Hertfordshire Partnership NHS Foundation Trust Who are we

Hertfordshire Partnership NHS Foundation Trust Who are we? Lorraine Wiener HPFT Named Nurse Safeguarding Children Specialist advice and support to staff on matters concerning children’s welfare & safety Alison Fitzgerald Strategic Lead Nurse Clinical lead for nurses working in CLDT’s Operational Manager of the Health Liaison Team & Epilepsy Nurse Specialists Lead role for health agenda in ACS

Hertfordshire Partnership Organisations NHS Foundation Trust • HPFT Provides specialist community and inpatient mental health services for adults and children, community substance misuse services for adults and children, and specialist learning disability services for adults. • ACS Provides health and social care services for vulnerable adult groups including those with mental ill health, learning disabilities and older people

Hertfordshire Partnership NHS Foundation Trust Arrangements for Identifying unborn babies & young children at high risk • Mandatory safeguarding training and additional specialist training • Interagency policies and engagement in HSCB and HSAB • Parent assessment, treatment and support • Risk assessment and screening tools – child and adult • Incident monitoring and lesson learning • Specialist advice for staff (Named Nurse Safeguarding Children)

Hertfordshire Partnership NHS Foundation Trust Response to Identified Risks • Referral • Risk assessment - child / adult • Consultation & information sharing • Engagement with partner agencies

Hertfordshire Partnership NHS Foundation Trust Challenges • Conflict of roles • Lack of understanding • Consistency of engagement

Hertfordshire Partnership NHS Foundation Trust What are the communication issues? • Team locations and geographical areas can be a barrier • Electronic systems and processes can be restrictive in sharing confidential information • Making direct contact can be time consuming

Hertfordshire Partnership NHS Foundation Trust Co-Location? Establishing virtual teams with regular local forums would help. Better communication, telephone and email with clear targets for response times would ensure more timely discussions and help clarify roles and increase shared understanding.

Hertfordshire Partnership NHS Foundation Trust Recommendations • There should be a review of the awareness training on learning disability and mental health to CSF • Development of joint networks / interface that provide opportunities to get to know others roles, responsibilities and build relationships