The Swim England Wavepower child referral form

What is this form for?

The form below must only be used to report a safeguarding concern to Swim England. A safeguarding concern could involve an allegation of abuse or being worried that a child may be at risk of harm, or may have been harmed.

If your concern relates to abuse of a child this would be investigated by the Safeguarding Team. If the report relates to a low-level concern, it may be that we use the report for recording/information purposes, or provide advice/support for the matter to be dealt with locally (i.e., at club, county or regional level).

What happens after the form is submitted?

Your concern will be sent directly to a secure system only accessible by the Swim England Safeguarding Team. Your concern will be managed by a trained safeguarding professional with experience in managing safeguarding cases in an empathetic and professional manner. We will aim to get back to you within 24 hours of your concern being reported within office hours (Monday – Friday 9-5). Outside of those hours we will usually respond on the next working day. Please provide your contact details so that we can obtain further information from you, if necessary.

Your concern will be treated in confidence and, whilst we have a duty to refer certain matters to the police or local authority, we will always try to do so with your consent. In some situations, we may ask you to complete a referral to the police or local authority.

Support

Raising safeguarding concerns can be very difficult, distressing and stressful. We are here to support you and are keen to listen to any safeguarding concerns you may have. If you would like advice and support before contacting Swim England you can call the NSPCC on 0808 800 5000, the police or your local authority. If you are a child or young person you can also contact Childline on 0800 1111.

If you have any problems completing the form or are unsure of whether to report something, you can contact us at [email protected].

Please note all fields marked with a * are mandatory. All other fields are optional.

Details of referrer (your details)

Name of Organisation *

Example: The club name, or swimming setting you are connected to

Name of referrer *

First

Last

Please fill in your personal details

Your position in the Organisation *

Please state your role at the organisation, examples include teacher/coach/parent of swimmer/volunteer

Your phone *

Your email *

How many children are at risk of harm/have been harmed?

Please fill out the details regarding the people this concern is referring.

Does this relate to an individual or individuals?

Yes
No

Is this concern about a specific individual(s), or is it about a setting/environment?

Was medical assistance required? *

Yes
No

Were the parents informed? *

Yes
No

Details of any other action taken *

Please describe any other action you/your organisation has take in managing this incident. e.g. risk management plans in place, club suspension, statements taken

Do you have any further relevant information you'd like to add?

If you have any additional reports or supporting documents please email them to [email protected]. The [email protected] address is only for referral forms and any supporting information. If you need any further advice or guidance please contact the safeguarding team on 01509 640700 (Option 1 for Swim England and then Option 3 for Safeguarding) .

Details of referrer (your details)

Child 1

Child 2

Child 3

Child 4

Child 5

Person 1

Person 2

Person 3

Person 4

Person 5

Incident / concern details

Action taken by the yourself/your organisation