
How will the child’s changing needs be reviewed?
A child’s changing needs are reviewed through regular care planning and placement reviews, involving the child, foster carer, social worker and relevant professionals. Their progress, health, education, relationships and support needs are considered so the care plan can be updated when circumstances change.
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Reviewing a child’s changing needs means checking whether the agreed care arrangements remain suitable, recording any changes and putting the right actions in place. This is an ongoing process rather than a single assessment at the start of a placement. Information from day-to-day care, professional observations and the child’s own views is used to decide whether the care plan or support around the placement needs to change.
There are two connected parts to the process:
- Ongoing monitoring: the foster carer, social workers and other professionals notice changes as part of their regular contact with the child. The foster carer may report new concerns, improvements, difficulties with routines or signs that an existing arrangement is no longer working well.
- Formal reviews: scheduled meetings consider the placement in a structured way. The child’s care plan, placement arrangements and agreed actions are examined, and any decisions are recorded for everyone involved.
Formal reviews are normally coordinated by the child’s local authority. An independent reviewing officer oversees the child’s review process and checks that decisions are properly considered, that the child’s views are included and that agreed actions are followed up. The child’s social worker remains responsible for progressing the care plan, while the foster carer’s supervising social worker can provide advice about the placement and the support required by the carer.
The child’s views are central to the review. The way their views are gathered will depend on their age, understanding and communication needs. They may attend all or part of a meeting, speak privately with a social worker or reviewing officer, or share their wishes in another suitable way. A child does not have to agree with every decision, but their views should be listened to and taken into account. If they cannot express a preference, professionals should still consider their experiences, behaviour and communication.
A review may be brought forward if circumstances change significantly. Examples include a deterioration in the child’s emotional wellbeing, a safeguarding concern, a major change in family contact, a move of school, a change in the household or difficulties that are placing pressure on the placement. It may also be needed when the child is making progress and can manage more independence, different contact arrangements or a revised level of supervision.
During the review, professionals consider whether the current arrangements continue to meet the child’s needs and whether the foster carer has the information, resources and practical support required. This might lead to:
- additional advice, training or specialist input for the foster carer;
- changes to routines, boundaries, transport or contact arrangements;
- referrals to education, health, therapeutic or other relevant services;
- an updated risk assessment or safer-care plan;
- a revised approach to communication, independence or preparation for the next stage of the child’s life;
- consideration of whether the current placement remains appropriate.
The foster carer’s observations are particularly important because they see how arrangements work in everyday life. They should keep clear records, share relevant information with the child’s social worker and raise concerns rather than waiting for the next scheduled meeting. Recording what happened, when it happened and what action was taken helps professionals identify patterns and make informed decisions.
Not every change requires a new placement or a major alteration to the care plan. Some needs can be addressed by clarifying responsibilities, adjusting support or agreeing a practical change. Where the review identifies a serious or persistent difficulty, the local authority should assess the situation, involve the relevant professionals and explain what will happen next.
After a review, agreed actions should identify who is responsible for each task and when it will be checked. The updated decisions should be shared with the people who need them, in language the child can understand where appropriate. If a foster carer, child or family member disagrees with a decision, they can raise this with the social worker or reviewing officer and ask for the concern to be recorded and considered through the relevant complaints or representation process.
For anyone considering fostering, the important point is that a placement is not expected to remain unchanged as a child develops. The review process allows care arrangements to be adapted responsibly, while keeping the child’s welfare, safety and longer-term needs at the centre of decision-making.

A review should consider patterns over time rather than treating one difficult incident as proof that the placement no longer meets the child’s needs. Professionals may look at when a behaviour occurs, what appears to trigger it, how often it happens and which responses help. This can show whether the child’s needs have genuinely changed or whether a short-term issue needs a different practical response.
The review should also consider the child’s circumstances as a whole, including changes in school, family contact, health, relationships and emotional development. This helps professionals avoid focusing on one area in isolation and supports decisions that are proportionate to the child’s current situation.
Learn more about support for changing needs
If you are considering fostering, speak to our team to learn more about the ongoing guidance provided throughout the fostering journey and ask any questions about applying.
