shared information project better sharing, better caring better information sharing in children...
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Better Sharing, Better Caring
Shared Information Project
Better Information Sharing in Children Services
Dr Helen Hammond Consultant Paediatrician
West Lothian Health Care Trust
Better Sharing, Better Caring
Shared Information Project
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
Shared Information Project
•NHS Scotland IM&T Strategy (2001)NHS Scotland IM&T Strategy (2001)
•For Scotland’s Children (2001)For Scotland’s Children (2001)
•Child Protection Review (2002)Child Protection Review (2002)
•Our National Health (2000)Our National Health (2000)
Better Sharing, Better Caring
Shared Information Project
Health National
Social Occupational Therapists
Intensive Support Team
Courtesy : Shared Information ProjectCourtesy : Shared Information Project
(August 2003)
Education
Teachers Nursery NursesSupport Assistants Guidance Teachers
Education Psychologists
Home Teaching Service
Alternative Curriculum
Barnardos
VoluntaryEnable
Children First
Signpost
Woman’s AidBroxburn Family Centre
West Lothian Family Support Team
First Steps Playgroup
Family Assessment & Support Team
Carers of West Lothian
Home StartSpeakeasy
Open Door
OtherClubs/Guides/Scouts/Brownies
Football Coaches
Leisure Staff Church GroupsMinisters/Priests
Sheriffs/Court Officers
Hospital/Community Midwife
Health Visitor
Playgroups
Speech & Language
Occupational Therapists
Dietician
Continence Nurse MacMillan NurseSchool Nurses
Practice Nurse
A & E Staff
Paediatrician
Orthodontist
OphthalmologistMax Fac/Orthopaedics/Plastics
Clinical Nurse Specialist
Looked After Nurse
Community Learning Disability Team
Child Psychiatrist
Child Psychologist
Paediatric Nurse Pool (Care at Home)
PhysiotherapistGP’s
Parent & Toddlers Group
Private Nursery
Children's Ward Staff
Private/NHS Dentist
Consultant/Surgeon
Sunndach (Respite Care)
Social WorkSenior Social Worker Social Worker
Social Work Assistants
Trained/Untrained Residential Staff
Home Care Service
Young Carers Partnership
Family Support Workers
Children Centre Staff/Family
Centre
Joint Equipment Store (Paeds)
Sure Start
Children Family Resource Team
Youth Crime/Criminal Justice
Social Care Emergency Team (S.C.E.T.)
Parents Grandparents
Shared Parenting
Foster Carers
Adoptive Parents
HousingWest Lothian Housing
Association
Youth Homeless Team
LAC Teacher
School NurseseCare ISD CHIC
Child ProtectioneJustice
Management
Management
Management
Management
Management
Management
Criminal Justice
NHSScotland
Social Work Inspectorate
Education Inspectorate
Patient/Public Health
Private Healthcare
Penumbra
Children’s Hearing
NHS 24
NHS 24
Adult & Children’s Mental Health Team
Public Health
Children’s Hospices
Scottish Prison Service
Scottish Ambulance Service
Through/After Care Team
Criminal Justice
Police
Community Police Officers
Family Protection Unit
Labs Staff
Domestic Violence Liaison
Juvenile Liaison Officers
Management
Scottish Children’s Reporters Administration
SCRA Staff
Safe Guarders
Management
Joint Futures
National Information Commissionaire
Mental Health Link Workers
Community
Better Sharing, Better Caring
Shared Information Project
1. Children living with disability
2. 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
Shared Information Project
“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
Shared Information Project
WHYWHEN
HOW
WHERE
WHO
WHAT
Needs
Ellen Gottesdiener’s (2002)
Better Sharing, Better Caring
Shared Information Project
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?
Facilitation Visits
Better Sharing, Better Caring
Shared Information Project
• Who else should we be speaking to?
• Information Exchange and Triggers
• Information Requirements at each stage
Facilitation Visits
Better Sharing, Better Caring
Shared Information Project
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?)
Facilitation Visits
Better Sharing, Better Caring
Shared Information Project
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
Shared Information Project
Better Sharing, Better Caring
Shared Information Project
The story so far!
Better Sharing, Better Caring
Shared Information Project
Consultation
Better Sharing, Better Caring
Shared Information Project
Key Stages
ReferralAssessment
ReviewTransition
Significant events/changes in circumstances
Better Sharing, Better Caring
Shared Information Project
Core Information
Personal detailsLegal status
Child protection concerns Who else is involved?Up to date & accurate
Warning Indicators/flags
Better Sharing, Better Caring
Shared Information Project
Common Barriers
Lack of clarity about roles & responsibilitiesProfessional mistrust
OwnershipHierarchies
TrainingTools
Better Sharing, Better Caring
Shared Information Project