CP-IS Implementation Forum Implementing CP-IS at an unscheduled care setting Presented by John Caleniuc, Implementation Manager
Contents How CP-IS works information flow NHS Standard Contract / endorsement by CQC Implementation process Brief overview of; SCRa solution Non SCRa solution Presentation from live sites Q&A Best practice How NHS Digital can help you implement CP-IS
How CP-IS works information flow 1. Local authority record CPP/LAC/UCPP information locally within social care system including NHS Number 2. CPP/LAC/UCPP information is automatically submitted to CP-IS Uploads Query Social worker Children s services system Access History CP-IS Query response Clinical System Healthcare worker 3. NHS user searches child details in clinical system 4. NHS system queries CP-IS and notifies user of CP-IS record for the child 5. Access History Notification is created when NHS user accesses CP-IS information and this triggers a message back to the local authority system 3
NHS Standard Contract and endorsement by CQC The Designated Professionals Safeguarding Children guidance has been produced to support in ensuring the addition of Child Protection Information Sharing (CP-IS) in the NHS Standard Contract 2017/18 to 2018/19 is promoted and the system is implemented. SC32.8 of the contract refers directly to CP-IS stating that "The Provider must co-operate fully and liaise appropriately with third party providers of social care services in relation to, and must itself take all reasonable steps towards, the implementation of the Child Protection Information Sharing Project." (NHS Standard Contract, 2017/18 to 2018/19, page 35)
The implementation process Letter of acceptance Discuss plan and seek commitment with the Director of Nursing, Chief Executive and Children s Safeguarding Lead Stakeholder engagement Clinical Commissioning Group (CCG) Local Safeguarding Children s Board (LSCB s) Local Authorities (Children s Services) Establish joint implementation approach between the Local Authority and NHS Trust Project management Identify and establish a project lead and coordinator
The implementation process Technical integration Summary Care Record application (SCRa) Integrated solution Business processes Review existing business processes, flows and data Discuss and document business continuity plans Incorporate CP-IS into the children s safeguarding process Review IG plans Review plans with your information governance leads and amendments in the privacy statement
The implementation process Training Identify training needs and complete training on revised processes with end user Communication Set a go-live date and communicate regularly towards this date Explain as simply and clearly as possible what is going to happen and when to all stakeholders Ensure everyone is on board Go-live Put everything you have been working on into action Liaise with your NHS Digital implementation manager
Key dependencies Resource to implement o Person to manage the implementation Spine compliant access: o SCRa o Supplier system integration o Utilise both solutions
SCRa solution Assess current usage What other information / benefits does SCR bring Decide which staff will require access Review access to hardware etc Arrange additional smartcards if required Provide CP-IS access codes to applicable smartcards B0107 View Child Protection Plan B0264 Access SCR to perform patient trace
Non-SCRa solutions Health sites make contact directly with their supplier to discuss implementation plans Liaise with your NHS Digital implementation manager throughout for help and assistance
Presentations from live sites Diane Urquhart, Named Nurse Safeguarding Children at Portsmouth Hospital NHS Trust
IT team crucial to review technical integration & functionality. Information governance leads. Protocol reviews. NHS digital resources. What is available within your own organisation? Smartcard access codes. Technical go-live date. Laying the foundations The Preparation stage. LSCB & LA establish joint implementation approach. Where is the unscheduled care in your organisation? Get the teams involved. Executive leads. Letter of acceptance and commitment and support.
Implementation within PHT. Initial Go-Live processes were initiated in 2014. Named Nurse identified as co-ordinator. Project gained momentum 2016. LA nearing completion of the download of cases onto social care system. Stakeholder engagement essential to ensure regular progress reports. SCR access in place staff identified that require smartcards and internal teams met with. Early preparation stages in place whilst awaiting progress within LA teams. liaising with team leaders/managers of departments. Implementation would be in 3 phases. ED, CAU & maternity. Administration staff within ED already in possession of smartcards access codes identified an online training initiated. CAU admin under review- additional rotational staff on rota- Safety of information access to be considered.
