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 Safeguarding Children Participation and Involvement Commissioning Funding and Resources Implementation Information Sharing

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

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