Engaging Health Services in Multi-Agency Safeguarding

Hub Development

Mary Mullix MASH Project Lead NHS London

Anna Jones Designated Nurse Havering

Evidence from Serious Care Reviews Mayoral drive Senior leaders across health, police and

social care ‘sign up’ Improved early identification of issues across

agencies Number of boroughs in London Changes within health service structures

Context for London

NHS London Medical Director lead Scoping exercise – January to March 2012 Link with Local Authority lead and Metropolitan

Police Service on rollout Changing health settings – risk loss of focus Designated professionals – nurses leading Provider organisations Resources Timescales

Health Engagement

MASH Health responsibilities

Led by designated nurses in health Informing emerging Clinical Commissioning

Groups Linking with Public Health Health representation at MASH strategic and

operational groups Provider engagement in MASH development

Participation and Involvement

Informing commissioning intentions Specification within contracts Identification of requirements for health role within

MASH Identification of costs and resources by provider

organisations IT support

Commissioning, Funding and Resources

Strategic and operational groups Identified project manager Named agency leads – provider

organisations IT lead Commissioner / Designated professional

Implementation

Identification of health electronic records Engagement of relevant IT leads – health, police and

local authority Caldicott Guardian/ Information Governance Lead

for consultation, advice and support Standardised Information Sharing Agreement across

London MASHs (local addendums) Agreed data management protocol Robust escalation policy for divergent views within

MASH

Information sharing

Challenges

32 different boroughs NHS organisational change Large number organisations

delivering health services Joining up agency perspectives Professional nervousness of

frontline staff Standardised job descriptions Information Sharing Agreement Clear protocols for data storage Facilities Timescales Resources Managing expectations Keeping focused on the goal

Current health restructuring locally Initial sign up by all health agencies – not

seen as priority Delay in recruitment processes by providers IT leads and agreement GP awareness of RAG requirements when

information requested

The Havering Experience

Facilitation of development through pre-existing co-location

Early multi-agency meetings Planned project approach Table top exercises prior to ‘go-live’ Pre-existing Information Sharing Agreements Pro-active IT support Leadership

London health engagement in MASH

Influencing commissioning Outline Designated professionals

presentation Work plan template Job descriptions Agreed pan London Information sharing

agreement and protocol Evaluation

Solutions and Way Forward

Any Questions?