The voluntary nature of the LPA appointment is probably the only distinction I can think of. So yes, a donor could I suppose write an equivalent restriction into the power but I'm still not sure that makes much sense.
Firstly it would need the foresight to remember something specific that might have happened years ago and may be irrelevant to the reason for giving the LPA. Secondly it would have to be something where the restriction was recorded in the records. You would hardly grant an LPA "excluding access to the health records about my STI".
The prompt for my question was whether someone with a property LPA, using it to make an SAR for health records with the intention of bringing a legal action, should be given the whole record, or only those relevant to the claim, particularly if the other records had a "don't disclose" restriction, but the statutory exemption was not available.
Also if the restriction was in the part needed, why is it OK for anattorney to have them, but not a parent if needed for legal action? I appreciate in the latter case the action could await the child growing up, but that is not always appropriate.
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