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Electronic Interagency Referral Discussions (E-IRDs) Engagement with the Police The West Lothian...

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Electronic Interagency Referral Discussions (E-IRDs) Engagement with the Police The West Lothian Approach to Electronic Adult Protection David Robertson, Senior Responsible Officer - Information Sharing, West Lothian Community Health and Care Partnership Nick Clater, Group Manager – Protection & Emergency Services, West Lothian Council IT in support of information sharing between Health and Social Care 24th April 2013 at the National Museums of Scotland
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Electronic Interagency Referral Discussions (E-IRDs)

Engagement with the Police The West Lothian Approach to

Electronic Adult Protection

David Robertson, Senior Responsible Officer - Information Sharing, West Lothian Community Health and Care Partnership

Nick Clater, Group Manager – Protection & Emergency Services, West Lothian Council

IT in support of information sharing between Health and Social Care

24th April 2013 at the National Museums of Scotland

The Act sets out statutory duties of co-operation for certain public bodies and their office-holders:

CouncilsNHS boardsPoliceCare Commission

Mental Welfare Commission; andthe Public Guardian.

These public bodies and their staff must:

Report the facts and circumstances to the local Council when they know or believe that someone is an adult at risk and that action is needed to protect that adult from harm;

and Cooperate with the Council and each other to enable or assist the council making inquiries.

Adult Support and Protection (Scotland) Act 2007 - Duty to

cooperate

Various laws protect information. The rights to privacy and seeking consent should always be considered, but various laws also allow information sharing without consent:

The Human Rights Act 1998The Common Law Duty of ConfidentialityThe Data Protection Act 1998

These existing laws allow information to be disclosed without consent:

where such disclosure is required by law (either a court order

or statute); where such disclosure is for crime prevention,

detection and prosecution;where such disclosure is in the public interest

(including the best interests of adults, who are or may be being

harmed).

The Adult Support and Protection (Scotland) Act 2007 supports information sharing without consent when it is necessary to protect adults at risk.

Information Sharing: the Law

E-IRD stands for Electronic Inter-Agency (or Initial) Referral Discussion

The E-IRD records the discussion between agencies to share and consider all relevant information about an adult at risk of harm.

Those undertaking the discussion make decisions and plan responses on the basis of that shared information.

Definition of E-IRDs

To plan the investigation and establish agency involvement;

To agree any immediate protective measures;

To identify and share information;

To establish whether a crime may have been committed;

To establish whether an AP investigation is required;

To establish whether an Adult Protection Case Conference

(or Professional Concerns Meeting) is required;

To establish what type of Adult Protection investigation is

required.

Purpose of E-IRDs

Limited number of staff need to be trained;

Any of the three agencies can initiate an IRD;

Initiating agency responsible for the completion of the E-IRD

form;

Initiating agency telephones other agencies and shares

information;

Initiating agency will record information on E-IRD form;

Other agencies check E-IRD form for accuracy before

closure;

E-IRD form should be completed within 24 hours of IRD

initiation.

Process, Recording & Timescales of E-IRDs

C-me and eCare are established shared information systems in West Lothian designed to provide whole person view

Adult version draws from host systems in Social Work, Health and Housing

Provides SSA/ Assessment workflow /Shared warning triggers/ secure messaging and E-IRD’s

Children’s version draws from host systems in Social Work, Education and Health with secure controlled access to Police and Third Sector

Provides Integrated assessment Framework/Chronology/Shared warning triggers/secure messaging

Host systems remain intact, minimising re-keying

Information sharing systems

Social Services SWIFT

Education Services SEEMIS

NHS TRAK

GP’s GPASS

New in 2013 Cross Agency CP Link with Lanarkshire

Information Sharing (eCare & C-me)

Council General Enquiry Tracking System

Linked IT Systems

RobertsonD

******

Log In Screen

Justine BellJustine BellJustin Bell

SWIFT EMS CIS

Justine

Bell

14 Jun 1999F

Add IRD

Home Page - Searching

CPR!

NameJustine BellJustine BellJustin Bell

Justine Bell

Justine Bell

Core Data Set - Chronology

CPR!

Justine Bell

Register an Interest Pop-Up

NameJustine BellJustine BellJustin Bell

CPR!

SWIFT EMS CIS

Bell

Justine

14 Jun 1999F

Add IRD

Home Page - Adding an IRD to a client

IRD Form Front Page

IRD Form Page 2

Introducing assistive technology on its own without wider system improvements is a wasted opportunity

Assistive technology is not a cut-price alternative to personal service but helps stretch the human element further

An approach driven by technology won’t work

High level of commitment particularly at senior and Partnership levels is required

Careful approach and investment of time with all stakeholders – especially staff, users, carers and clients is required

Performed correctly, information sharing is of great benefit to not only the Partnership bodies but also the community

What have we learned so far?

Number of IRDs recorded prior to March 2010

(implementation): 3-4 per month.

Number of IRDs recorded after March 2010: 12 per month.

Greater staff compliance.

Multi-agency responsibility.

Audit trail – reliable, focussed recording mechanism.

Provides significant intelligence - type of harm being

perpetrated, by whom, and to whom.

Reduces need for meetings – efficiency.

Improves quality and traceability of shared information

(PRSA)

Outcomes & Benefits of E-IRDs

Working with national and regional groups:

DTSB, Best Practice Forum, South East Scotland GIRFEC

Group, DSP, Lanarkshire Partnership

Developing systems to support Children and Young People

Legislation

Single Child’s Plan, Chronology, GIRFEC, Named Person

Share child protection information across Partnership

Boundaries with Lanarkshire

Collaborate with eHealth on including portal technology

across Lothian

Continue to develop information sharing services in West

Lothian, Lothian and across Scotland

What are we going to do now?

Any Questions?

Thank You for Listening

David Robertson, Senior Responsible Officer - Information Sharing, West Lothian Community Health and Care Partnership

Nick Clater, Group Manager – Protection & Emergency Services, West Lothian Council


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