Fleur, you haev a charming belief in the content of GPs computer
systems. Although you are right to raise the ethical issue the medical
issue is just as inportant. The fact is many GP systems are almost
devoid of any useful data except prescribing and new patient check data.
This is a scandalous waste of resources for several reasons and the
advent of locality commissioning offers the chance to make in roads into
this neglected area Jeremy Gray
> ----------
> From: c=gb;a=nhs;p=nhs national
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> Reply To: c=gb;a=nhs;p=nhs national
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> Sent: 27 January 1998 10:42
> To: c=gb;a=nhs;p=nhs national int;dda:[log in to unmask];;
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> Subject: Re: Computing over different Systems
>
> Thank God there is no capacity to interrogate GP information (OR ANY
> OTHER medical infomation) systems through some centralised data
> base!!!
> SOUNDS LIKE THE STASI!
>
> What price medical confidentiality and patients' informed consent as
> to
> who may see their data and providing info. on the purposes for which
> their data will be used???
> Centralised data bases of identifiable patient information accessible
> by
> all sorts of people (however worthy they deem their purposes) are
> NOT a
> good idea.
> In fact they are an ethically unacceptable idea.
> Data bases such as disease registers should contain de-identified but
> specific linkable data and no, I don't mean the NHS number!
> Only the treating clinician should be able to have access to the code
> that identifies the individual patient.
>
> I should be fascinated to have details of the Exeter system and the
> processes by which it effectively protects patient privacy whilst
> allowing access to specific but de-identified data for valid research,
>
> audit, epidemiology and service planning purposes.
>
> Can anyone out there help me on this one ?? Fleur Fisher
>
> Does anyone out there know the answer?
>
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