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)
•For Scotland’s Children (2001)
•Child Protection Review (2002)
•Our National Health (2000)
Better Sharing, Better Caring
Health
National
School Nurses
Hospital/Community Midwife
National Information Commissionaire
Speech & Language
Health Visitor
Dietician
A & E Staff
Continence Nurse
Orthodontist
MacMillan Nurse
Child Psychiatrist Private Nursery
Practice Nurse
GP’s
Physiotherapist
Paediatrician
Parent &
Toddlers Group
School Nurses
Playgroups
Adult & Children’s Mental
Health Team
Children'sProject
Ward Staff
Shared
Information
Consultant/Surgeon
Management
Home Teaching Service
Nursery Nurses LAC Teacher
Teachers
Children’s
Support Assistants Guidance Teachers
Hearing
Social Work
Education
Education Psychologists Alternative
Inspectorate
Inspectorate NHS 24
Curriculum
Scottish Ambulance Service Joint
Mental Health Link Workers
Futures
Scottish Prison Service
NHSScotland
Management
Patient/Public Health
Enable
Max Fac/Orthopaedics/Plastics Ophthalmologist Private/NHS Dentist
Clinical Nurse Specialist Community Learning
Child Psychologist
Disability Team
Looked After Nurse
Sunndach (Respite Care)
Paediatric Nurse Pool
(Care at Home)
Public Health NHS 24
Education
eCare
ISD CHIC eJustice
Child Protection Criminal Justice
Parents
Grandparents
Community
Management
Signpost
Home Start
Speakeasy
West Lothian Family Support Team
Barnardos
Family Assessment & Support Team
Penumbra
Broxburn Family Centre
Woman’s Aid
Children First
First Steps Playgroup
Carers of West Lothian Open Door
Occupational Therapists
Shared
Parenting
Foster
Carers
Social Work
Senior Social Worker
Social Work Assistants
Sure Start
Home Care Service
Clubs/Guides/Scouts/Brownies
Adoptive Parents
Young Carers Family Support Workers
Partnership
Children Family
Children Centre
Resource Team
Joint Equipment Store
Staff/Family
(Paeds)
Youth Crime/Criminal
Centre
Police
Management
Justice
Family
Protection
Unit
Social Care Emergency
Through/After Care Team
Team (S.C.E.T.)
Domestic Violence Liaison
Social
Intensive Support
Occupational
Community Police Officers
Team
Therapists
Management Labs Staff
Leisure Staff
Church Groups
Ministers/Priests
Children’s Hospices
Scottish Children’s
Reporters Administration
Housing
SCRA Staff
West Lothian Housing
Association
Safe Guarders
Youth Homeless Team
Management
Better Sharing,
Better
Juvenile
Liaison Caring
Officers
(August 2003)
Football Coaches
Sheriffs/Court Officers Private Healthcare
Criminal Justice
Courtesy : Shared Information Project
Management
Other
Social Worker
Trained/Untrained
Residential Staff
Voluntary
Management
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
W
H
O
Needs
W
H
E
N
Ellen Gottesdiener’s (2002)
Better Sharing, Better Caring
Facilitation Visits
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?
Better Sharing, Better Caring
Facilitation Visits
Shared Information Project
• Who else should we be speaking to?
• Information Exchange and Triggers
• Information Requirements at each stage
Better Sharing, Better Caring
Facilitation Visits
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?)
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
Referral
Assessment
Review
Transition
Significant events/changes in
circumstances
Better Sharing, Better Caring
Shared Information Project
Core Information
Personal details
Legal 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 & responsibilities
Professional mistrust
Ownership
Hierarchies
Training
Tools
Better Sharing, Better Caring
Shared Information Project
Better Sharing, Better Caring