Initial stages Review of current practice- How can CP-IS complement what is already in place?. Process admission to discharge. Identify staff that will need access to SCR and CP-IS data screening. Create clear flow chart of new process to include troubleshooting. Training Identify staff group as system users complete online ESR training and smartcards issued. Access codes identified and in place ready for go- live date. Clinical staff training- understanding of the information they will be given and there role. Access to the test cases 1:1 and small group sessions. Cover the benefits and general principles of CP-IS Ongoing compliance. Individual competency signed off by trainer to ensure standard approach. Weekly meetings with ED teams to discuss cases and highlight training issues and or best practices. Planned staff survey to provide feedback. Induction process and procedures for staff leaving department & no longer require access. Include CP-IS access in all PHT policies and guidelines.
Challenges All areas work very differently Inconsistent processes- some current processes require review. Live system limited access to be followed. Searches only performed when patient has accessed services. Benefits Good opportunity to review current process in departments. Removal of some unnecessary paperwork. Better understanding of information sharing. Cohesive working with LAC and Local authorities. Looking at the needs of the child- what has changed in there life? The unexpected Initial increase in telephone calls from CSC for information-concerns.. Highlighted difficulties in making contact with some external agencies. Training required around LAC initiated staff survey.
Staff have a better understanding of assessing the child's needs. Better information sharing. Voice of the child. Quick easy access. More information about children at the frontline. What are the benefits we have seen? Building stronger relationships with local authorities. Looked after children greater awareness of the complex needs and support in place. Building confidence in clinicians asking the right questions.
Challenges: Staff support - yet another task for them. Releasing staff to be trained. Staff turnover. Unrealistic expectations of system change in information. Real benefits to children? Time.
Presentations from live sites Julie Parker, Head of Safeguarding / Designated Nurse Safeguarding Children, NHS Stockport CGG
xx LA went live in July 2015 Setting up in Stockport Initial barrier was ED/capacity/understanding why CPIS required? October 2015 Engaged Deputy Director of Nursing and RA Lead/Admin Lead Project driven then through their leadership/children s safeguarding SMART cards for admin/at initial booking in ED/sponsors for SMART cards required - training plan Frustrations that neighbouring areas not LIVE
How does it work in Stockport? The flow chart illustrates how CP-IS works and our local safeguards to ensure concerns are acknowledged and responded to quickly. Step 1: Social Workers record CP/LAC child on EIS/Children s Social Care electronic record adding the NHS number as the unique identifier. Step 2: Automatic submission of dataset to CP-IS upon creation or amendment of status of child. Step 3: NHS health professional will query CP-IS and will be notified if there is known CP/LAC information for the child. Step 4: CP-IS access history alert will be created when an NHS user queries; push notification to the local authority within 24 hours. If the clinician has a safeguarding concern they will notify Paediatric Liaison via a Cause for Concern form. If there is an immediate risk, they will call the duty team (0161 217 6028). Step 5: Contact Centre staff will receive all e-mailed Cause for Concern forms and put a new Contact Record on EIS, smart saving the form with details of attendance. Step 6: Social Workers receive a notification of a contact with their child through EIS workflow. Step 7: If required, Social Worker calls Paediatric Liaison (0161 419 2122) for details of the attendance, updates EIS and arranges visit as appropriate.
How does it work cont d/. It is always good practice for the social worker/massh Triage to liaise with the health case holder - either health visitor, school nurse or CAMHS to discuss the reason for the attendance and decide upon who is best to respond to the issue
Next steps Audit with children s social care using their Business Support Are you familiar with the system? Do you know what is expected of you? What do you routinely do when you see a notification on the system? Do you make enquiries about attendance and whether this has led to further intervention? Do you need further information about the process?
Next steps cont d Midwifery UBB with no National Insurance number National Insurance number of baby at birth to be shared with Stockport Safeguarding Unit after delivery. Roll out in Children s Assessment after audit
Any questions?
How can NHS Digital help you implement CP-IS? Dedicated CP-IS implementation manager (IM) will walk you through all the implementation steps Your IM can put you in contact with other live sites for a profession to profession conversation Any implementation issues and problems can be discussed with your IM as we have a dedicated technical team within NHS Digital Full support pre and post go-live of CP-IS
www.digital.nhs.uk @nhsdigital enquiries@nhsdigital.nhs.uk www.digital.nhs.uk/cpis 0300 303 5678