CYP IAPT Consent Form - Lewisham Children & Family Centre

CYP IAPT Privacy Notice and Consent Form

Step 1 of 2

Early Years Alliance
Children & Young Peoples Improved Access to Psychological Therapies
(CYP IAPT) Programme
Privacy notice and consent form

Privacy notice
Introduction

At the Early Years Alliance (EYA), we are committed to ensuring that your personal data is protected in accordance with data protection laws and used in line with your expectations.

This privacy notice and consent form explains why we are seeking your consent, how we use it, your right to withdraw consent over your and your and your child’s personal data and the procedures we have in place to protect them.

When we refer to “we”, “us” or “our”, we mean the EYA. Our full legal information as a data controller, is:

The Early Years Alliance (EYA) is the trading name of the Pre-school Learning Alliance, a charity registered in England Wales (number 1096526) and a company incorporated in England and Wales (number 4539003) with its registered office address at 50 Featherstone Street, London, England, EC1Y 8RT.

What personal information would we like to collect and how will it be used?

We would like to take the following types of information:

Name, address, date of birth, ethnicity, religion, information on support requested, needs identified, results of assessment, results of tests, answers to questionnaires, onward referrals made and session attendance data.

With your consent we may also need to undertake the following activities:
- Filming group or individual sessions as part of the training programme/curriculum, as specified by the education provider KCL.
- Sharing video with course tutors and supervisors to ensure that we are meeting the requirements of the course/study and to improve our practice by reflecting on our work.
- Filming group or individual sessions as part of the ongoing professional development of our staff.
- Sharing video with managers and supervisors to ensure that we are delivering well and to improve our practice by reflecting on our work.
- Video/Audio recording of group or individual discussions or interviews which may form part of the evaluation/feedback process.
What is the legal basis for collecting it?

Your explicit consent is required for us to obtain your data and use video/audio recordings of you and/or your child as well as to be able to share your data and you and/or your child’s images with the below organisations.

We collect this information will enable us to monitor progress, analyse our outputs and outcomes, assess our effectiveness, publicise the offer to parents/communities and plan future services so we can continually improve the service we offer. Some of the information collected is reported nationally to give a picture of services delivered across the country.

Who we share the data with?
- London Borough of Lewisham via a secure database system called EISi.
- Lewisham Children & Family Centres partners including Lewisham & Greenwich Trust and Lewisham CAMHS.
- NHS Digital
- KCL course tutors/supervisors
- We may engage with third parties to help us gather this data for us to be able to evidence the success of the project by creating infographics and reports on our behalf, these parties will be subject to a duty of confidentiality and obligated to comply with data protection laws.
How do we protect your data and videos?

We take the security of your personal data and you and/or your child’s videos/audio seriously. We have internal policies and strict controls in place to try to ensure that your data and the original digital images of you and /or your child is not lost, misused and to prevent unauthorised access.

Where do we store your data and videos?

All data you provide to us is stored on secure computers or servers located within the UK or European Economic Area. We may also store paper records in locked filing cabinets.

Our third party processors will also store your data on secure IT systems which may be situated inside or outside of the European Economic Area. They may also store data in paper files.

How long do we retain your data?

We will only retain your personal data for as long as necessary to fulfil the purposes we collected it for, including for the purposes of satisfying any legal, accounting, or reporting requirements.

Your rights with respect to your data and videos
As a data subject and/or a parent or guardian of a data subject, you have a number of rights. You can:
- request to access, amend or correct the personal data we hold about you and/or your child;
- request that we delete or stop processing your and /or your child’s personal data and images, for example to withdraw your consent or where the data is no longer necessary for the purposes of processing; and
- request that we transfer you and your child’s personal data to another person.
If you wish to exercise any of these rights at any time please contact VAL POPE at val.pope@eyalliance.org.uk

Complaints

If you have a concern about how your child’s images are being used, please raise a complaint with our compliance team at dataprotection@eyalliance.org.uk or on 020 7697 2593.

If you are concerned about the way your child’s images are being handled and remain dissatisfied after raising your concern with our privacy team, you have the right to complain to the Information Commissioner Office (ICO). The ICO can be contacted at Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF or https://ico.org.uk/.

March 2022

Early Years Alliance CYP-IAPT Programme Delivery (Face to Face and Online)

Consent Form

The data will be used by the Early Years Alliance and Lewisham Children and Family Centre.
Name of Child*
First Last
Name of Parent or Guardian*
First Last
I consent for the data to be used for me/my child for the following purposes. Please tick the boxes where you wish to give your consent to the Alliance using your and your child’s videos and data.
I understand that the information I supply will be held on a database for monitoring and evaluation and will be shared with Children and Family Centre partner agencies in accordance with the Data Protection Act 2018 and our Privacy notice.*
I agree for my participation in individual / group sessions to be recorded for the purposes of my therapists training or ongoing development. I understand that my therapist will check at the start of each meeting if this is still OK and will ask for my verbal consent on each tape as well.*
I give permission for videos, audio recordings and data to be used stored and shared with Children and Family Centre partner agencies in accordance with the Data Protection Act 2018 and our privacy notice*
I consent to access the Zoom sessions using the code and password provided to me by the Early Years Alliance*
I understand that Early Years Alliance Zoom sessions are NOT recorded unless required as part of training or ongoing development, in which case additional verbal consent will be sought.*
I give permission for London Borough of Lewisham to store and update my details, for the purposes of understanding the outcomes gained and in order to allocate future funding to the programme.*
I give my consent for data collected to be submitted to NHS digital, for the purposes of understanding patient outcomes both locally and Nationally and to make future decisions about strategic development and funding for Mental health services.*
Contact*
I also give consent to be contacted by the Alliance and Children and Family Centres by
- Select All
- email
- text message
- telephone call
- post
Consent*
I have received a copy of the Privacy Notice and I am aware that I can withdraw my consent at any stage
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

Welcome to the Early Years Alliance Lewisham Services Website

CYP IAPT Privacy Notice and Consent Form

Step 1 of 2