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Child Protection - Information Sharing Briefing Note: June 2023

Find out about the changes to how the Child Protection Information Sharing (CP-IS) service has been consulting on extending service access across the NHS, priorities for April to June, progress of the early adopters, CP-IS use at the integrated care system level and live service updates.

Service implementation update

Early adopters progress

We have now identified early adopters within each of the new six care settings, and work is progressing to get these early adopters connected to CP-IS via the National Care Record Service (NCRS). In addition, four GP sites are now live.

Summary of the current position of early adopters

Live general practice (in hours) sites: Bridge End Surgery, Manor Road Surgery, Southend Medical Centre and Laurbel Surgery). An additional 7 are signed up for training.

Child and Adolescent Mental Health Services (CAMHS): West London NHS 
Foundation Trust, a mental health trust, is currently in training.

0-19 Services School Nurses: Stonyhurst School is currently working on a technical solution as this site do not use smart cards. Kent Community Health NHS Foundation Trust is currently in the process of arranging training.

0-19 Health Visitors: Walsall Health Care NHS Trust is in training and planning to go live at end of May.

Community Paediatric: United Lincolnshire Hospital NHS Trust is in the process of arranging training.

Dentistry (Emergency and Planned care): 2 sites are in the process of arranging training.

Sexual Heath – Termination of Pregnancy Services: contact details confirmed for each of the 3 main providers and looking for 1 site per provider as an early adopter.

Sexual Health – Sexual Assault Referral Centers (SARCS): 2 potential early 
adopters have been identified.

We are progressing with additional sites with an expectation of implementation to be completed by mid-June.

Information Governance (IG)

The Data Protection Assessment and Information Governance Framework for CPIS have been updated to include the new care settings.

New Data Sharing Agreements will be made available for Local Authorities to sign by the end of June. This is a pre-requisite for the full rollout of CP-IS across the prioritised care settings.

All documentation will highlight the new care setting that CP-IS will be available in and which of these will be using Standard Look-up as opposed to those using the Silent Read.

Consultation updates

Cohorts of Children

  • E1 Children (Adoption Placement Order Granted)
  • Section 20 Looked After Children (V2)

In April all Directors of Childrens Services and Public Health were reminded of the requirement for the continued inclusion of Children and Young people with a Voluntary Care Order under Section 20 of the Children Act 1989 in CP-IS.

This was an urgent action arising from the Hesley Doncaster serious incident review. The reminder also advised of a request to share information on children and young people where an E1 Placement Order has been granted under Section 21 of the Adoption and Children Act 2002.

To date, we have received feedback and replies from 90 (59%) Local Authorities. The team are currently looking at all the information received and will confirm next steps in the next monthly briefing. 

Sexual Assault Referral Centres

The CP-IS team were invited to the quarterly Sexual Assault and Abuse Support Service Clinical Network Meeting. The use of CP-IS was welcomed.

The team are now finalising the IG arrangements that need to be put in place before CP-IS can be made available to SARCs as early adopters.

CP- IS technical updates

The CP-IS HL7 API (Application Programming Interface), including the ability for a 'silent read' of CP-IS, will be available by the end of Q1 Fy23/24.

The team are busy finalising documentation to support assurance activities before making this available for the supplier market to use.

This allows for clinical systems in the new care settings to be directly integrated with CP-IS.

The new FHIR API which will support both an alerting model and silent read of CP-IS is at the end of the design process. Plans for delivery will follow.

Priorities for June, July, and August

Between June and August, the CP-IS programme team have the following main priorities:

  • working with early adopters of the CP-IS service, to give them access via the National Care Record Service (NCRS). The outcome of this work will result in a toolkit to support wider implementation across the NHS, from July onwards
  • putting in place the Information Governance arrangements necessary to support CP-IS access from the new priority care settings. Updated documentation supporting data sharing will be made available via the Information Sharing Gateway (ISG) during June, for Local Authority signature before the end of July
  • working on the technical capabilities that will be required for Shared Care Record and other system integration with the CP-IS service, with a focus on supporting Integrated Care Systems.

