Adoption case and other inactive NHS number notifications
When adopted, the NHS system marks the child’s NHS number as inactive, and Mosaic then receives a notification of this.
In previous versions of Mosaic, updates would be sent after the number was inactive, causing errors. In Mosaic 20.1.5 and from 21.2 onwards, this inactive NHS notification causes Mosaic to stop sending updates as part of the Child Protection – Information Sharing (CP-IS) interface.
In cases other than adoption, you may see notifications for inactive NHS numbers sent alongside replacement numbers. You can also manually enter a replacement NHS number into Mosaic.
In both cases, the entry of the replacement NHS number triggers uploads to start again. This also generates an alert; CP-IS NHS Number Inactive notification notifies the configured recipient of the message and change.
Where you receive an inactive NHS number notification without a replacement, and the CP or Looked After statuses are still active, then the uploads continue to error, ensuring the users are aware that the record requires a new NHS number.
Age assessment case
Where a child's age is assessed, there are several possible scenarios.
An assessment shows the child as being under 18, but their date of birth changes. This changes on the NHS system prior to Mosaic. No error occurs.
An assessment shows the child being under 18, but their date of birth changes. This changes on Mosaic prior to the NHS system. You must manually upload the case using the checkbox in the CP-IS widget.
An assessment shows the child as over 18. This changes on the NHS system prior to Mosaic. The record automatically ends on CP-IS as they’re now over 18. If there are updates sent from Mosaic, they error. To correct, please raise a new case online and reference the title of this article.
An assessment shows the child as over 18. This changes on Mosaic prior to the NHS system and the CP or Looked After status has ended. Mosaic attempts to send the end date and change of details, however the message errors as the data doesn’t match. When the information is changes on the NHS system, the record automatically ends on CP-IS. To correct this, please raise a new case online and reference the title of this article.
Unborn child case
You can’t create a record for an unborn child on the NHS systems, however you can on Mosaic. For this to work, you must link the mother and child with the Mother-Unborn Child relationship, allowing the interface to pick this up. All CP-IS information in the front-end of Mosaic displays on the mother’s record, not that of the unborn child.
Mosaic retains unborn child cases for 28 days, allowing time to register with a GP and receive their own NHS number. This also allows access to information for investigation following death of the unborn child.
To work correctly, it’s essential that the mother’s details, including NHS number, match the details on the NHS system, and the Mother-Unborn Child relationship remains on the record for the full 28 days of retention once the child is born, or the child protection plan ends.
Once the child has had their birth recorded and NHS number issued, they have their own CP-IS record. This doesn’t affect the 28-day retention on the unborn child record, as this is against the mother’s record, creating an overlap. Within this retention period, you may have updates for either record. This depends on which record you entered the health contacts to.
Where an unborn child dies, the end of the child protection plan sends as the end date for CP-IS purposes, triggering the 28-day retention period. Although Mosaic doesn’t have the 28-day retention built-in, we don’t anticipate that this causes a problem, as further updates are unlikely after that time.
The only issue identified is if the mother’s name, date of birth or NHS number change on the record within 365 days from the end date. The end date being when the child’s CP-IS record starts, or the child protection plan ends. Any changes made to these details within 365 days cause errors. To correct, please raise a new case online and reference the title of this article.