Most case reviews flag the issue of inadequate information sharing and ineffective work with colleagues and other agencies.
The knowledge held by an individual practitioner or agency may not, on its own, appear worrying but when collated the overall picture may indicate a more significant level of concern and risk. Practical barriers to information sharing include using different and incompatible IT or paper systems and diverse interpretation of policy, procedure and protocol.
Some case reviews criticised the system of assigning health visitors to a geographical area rather than a specific GP. This can result in little or no information being exchanged between health visitors and family GPs.
Information sharing is also compromised when the full range of health professionals working with a family fail to attend child protection conferences and core groups. Absent GPs, midwives and paediatricians are not able to give first-hand accounts of their involvement with families which can result in important nuances being lost, leaving other members of the group to interpret information.