Abstract
The existing framework for conducting comprehensive assessments (DoH, 1988) does not address in sufficient detail the intricacies required for certain individual assessments. This is not acceptable when we consider the emotional as well as practical considerations surrounding decisions affecting unborn children. Whilst the revision of the comprehensive assessment document will allow analysis, experience, discretion and reflection to inform professional decision-making, rather than a blanket bureaucratic approach, a framework which explores the specific areas of consideration for the unborn baby will remain absent. This paper will describe a holistic framework which was devised by an interagency working group in Salford: exploring the identified process for the assessment, the components which may be central to the assessments, and a matrix to determine the level of projected risk once the baby has been born.
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