information sharing consent or no consent dermot kelly. nov 2013
TRANSCRIPT
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INFORMATION SHARING
• CONSENT OR NO CONSENT
Dermot Kelly. Nov 2013
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Consent or not?
• S.11 Children Act 2004, obliges relevant agencies to ensure that its ‘functions are discharged having regard to the need to safeguard and promote the welfare of children’
• Section 10 and 11 Children Act 2004 create a ‘permissive gateway’ for sharing of information
• ECHR 1998 Art’s 2 & 8 – finding the balance
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REFERRAL
• Individually consider this referral and decide if you will share information.
• College refers a 16 old boy who is presenting as hungry saying he has no money for his bus pass or for lunch. College said they had not spoken to his mum.
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Small Group Work
• Form two groups of “Consent” and “No consent”
• Discuss amongst yourselves the reasons why you have made your decision and prepare to challenge your opponents.
• Select a speaker to argue your groups decision.
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Consent or not?
• there is no absolute requirement for agencies to obtain consent before sharing information nor should there be a blanket policy of never doing so
• there is an obligation to consider on all occasions and on a case by case basis whether information will be shared with or without consent
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Haringey Judgement
• Judical Review: R (AB and CD) v Haringey London Borough Council (2013) judgement before MASH
• –reiterates the importance of considering when and whether consent is required
• –documenting of all decisions and rationale - If it isn’t written down it didn't happen!
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INFORMATION SHARING
• Seven golden rules
• data protection act is not a barrier to sharing information• openness and honesty• if in doubt seek advice• share with consent where appropriate • consider safety and wellbeing• NPR – necessary, proportionate, relevant, accurate,
timely and secure• record decision and reasons for it
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Caldecott principles• Justify the purpose for needing information
• Do not use person identifiable information unless absolutely necessary
• Use minimum amount necessary of person identifiable information• Access to person identifiable information on a strictly need to know basis
• Everyone should be aware of their responsibilities
• Everyone should be aware of and comply with the law 1997
• Duty to share information can be as important as the duty to protect patient confidentiality 2013
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Refusal & MASH Process• If justifiable to override the refusal in the interests of the welfare of
the child then professionals can and must do so.
• This decision must be proportionate to the harm that may be caused by proceeding without consent.
• documenting of all decisions and rationale - If it isn’t written down it didn't happen!
• MASH process and the rules.
• If followed MASH processes are relevant to the consent determination; however, it is not a single overriding factor.
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N,P,R
• Necessary
• Proportionate
• Relevant
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Information sharing
• Information Sharing in MASH is not… a single one-off decision
• It is a process of a number of carefully calibrated decisions made at different times, by different people based upon professional judgement about risk and relevance.
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EARLY HELP / INTERVENTION
• Working with children and families in need of support and Troubled Families can be effective through Team Around the Child (TAC) as a good start in engaging with families.
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Consultation
• To help professionals MASH (Multi Agency Safeguarding Hub) offers and encourages Consultation. Any professional wishing to discuss concerns or thresholds of Children in Need should contact MASH and request a Social Work consultation.
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MASH is NOT…a safeguarding factory