Better Information Sharing in Children Services Dr Helen Hammond Consultant Paediatrician West Lothian Health Care Tru

1. Better Information Sharing in Children Services Dr Helen Hammond Consultant Paediatrician West Lothian Health Care Trust Better Sharing, Better Caring

2. To improve the quality and integration of services for children in West Lothian through effective sharing of information between involved agencies, children and families at every point in their care. Better Sharing, Better Caring

3. NHS Scotland IM&T Strategy (2001) • For Scotland’s Children (2001) • Child Protection Review (2002) • Our National Health (2000) Better Sharing, Better Caring

4. Health National Education School Nurses National Information Commissionaire Hospital/Community Midwife eCare ISD CHIC eJustice GP’s Management Home Teaching Service Child Protection Criminal Justice Speech & Language Dietician Physiotherapist LAC Teacher Teachers Nursery Nurses NHSScotland Management Children’s Hearing Health Visitor A & E Staff Orthodontist Support Assistants Guidance Teachers Social Work Inspectorate Education Inspectorate Continence Nurse MacMillan Nurse Education Psychologists Alternative Curriculum NHS 24 School Nurses Child Psychiatrist Private Nursery Scottish Ambulance Service Joint Futures Parent & Toddlers Group Mental Health Link Workers Playgroups Practice Nurse Paediatrician Scottish Prison Service Voluntary Adult & Children’s Mental Health Team Children's Ward Staff Patient/Public Health Enable Max Fac/Orthopaedics/Plastics Ophthalmologist Private/NHS Dentist Signpost Home Start Parents Grandparents Speakeasy Clinical Nurse Specialist Community Learning Disability Team Community West Lothian Family Support Team Child Psychologist Barnardos Looked After Nurse Family Assessment & Support Team Sunndach (Respite Care) Penumbra Paediatric Nurse Pool (Care at Home) Broxburn Family Centre Woman’s Aid Public Health NHS 24 Children First First Steps Playgroup Consultant/Surgeon Management Carers of West Lothian Open Door Occupational Therapists Shared Parenting Foster Carers Management Social Work Other Senior Social Worker Social Worker Football Coaches Sure Start Clubs/Guides/Scouts/Brownies Social Work Assistants Home Care Service Ministers/Priests Adoptive Parents Leisure Staff Church Groups Trained/Untrained Residential Staff Young Carers Partnership Family Support Workers Sheriffs/Court Officers Private Healthcare Children Family Resource Team Criminal Justice Children’s Hospices Children Centre Staff/Family Centre Joint Equipment Store (Paeds) Housing Youth Crime/Criminal Justice Police Scottish Children’s Reporters Administration Management Family Protection Unit Social Care Emergency Team (S.C.E.T.) West Lothian Housing Association Through/After Care Team SCRA Staff Domestic Violence Liaison Social Occupational Therapists Intensive Support Team Youth Homeless Team Safe Guarders Community Police Officers Management Labs Staff Management Management Juvenile Liaison Officers Courtesy : Shared Information Project (August 2003) Better Sharing, Better Caring

5. 1. Children living with disability • Vulnerable Children (including Child Protection and Looked After Children) • 3. Children and Adolescents with Mental Health problems The key stages, info frequency, info sources, involve users, children & families Better Sharing, Better Caring

6. “In a nutshell, it’s people, not technology, that make the difference between success and failure” Protti 2001 “Consider PROCESSES and PEOPLE and an understanding of group interaction” Coiera 2002 Better Sharing, Better Caring

7. WHO WHERE WHAT Needs HOW WHY WHEN Ellen Gottesdiener’s (2002) Better Sharing, Better Caring

8. Facilitation Visits • Roles/definitions • Recording Systems/Interactions • Which bits work? • Problems, Priorities and Benefits • Who is in charge of changes in the way you/your team work? Better Sharing, Better Caring

9. Facilitation Visits • Who else should we be speaking to? • Information Exchange and Triggers • Information Requirements at each stage Better Sharing, Better Caring

10. Facilitation Visits • Have you seen/heard of any other places doing this/better? • Process Mapping • Policies, Regulations and Guidelines • Formal/ Informal (How are things done round here?) Better Sharing, Better Caring

11. 300 inter agency professional groups identified 150 inter agency roles defined 200 legislation local and national polices and guidelines 300 Interagency staff consulted with Over 130 individual/group facilitations taken place Over 30 Fact-finding Facilitations out with West Lothian Over 25 Agency IT Systems identified holding information on Children Policy and Guidelines Database Better Sharing, Better Caring

12. Better Sharing, Better Caring

13. The story so far! Better Sharing, Better Caring

14. Consultation Better Sharing, Better Caring

15. Key Stages Referral Assessment Review Transition Significant events/changes in circumstances Better Sharing, Better Caring

16. Core Information • Personal details • Legal status • Child protection concerns • Who else is involved? • Up to date & accurate • Warning Indicators/flags Better Sharing, Better Caring

17. Common Barriers • Lack of clarity about roles & responsibilities • Professional mistrust • Ownership • Hierarchies • Training • Tools Better Sharing, Better Caring

18. Better Sharing, Better Caring