24th April 2013

Scottish Accord InformationScottish Accord InformationSharing Protocols (SASPI)Sharing Protocols (SASPI)

Dr Edward Coyle Director of Public Health, NHS Fife

Chair of Caldicott Guardian Forum, NHS Scotland

Mr Stephen MooreExecutive Director (Social Work)

Fife Council

Presentation Outline Presentation Outline

• Background - Governance Arrangements • Scottish Accord on the Sharing of Personal Information

(SASPI)• Issues• Fife approach – Multi Agency Sharing• Cross Agency Challenges • Benefits• Summary

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Background Background • Culture of “Protection” – Agencies working on their own

Services were fragmented and failed to act together to meet the needs of patients and users • Without the consent of the data subject – too difficult

Improvement Agenda - Internal Review - Gold Standard needed updated- Information Commissioner’s Officer (ICO) Guidance- Data Sharing Code of Practice - Data Protection Act 1998- Welsh Accord (WASPI)

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Model - SASPIModel - SASPIScottish Accord on the Sharing of Personal Information Scottish Accord on the Sharing of Personal Information

• Discussions with Scottish Government – re-enforced success of WASPI and benefits of a national framework

• Information Commissioner – Letter of Support “Seen as important in helping Agencies share information Seen as important in helping Agencies share information lawfully and securelylawfully and securely”

• Delivered success in engaging organisations

• Model needed minor amendments to “Tartanise” underpinning principles – Data Protection Act – UK wide

• Fife model approved & signed off by senior members Fife Partnership. Pilot kicked off May 2012, review June 2013

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Ongoing Issues

• Understanding of what SASPI can & cannot do

• Cannot guarantee:

- partners can share anything and everything they wish to – still need to comply with DPA etc. - data security - good use of information - improved records management - document handling compliance

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Ref No. ISP's Fife Constabulary

NHS Fife

Fife Council

1 Children's Services ISP (includes GIRFEC) √ √ √2 Fife Multi-agency Underage Sexual Activity Protocol √ √ √3 Youth Justice Protocol √    4 Fife Multi-Agency Adult Protection Guidance √ √ √5 Drug and Alcohol Project (DAPL) Protocol √ √ √6 Fife Rights Forum / FORT ISP √ √ √7 Community Safety ISP √ √ √8 Fife Licensing Board ISP √ √ √9 Warden Scheme Protocol √   √

10 LIN for Controlled Drugs ISP √ √ √11 Drug Deaths √ √ √12 Integrated Recovery Service (A&DP) √ √ √13 MARAC - Domestic Violence √ √ √14 MAPPA / CJS √ √ √15 Joint Paediatric Examinations of Children √ √ √

16Persons in Police custody requiring non-urgent examination and /or treatment within hospital accident and emergency departments √ √  

18 Mental Health MOU √ √  19 Injury Surveillance for Violence Reduction √ √  20 ASD Assessment (Autism Spectrum Disorder)   √ √

Information Sharing Protocols Information Sharing Protocols

Only open doors of the respective protocol

ApproachApproach - - Partnership working

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• Fife Data Sharing Working Group established to enable Public Sector services as well as third sector providers membership across Fife Agencies & Scottish Government

• Meetings held – communicating a collective vision, shared values & goals

• Template & Approach developed

• Guidance with Operational focus produced• Staff involvement & engagement - fundamental to programme

From initiation to approval took an elapsed time of six months but the development of the ISP amounted to no more than 15 hours

Steps involved in Rapid DevelopmentNeed for a controlled drugs (CD) ISP identified by NHS Fife clinicians, then highlighted to and discussed with NHS Fife

Information Governance Team.

Initial meeting held on 17 July 2012. Attendees included representatives from NHS Fife (2 clinicians, 2 IG Team, 1 Local Intelligence Network (LIN) member), Fife Police Liaison Officer, and Fife Council (1 Information Policy Team

member). Agreed the scope, format, and general content of the ISP.

Second meeting held on 24 July. The NHS Fife Caldicott Guardian and a Fife Council Information Policy Team ( IPT) member worked through the template and populated approximately 70% to 80% of the text.

First draft of the ISP circulated by NHS Fife LIN member to remainder of LIN for comments.

Third meeting held on 5 September. This included NHS Fife LIN member and 2 from IG Team and 1 Fife Council IPT. Agreed the changes from LIN members’ feedback

LIN meeting on 26 September. Final draft formally reviewed by LIN members at their regular meeting

The ISP was then updated, as required, and the draft process flow included. This was submitted to the LIN meeting on 27 November, for approval

The Fife Information Governance Group met in January 2013, and provided final sign-off and approval.

From initiation to approval took an elapsed time of six months, but with the total effort across that time, for the individual co-ordinating the development of the ISP, amounting to no more than fifteen hours

Cross Agency Challenges Cross Agency Challenges • The role of the Caldicott Guardian • The role of the Executive Director (Social Work)

• The alignment of Governance arrangements

• Need to understand the multi agencies challenges/key drivers and how we work together to tackle the risk factors

• Proposed joint Social Work/Health

Privacy Statement

• Breaches• Public Trust

Proportionate Governance – should be slicker, quicker, …… BUT no loss of scrutiny

BenefitsBenefits• Securing good governance with benefit of information sharing leading to

improvement in service provision

• Created conditions for improving collaborative working between & across professionals and respective Multi Agency Partners to provide best service requirement

• Establishing shared values & goals - communicating collective vision “Common Standard”

- helped ensure consistent approach- legal complianceReal Benefit to its adoption

SummarySummary - SASPI - SASPI

• SASPI framework – still work to be done.

• Supported from a common basis for multi agency electronic & other secure information exchange procedures

• Improved communication between partners and a greater understanding of how each agency works

• Facilitated the exchange of sensitive personal information between the Agencies – increased trust & strength in partnership

• Provided guidance to our information sharing processes in support of Health & Social Care integration

Sharing of InformationSharing of Information

Sharing of information about individuals is central to effective care and service provision across the whole service sector and our Multi Agency Partnership is working well in the Kingdom of Fife and providing a solid framework to build upon.

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Agencies are reviewing their Agencies are reviewing their data handling proceduresdata handling procedures

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Thank you Any Questions

One agency has updated its DocumentManagement Strategy after an employee went missing for two days….