In article <[log in to unmask]>, Katie Law <katie@utu-
mno.demon.co.uk> writes
> Mary Hawking <[log in to unmask]> writes
>>
>>Doesn't anyone care about confidentiality any more? Is the battle lost
>>by default?
>
>If that amount of sharing is required there are some things I would feel
>uncomfortable about noting down on the EMR (e.g. impotence, child abuse,
>HIV testing,). These things should not be widely broadcast or shared
>with anyone. In time the *list* would get bigger and one could see
>eventually any abnormal result or deviation would be too risky to
>document.
>There are 2 options - no record is made at all of certain things
>(medico-legally indefensible) or resorting to keeping separate, non-
>accessible, probably paper, records of things like that ...
>
>Where does the limit of the *PHCT* go as far as accessing medical
>information? Does it automatically extend now to the PCG?
>
>How many of us would feel happy about our own medical records being
>accessed by say
>the dietitian - maybe
>district nurse - ok
>district nurse manager - hardly
>social worker on PCG board - no way
>lay member on PCG board? - NO!
>
>Hardly conducive to encouraging confidences from our patients is it?
Apols for long quote but is v v v important.
I am so glad this has come up - I currently in a minority of one in our
pracice - I feel it is wrong that the dietician uses and reads our
patients notes - i also feel it is wrong that the physios come down from
the cottage hospital to do the same.
Firstly I dont think it should change what they do v much.
Secondly - this is a small community and everyone knows everyone else -
by agreeing to physio is a patient consenting to his wifes sister (the
physio perhaps) reading about his STD.
My feeling is not.
I have just asked the MPS for a view - but would equally value those of
the list.
I could be wrong (often am) but something is twanging in me here.
Cheers :)
--
Jelly Bean
'When you get fed up surfing....
.....go find some waves'
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