In message <000701bdd210$b1351e40$8540b0c2@black-hole>, Bill Beeby
<[log in to unmask]> writes
>Paul's suggestion of explicit consent is a "stopper" - and anyway,
>without a real guarantee of confidentiality I would strongly advise
>patients to refuse.
Don't we need a minimum data set for release as well as a
confidentiality policy?
Something like:-
"On an individual basis, we normally release *this* information (or type
of information) - DM, adrenocortical insufficiency , drug allergies and
medication(selected drugs where non-relevation in an emergency might be
life threatening), and this data set is agreed with the patient. We will
try to make sure that this is only released to those with a need for
this information for direct,emergency care .
On a practice basis we may have to report numbers of patients with
different conditions"
Needs a bit of working on, but I don't think that *total*
confidentiality is feasible any more - and in some instances (eg
adrenocortical insufficiency in an unconcious patient) might even be
detrimental to the patient...
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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