24 th April 2013 Scottish Accord Information Sharing Protocols (SASPI) Dr Edward Coyle Director of Public Health, NHS Fife Chair of Caldicott Guardian Forum, NHS Scotland Mr Stephen Moore Executive Director (Social Work) Fife Council

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 24th April 2013

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 Welsh Accord (WASPI) 24 th April 2013

Model - SASPI 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 lawfully and securely “Seen as important in helping Agencies share information lawfully 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

24th April 2013

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 24th April 2013

Ref No.ISP'sFife Constabulary NHS Fife Fife Council 1Children's Services ISP (includes GIRFEC) √√√ 2Fife Multi-agency Underage Sexual Activity Protocol √√√ 3Youth Justice Protocol √ 4Fife Multi-Agency Adult Protection Guidance √√√ 5Drug and Alcohol Project (DAPL) Protocol √√√ 6Fife Rights Forum / FORT ISP √√√ 7Community Safety ISP √√√ 8Fife Licensing Board ISP √√√ 9Warden Scheme Protocol √ √ 10LIN for Controlled Drugs ISP √√√ 11Drug Deaths √√√ 12Integrated Recovery Service (A&DP) √√√ 13MARAC - Domestic Violence √√√ 14MAPPA / CJS √√√ 15Joint Paediatric Examinations of Children √√√ 16 Persons in Police custody requiring non-urgent examination and /or treatment within hospital accident and emergency departments √√ 18Mental Health MOU √√ 19Injury Surveillance for Violence Reduction √√ 20ASD Assessment (Autism Spectrum Disorder) √√ Information Sharing Protocols Only open doors of the respective protocol

Approach - Approach - Partnership working 24 th April 2013 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

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

Benefits 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 compliance Real Benefit to its adoption

Summary - 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 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. 24th April 2013

Agencies are reviewing their data handling procedures 24th April 2013 Thank you Any Questions One agency has updated its Document Management Strategy after an employee went missing for two days….