Inclusion of Child Protection Plan categorisation information into CP-IS

Based on feedback we are now looking to consult with the Local Authorities about providing the Protection Plan categorisation information (such as Type – Physical, neglect) with the existing CP-IS Data that is already provided. This will allow the healthcare professionals some context to support their clinical judgements.

Consultation sessions will be set up as necessary, please join these if you are invited or make sure that the relevant parties are aware of them.

Working with Integrated Care Boards (ICB)

From July onwards:

  • looking to work with one Integrated Care Board (ICB) per Health Region to adopt CP-IS across their area. This includes integration of the CP-IS service with Shared Care Records
  • we are looking for expressions of interest to work with us, as early adopters of CP IS across the Integrated Care System (ICS).

What this entails:

  • making CP-IS available to all priority care settings across the Integrated Care System. The route to how we will achieve this depends very much on the technical footprint of your estate. We would work with you to confirm which IT systems are in use, including an understanding of where your systems currently integrate with CP-IS or the Personal Demographics Service (PDS). Other technical pre-requisites, such as the potential requirement for smartcard access, will be investigated
  • working closely with CP-IS implementation specialists from the national programme, between now and end March 24, to help make the service operational
  • supporting us to understand lessons learned from the implementation and use of the system, helping with the transfer of implementation responsibility to ICBs from April 2024
  • working together with people representing safeguarding, the systems in use including the shared care record, and the ICS. We would look to put in place a plan and terms of reference for working together.

The outcome of this work is that we will develop a blueprint or ‘toolkit’ containing best practice, self-help implementation guidance and lessons learned from the early adopter sites to enable the smooth implementation and rollout of CP-IS across further Integrated Care Systems.

So far, we have had expressions of interest from the following areas:

  • Northwest Health Region: Lancashire & South Cumbria ICB attend regular calls with NHS England and their Supplier. They are looking to use the FHIR API once it is developed
  • Midlands Health Region: Birmingham & Solihull ICB, initial call held. Involves Birmingham Shared Care Record. Lincolnshire ICB already have a Shared Care Record
  • Southwest Health Region: NHS Somerset ICB, initial call scheduled
  • London Health Region: NHS North Central London ICB, initial call held with a further follow up call required
  • East of England Health Region: Hertfordshire and West Essex ICB, initial conversation held but further exploration needed by the trust to determine how they would achieve access to the CP-IS service. Involves Hereford Partnership Shared Care Record

We are looking for ICBs from the following health regions to work as early adopters with us:

  • Northeast & Yorkshire
  • Southeast

If you are interested in putting forward an expression of interest to be one of the early adopters of CP-IS at the Integrated Care System Level, email Nila Surti at [email protected]. We will then be in touch for an initial conversation.

Live service updates

Message Exchange for Social Care and Health (MESH): how social care shares information with CP-IS

The CP- IS Operations team are monitoring the Local Authority MESH Connections daily, to support in the event of MESH connection being disconnected the team will write to those Local Authority groups effected to assist with the steps to re connect.

It is recommended this is treated as an urgent issue as after 5 days these messages would move to an expired status and be inaccessible to your organisation. 

Troubleshooting options include:

  • review the MESH.log file if you have access. This provides an audit of the MESH Client activity and may assist in your resolving activity
  • In the MESH client pre-requisites as outlined on the MESH website, information is included regarding how to ensure connected to correct ports
  • Process for starting MESH manually which are included in CP-IS Operations team email

Contact the CP-IS operations team

If you need support around data quality or general live services queries, contact [email protected].

The CP-IS programme team can be contacted at [email protected].

Raising an Incident on ServiceNow

If you would like to raise an incident for our attention, access ServiceNow and state the service affected, for example MESH or CP-IS.

Last edited: 7 June 2023 10:42 am