Child Protection – Information Sharing (CP-IS) Project Homerton and InterSystems CP-IS Project Team cpis@hscic.gov.uk http://systems.hscic.gov.uk/cpis Version 1.0 Sep 2014 1 What is CP-IS? Background – ‘Why’ Dr Dan Poulter Parliamentary Under secretary of state for health Lord Laming How will it work – Information Flow 1. Local Authority record information locally with Social Care system. Automatic submission to CP-IS upon creation or amendment of status of child Uploads Query CP-IS Social worker Children’s services system Clinical System Healthcare worker Query response Access History 2. NHS user will query CP-IS and will be notified if there is known information for Child Protection for the child 3. Access History Alert will be created when an NHS user queries CP-IS o o o o o o o o o o o NHS Number (Primary Identifier) Local Authority Name Local Authority Code Local Authority Emergency Duty Team Telephone Number Local Authority Office Hours Telephone Number Child Protection Plan Start Date Child Protection Plan End Date Looked After Child Start Date Looked After Child End Date Unborn Child Protection Plan Start Date Unborn Child Protection Plan End Date CP-IS – ‘Information Sharing Solution’ Where will be shared Benefits for NHS staff o Improves the assessment of children presenting in unscheduled care settings through access to better supporting information. o Deliver more focussed communication between social care and health concerning these groups of children, leading to improved intervention to prevent the ongoing abuse or neglect of a child. o Builds a stronger more transparent relationship with social care workers due to information being shared on the system. o Save time as NHS staff will no longer need to manually produce lists or enter data manually Homerton CP-IS implementation Reggie Marriage, Named Nurse for Safeguarding Children Steven Ouko, Systems Integration Manager CP-IS project was launched in Dec 2012 at Homerton 9 Incorporating hospital and community health services, teaching and research Homerton CP-IS Inception 10 Incorporating hospital and community health services, teaching and research InterSystems HealthShare Spine Mini Service enabled Homerton to implement CP-IS All new systems and solutions need to integrate with existing Electronic Patient Record (EPR) system Existing Alert system is EFFECTIVE, why change? No disruption to clinical work No additional training required 11 Incorporating hospital and community health services, teaching and research … Homerton 2013-14 ~ 3,500 Staff 63,782 Inpatient / Day Case / Regular Attenders 318,866 Outpatients appointments April 2014 CQC rated Homerton A&E Outstanding 118,837 A&E attendances 28,698 are children up to age 18 years 75% children who attended A&E are residents of Hackney and City of London 12 Incorporating hospital and community health services, teaching and research Homerton Alert System A&E Paediatric Assessment Form Maternal Form Specialist Form 13 Incorporating hospital and community health services, teaching and research Demographic Banner Alert Information Visible to All Child subject of child protection plan Age: 11 years(*) Child with safeguarding concerns Age: 5 years(*) Unborn subject of a child protection plan Age: 21 years(!) 14 Incorporating hospital and community health services, teaching and research Safeguarding Detail Safeguard Information Visible to Clinicians only 15 Incorporating hospital and community health services, teaching and research Safeguarding Forms Specialist Form 16 Incorporating hospital and community health services, teaching and research Updated Safeguarding form Added a new field to capture LAC information Referral forms to Children Social Care updated with new NHS No field 17 Incorporating hospital and community health services, teaching and research Current situation Safeguarding children’s team receives weekly / monthly child protection list Use to set alerts for children with child protection plans Safeguarding Forms completed manually Midwives set alert for unborn – carried forward when baby is born Only Hackney data available No LAC data 18 Incorporating hospital and community health services, teaching and research Homerton CP-IS Workflows Reggie’s Clinical workflow Steven’s Technical workflow 19 Incorporating hospital and community health services, teaching and research CP-IS is LIVE at Homerton as from 17th November 2014 20 Incorporating hospital and community health services, teaching and research CP-IS is integrated/embedded into Homerton Alert system Ready to receive information from the National Spine 21 Incorporating hospital and community health services, teaching and research Child Alert information on National SPINE Child attends A&E, OPD, admitted or patient data modified Real time checking of NHS numbers via Mini-spine Child alert received from National Spine Check CP-IS child alert automatically populated onto the safeguarding form with details of Type of Alert, Named of LA and Contact details. The new flag *A* is set Clinical staff sees flag *A* If required, use SMARTCARD to access more health information on the spine Safeguarding process • Alert safeguarding children team • Share information with community health professionals GP / HV / SN • Check EPR for details • Carry out assessment and treatment • Make contact with local authority 22 Incorporating hospital and community health services, teaching and research Demographic banner New Red Flag *A* visible to all staff Child subject of child protection plan or Looked After Child Child with safeguarding concerns Age: 11 years *A* Age: 5 years*A* Unborn subject of a child protection plan Age: 21 years (!) 23 Incorporating hospital and community health services, teaching and research Safeguarding details Type of alert Date of alert Name of LA Contact details of Local Authority 24 Incorporating hospital and community health services, teaching and research No Child Alert information on National SPINE Child attends A&E, OPD, admitted or patient data modified Real time checking of NHS numbers via Mini-spine No child alert received from National Spine Check Usual assessment, treatment, and follow-up If Safeguarding concerns identified Follow-up the Safeguarding procedure 25 Incorporating hospital and community health services, teaching and research New Alert created on the demographic banner Child attends A&E, OPD, admitted or patient data modified Real time checking of NHS numbers via Mini-spine No NHS number match received from National Spine check NHS number tab will display # NOT TRACED If safeguarding concerns identified, follow safeguarding process Clinical staff sees ‘# NOT TRACED’ Include in assessment Re-checking of demographic details No safeguarding concerns, Refer to GP/HV or No further action 26 Incorporating hospital and community health services, teaching and research Demographic banner NHS No: # NOT TRACED 27 Incorporating hospital and community health services, teaching and research CP-IS information integration with Homerton EPR system Supports the clinicians in the decision making process and encourage communication with children social care but not override the assessment of the child’s needs Local Authorities expected 80% to be sharing information in 2015 Midwives to share NHS Number with LA 28 Incorporating hospital and community health services, teaching and research Outcome CP-IS information Clinical knowledge & experience Child / Unborn is Safeguarded Sound decision making Robust safeguarding arrangements 29 Incorporating hospital and community health services, teaching and research Further information Fact Sheet http://systems.hscic.gov.uk/cpis/needed/factsheetjun13.pdf F.A.Q. http://systems.hscic.gov.uk/cpis/needed/faqs Progress map http://systems.hscic.gov.uk/maps/cp-is/ News http://systems.hscic.gov.uk/cpis/news Contact HSCIC CP-IS project team on: CPIS@hscic.gov.uk Reggie Marriage 020 8510 5750 or reggie.marriage@homerton.nhs.uk Steven Ouko 020 8510 5262 or steven.ouko@homerton.nhs.uk 30