overseas arrive in the UK and need further immunisation, or UK-born children have missed some or all of their routine immunisations. 18 Section 27 of the Children Act 1989. 19 The outcomes of these checks are normally notified to parents. For looked-after children they should be notified to the main carer and the child’s social worker. For children accommodated under 19 • focus on emotional and mental well-being as well as physical health • inform other aspects of care planning, such as the impact of a child’s physical, emotional and mental health on his or her education • be undertaken with the child’s informed consent, if he or she is ‘competent’ to give it20 • be child-centred and age-appropriate (further information about the content of age-appropriate assessments is at Annex A) and carried out with sensitivity to the child’s wishes and feelings and fears, so that the child feels comfortable. Health assessments, including reviews, should also be c