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?