Key Areas of achievement Improved timeliness of completion of IHAs, from 47% to 69.6% Almost all IHAs completed were of a very high standard Children in Bournemouth, Dorset and Poole have access to the same high standard of IHAs and Adoption Medicals. Regular IHA clinics are continuing to be held in Dorchester. Processes are in place for Bournemouth, Dorset and Poole children placed out of area to have their IHA completed local to their placement, and for children placed from other local authorities in Bournemouth, Dorset and Poole to have their IHA completed by a medical adviser locally. Medical advisers provide a standardised type written report for Social Workers, following the adoption medical. This report is available for any subsequent meeting between the medical adviser and the prospective adopters. From April 2018 all IHAs are now saved on Poole Hospital Electronic Patient Record enabling access to any professionals who come into contact with the child or young person Key Areas for Development Notification of children new into care and sending parental consent is still not embedded practice for Dorset Social Workers. The Designated Doctor and Nurse will need to continue to monitor this and raise concerns with senior staff from Dorset Children Social Care. LAC nurses need to ensure that at each RHA the health plan from the previous IHA or RHA is reviewed, and the date of completion of all recommendations is recorded. This will enable some measurement of outcome from the IHAs and RHAs. Biannual meetings of the medical advisers with the LAC nursing team to discuss an educational topic and encourage better joint working. The first of these is on May 15th 2018. The Designated Doctor and Named nurse are reviewing the process for IHA to make it clear at every stage, with defined deadlines for completion for all staff involved. Regular meeting and supervision of Medical Advisers to continue. Improved completion of Social Worker initial details form- this is being discussed with the Local authorities as part of the review of process. Improve feedback rate- Medical advisers have been prompted to remember to ask for feedback forms to be completed so we can continue to improve the service. Medical advisers to complete the RHA for children who have had an adoption medical but who are not yet matched. With current staffing levels the medical advisers do not have time to do this.
Key Areas of achievement Improved timeliness of completion of IHAs, from 47% to 69.6% Almost all IHAs completed were of a very high standard Children in Bournemouth, Dorset and Poole have access to the same high standard of IHAs and Adoption Medicals. Regular IHA clinics are continuing to be held in Dorchester. Processes are in place for Bournemouth, Dorset and Poole children placed out of area to have their IHA completed local to their placement, and for children placed from other local authorities in Bournemouth, Dorset and Poole to have their IHA completed by a medical adviser locally. Medical advisers provide a standardised type written report for Social Workers, following the adoption medical. This report is available for any subsequent meeting between the medical adviser and the prospective adopters. From April 2018 all IHAs are now saved on Poole Hospital Electronic Patient Record enabling access to any professionals who come into contact with the child or young person Key Areas for Development Notification of children new into care and sending parental consent is still not embedded practice for Dorset Social Workers. The Designated Doctor and Nurse will need to continue to monitor this and raise concerns with senior staff from Dorset Children Social Care. LAC nurses need to ensure that at each RHA the health plan from the previous IHA or RHA is reviewed, and the date of completion of all recommendations is recorded. This will enable some measurement of outcome from the IHAs and RHAs. Biannual meetings of the medical advisers with the LAC nursing team to discuss an educational topic and encourage better joint working. The first of these is on May 15th 2018. The Designated Doctor and Named nurse are reviewing the process for IHA to make it clear at every stage, with defined deadlines for completion for all staff involved. Regular meeting and supervision of Medical Advisers to continue. Improved completion of Social Worker initial details form- this is being discussed with the Local authorities as part of the review of process. Improve feedback rate- Medical advisers have been prompted to remember to ask for feedback forms to be completed so we can continue to improve the service. Medical advisers to complete the RHA for children who have had an adoption medical but who are not yet matched. With current staffing levels the medical advisers do not have time to do this.