How We Work
However we hear about your child we want to make sure you get the right service from the right practitioner at the right time.
Once we hear about your unborn baby / child the referral will be reviewed by a health professional.
Community health records will be accessed and the parts relevant to the referral reviewed. This is important because it means care can be directed to the right part of our service. It will then be allocated to a team member with the best skills to help.
The service documents all contact with you and your family on the electronic record of the person(s) receiving care. We use a secure health record system called SystmOne.
Records are completed carefully to ensure only personal information about the individual is recorded on their own record.
A practitioner will get in touch with you by letter or phone to arrange to see you. When the service first has direct contact with you, on the phone, or face to face, they will be able to explain your choices about record sharing to you. You have choices on how your information is shared.
- You can choose to share your health record of contact with Norfolk Children and Young People’s Health Services with other health services you may access. Known as consent to share out.
- You can choose not to share your health record of contact with Norfolk Children and Young People’s Health Services with other health services you may access. Known as dissent to share out.
- You can choose to share the health record of contact other NHS services you access with Norfolk Children and Young People’s Health Services. Known as consent to share in
- You can choose not to share the health record of contact other NHS services you access with Norfolk Children and Young People’s Health Services. Known as dissent to share in.
You will be asked about these choices at all NHS services you access.
Sharing information can be useful. It allows involved services to see the assessment and care recorded by each other, and allows you to discuss this with them. However it is a personal decision. It is your choice and your treatment will not be affected by what you decide. Your decision will be recorded on your electronic record.
Remember you can change your mind at any time. Just discuss it at your next appointment or call the service to let them know.
All staff working in our services are bound by tight confidentiality rules. Confidentiality is an important part of working with parents and carers, children and young people. We know this allows you to have confidence when talking about private and personal things. Your privacy will be protected and your information kept safe.
- A summary of the content of sessions will be kept on the electronic record. This is only viewed by those who need to see it and in accordance with your sharing wishes wherever possible.
- With your permission a practitioner may ask to discuss your care specifically with their supervisor and/or team or another service. This allows them to use their expertise to get the best care for your child.
- They may discuss your family’s case anonymously with colleagues / other services to learn from each other and to share ideas that will help you and other families.
If the practitioner working with you has concerns about the safety of you and/ or your child they will if at all possible discuss this with you and you can decide next steps together.
This may include sharing confidential information with your agreement. If you do not agree the practitioner will ask for advice from their manager and / or the safeguarding team to assess if this is leaving you or your child at risk.
If they are worried that by discussing the concerns with you they may increase risks to you, or your child they may contact other services first to keep you or your child safe. This is very unusual. Our teams are keen to always work openly and honestly with families if at all possible.
If you have parental responsibility for a baby or young child you will consent to treatment for them and be involved in all decisions about care.
As children reach adolescence they become more able to understand what services they need and what would be helpful to them. This is called having the ‘competence’ to make treatment decisions for themselves.
By law children over 16 are considered to have capacity to decide for themselves. Once a child has ‘capacity’ they can consent to their own treatment, and decide for themselves who is told about their care.
All young people are different and many will have capacity before the age of 16.
If a person is under 16 there is guidance for professionals to follow to help them assess if a child is able to safely decide what treatment they consent to. You can read more about the rules on this *here*. Before a young person consents to their own care professionals need to be confident a young person can;
- Understand information given to them in relation to a decision.
- Remember the information long enough to make a decision.
- Weigh up any pros and cons using the information available.
- Communicate their decision in any way which can be recognised.
The guidance is also used to decide if a young person can choose to keep their care private and confidential from parents and carers.
It is important to say that our team will always encourage a young person to share information about their care with their loved ones. Practitioners will help a young person decide how they can comfortably share things with parents and carers. We know that parents and carers offer important support and understanding.
If young people refuse to share with their parents / carers staff will ensure they know who to contact for help if they need it.
Staff will share a young person’s confidential information without consent only if they feel the young person is at risk. If the level of concern is high they will follow safeguarding policies and procedures to keep them safe.