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Looked After Children

Looked After Children

Who are looked after Children? (LAC)

The term Looked After Children refers to any child or young person aged under 18 years old who is:

  • In care: the Local Authority holds parental responsibility with the parent, through an Interim Care Order or Care Order.
  • Accommodated: the Local Authority provides care and accommodation to the child/young person on behalf of the parent under Section 20 of the Children Act.

LAC might live with foster carers, foster carers from other agencies, in residential homes, residential school, secure units, with family members away from the family home.

Looked After Children and Young people often have greater health needs than their peers, and may have difficulties accessing health care. The health of Looked After Children is monitored by either the Community Paediatricians or the Designated Nurse for Looked After Children.

There is a statutory requirement for each child or young person to have a holistic health assessment by a doctor within the first 28 days of becoming Looked After. We will request health information from General Practitioners and Health visitors/School Nurses for this initial assessment. Over 5’s are seen annually by a LAC Nurse unless they have complex health needs and are well known to a Community Paediatrician. Under 5’s are seen every 6 months by a Community Paediatrician. We aim to ensure all GP’s are sent copies of a child’s or young person’s health care plan following their health assessment.

The Designated Nurse/Doctor also offers health advice and health promotion to the children and young people in care and anyone involved in that persons care.
We work in partnership with other professionals and parents (as appropriate) to address the health needs of LAC – this includes Social Workers, GP’s, School Nurses, Health Visitors and CAMHS.

We aim to ensure all GP’s are notified if a child or young person is placed with a carer registered with your practice and will send copies of a child’s or young person’s health care plan following their health assessment.

There are two teams depending on where you are located:

Bristol Team

The Children Looked After Nurses (CLAN) service is for children and young people who are in the care of Bristol City Council.

Designated Nurse for Looked after Children: Doug Binfield
Looked After Children’s Nurse: Pauline Newman
Administrator: Paula Wells
Secretary: Sarah Latus

South Gloucestershire Team

Children and young people in the care of or accommodated by South Gloucestershire, who live both in and out of the area. There are also children and young people living in South Gloucestershire from other authorities.

Designated Looked after Children Community Paediatrician: Dr Amanda Cundy
Designated Nurse for Looked After Children: Liz Dando

Your Health Assessment

Find out more about your health assessment.


Please note that the correct contact details are to the right of this web page.


Contact South Gloucestershire LAC Team

Community Paediatricians
Dr Amanda Cundy, Designated Doctor for LAC/YP
Kingswood Locality Hub,
Alma Road,
BS15 4DA
Telephone: 01454 865185

Designated Nurse for Looked After Children
Liz Dando
Department for Children, Adults & Health,
PO Box 298, Through Care Team,
Civic Centre, High Street,
Bristol BS15 0DQ
Telephone: 01454 866422 or 07881 586218.

Contact Bristol LAC Team

CLAN (Children Looked After Nurses)
Eastgate House,
Unit 9,
Eastgate Office Centre,
Eastgate Road,
Eastville, Bristol,

Telephone: 0117 3408071