1. National, Regional and Local How does information sharing work beyond partnerships.

2. New channels and media Finding & accessing Recognising & naming The Hub Switch Index Marshalling & dispatching Portal Other hubs Hubs must talk to hubs

3. Hubs, spokes

4. Building networks of hierarchies and hierarchies of networks... and axles: Hubs, spokes

5. Structures like this are not designed in a top down way. …both real and virtual. and axles: Hubs, spokes Building networks of hierarchies and hierarchies of networks...

6. The Spine North East North West South West South East London Prescription transfer National booking National network and axles: Hubs, spokes

8. An imaginary example from social care.

9. Local Hub Systems Gateway MainfamilylocalPane 4 Achievement Record Summary Case History John Henry Smith PCT Acute Trust Social Services Education Remote Systems National Systems AnnSchool NurseW Voluntary

10. HP School Nurse emergency routine worry case SS E MainfamilylocalPane 4 Achievement Record Summary Ann Case History John Henry Smith School NurseW Involved Agencies Education Health Social Services Police SS Push items SS Pull items SS Alerts SS Offers Publication Profile Summary Case History Achievement Record Presentation Profile What Social Services and the client have agreed to make available to school nurses wanting to explore a concern about a child. How available information is to be presented to a nurse exploring a concern.

11. How is this governed? National policy and rules are published through the network Local communities adopt and adapt to meet local priorities Practitioners and their associations create professional profiles Service users express consents and preferences

12. What does this mean? We do not have to chose between central top down or fragmented bottom up. Systems federation is not about exercising control but about facilitating and coordinating. Rights and responsibilities have to be exercised at the appropriate level: –Individual episode and relationship –Local partnership –Sub regional and regional priorities –National priorities and standards All the right people must be involved in appropriate governance structures.

13. FrAmework for Multi-agency Environments Engagement from Key Stakeholders

14. Some principles We are on a journey… This won’t be easy… No ‘greenfield’ sites in policy making for multi-agency Different types of stakeholder Different requirements for engagement

15. High Level ScopingStatement& Business Case Legal Powers andResponsibilities Governance InformationSharing IdentityManagement Infrastructure Messaging Events & Transactions Sustainability Federation The 9 pieces of the Generic Framework

16. What the aim? Demonstrate that the Key stakeholder including Central, Regional and Supplier communities understand and are committed to supporting the FAME approach

17. Approach Key activities –Identify issues and plan approach –Initial approach/re-approach –Contact and exchanges –Plan and document –Agree and Commit resources (where appropriate) –Undertake agreed activity (where appropriate)

18. The list Government departments including ODPM, DH, DfES, DCA, HO, E-govt unit Agents and lobby groups involved in the lobbying and communication of policy and development of services (inc. I&DeA, Soctim, ADSS)

19. Questions? Is this… –Realistic? –Appropriate? –Complete?