e of well-being. 66. Social workers and other local authority professionals should ensure that information about any health needs or behaviours which could pose a risk of harm to the child, the carer or members of his or her family or household is passed to the carer (or residential care worker) at the time of the placement. At the same time, the carer should receive information about the support that will be available to the child and carer to address or manage these difficulties. The roles of Virtual School Heads (VSHs) and designated teachers 67. Every local authority in England is required to appoint an officer (called a Virtual School Head) to discharge the local authority’s duty to promote the educational achievement of the children it looks after, regardless of where they are placed. Maintained schools and academies are required to have a designated teacher for looked-after children. Given the interrelationship between health and education outcomes, social workers should ensure that the authority’s VSH and the designated teacher for looked-after children are aware of information about the child’s physical, emotional or mental health that may have an impact on his or her learning and educational progress. The role of Independent Reviewing Officers (IROs) 68. The IRO should, as part of the child’s case review, note any actions and updates to ensure that the health plan continues to meet the child’s needs. The IRO should be proactive in bringing any deficiencies in the quality of the health plan or its delivery to the attention of the appropriate level of management within the local authority, using the local dispute resolution process if necessary. The local authority should, in turn, discuss any concerns with the designated nurse, so that outstanding issues are ad