CP-IS - Homerton University Hospital

Report
Child Protection – Information
Sharing (CP-IS) Project
Homerton and InterSystems
CP-IS Project Team
[email protected]
http://systems.hscic.gov.uk/cpis
Version 1.0 Sep 2014
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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
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Homerton CP-IS Inception
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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
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… 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
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Homerton Alert System
A&E Paediatric Assessment Form
Maternal Form
Specialist Form
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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(!)
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Safeguarding Detail
Safeguard
Information
Visible to
Clinicians
only
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Safeguarding Forms
Specialist Form
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Updated Safeguarding form
Added a new field to
capture LAC
information
Referral forms to
Children Social Care
updated with new
NHS No field
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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
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Homerton CP-IS Workflows
Reggie’s
Clinical
workflow
Steven’s
Technical
workflow
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CP-IS is LIVE at Homerton
as from 17th November 2014
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CP-IS is integrated/embedded
into Homerton Alert system
Ready to receive information
from the National Spine
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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
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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 (!)
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Safeguarding details
Type of alert
Date of alert
Name of LA
Contact details of
Local Authority
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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
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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
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Demographic banner
NHS No: # NOT TRACED
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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
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Outcome
CP-IS information
Clinical knowledge & experience
Child / Unborn
is Safeguarded
Sound decision making
Robust safeguarding arrangements
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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: [email protected]
Reggie Marriage 020 8510 5750 or [email protected]
Steven Ouko 020 8510 5262 or [email protected]
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