Nationally, the Department of Health and Social Care and NHS England should review:
1. Whether there is a need for further development and guidance including on the thresholds for when complex structured risk assessments (such as the Structured Assessment of Violence Risk in Youth) are required for children and young people who present a risk of violence to others. A balance may need to be struck between sufficient provision of guidance to assist as to when the more complex type of structured risk assessment may be justified and retaining the case-specific judgements by professionals that are inevitably required.
2. Whether national guidance is required to ensure clarity about who is responsible for conducting complex structured risk assessments (where they are appropriate) for children and young people who present a risk of violence to others. Consideration should also be given to the roles of children and young people’s mental health services and wider children’s services in conducting or referring for appropriate risk assessments.