Research suggests that use of the common assessment framework (CAF) assists in the early identification of, and response to, clients’ needs. CAF is used to promote early intervention and effective multi-agency working, particularly with children who have additional needs. The holistic process includes good information sharing and well co-ordinated plans, in partnership with service users, families and other agencies. CAF was launched at an acute children’s hospital more than five years ago. However, it was not established successfully as part of routine practice until a CAF lead was appointed in recognition of the awareness, training and support that staff require to use the tool effectively, resulting in notable improvement in CAF activity and client outcomes.