 |
 |
Phew, that told me then.......well said! ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Alan Sent: 19 October 2009 23:23 To: [log in to unmask] Subject: Re: [OCC-HEALTH] RE OH Departments informing employee's own GP when they have administered an immunisation Several reasons.... the loss of privacy being the main one. - The government and its agencies have already lost CDs with millions of bank details, names and addresses etc on them; - Any fool with an NHS smart card would be able to browse my summary medical record - I've had more than one battle with the PCT already about data that they want from my own clinical system and which I have either declined to give ( list of smokers, to include full postcode, age and sex ) or given having written ( at my own expense) to ask for their permission; the PCT seem to think that hitting their performance management targets overrides confidentiality. I have even took advice from the chair of the BCS Primary Healthcare Specialist Group over this one as I was made to feel that I was being obstructive and unprofessional. See http://tinyurl.com/ykpz5zy That data would uniquely identify me, for example, out of 60 million UK residents. ( I've never smoked, by the way) - I don't want people adding data to my medical record unless I have some form of professional relationship with them. There has already been the famous case of the woman labelled as an alcoholic because someone with a similar name attended the alcohol clinic at UCH.... and the data apparently cannot be deleted. Dr Mary Hawking has documented several other cases ( chiropodist labelled someone as diabetic, who is not, and refused to amend the entry; locum orthopaedic junior doctor labelled a man with some chest pain as having angina, then locum moved on... has no clinical relationship to patient any more so cannot access the record, and apparently no-one else can delete that entry). Once data is out on the spine, it can't be recalled. - I don't trust the PCT any more. My fear is that next it'll be the demand for the obesity register, to improve services, or the HIV register.... all with the laudable stated aim of targeting services to where they are needed, but the PCT take the view that their desires override confidentiality. The Director of Public Health gave me the justification for a demand for data on smoking as "but I want the data". There was even a Patient Information Advisory Group set up by the DH who felt empowered to make decisions about data being released for the greater good, without consulting the patient. They wanted me to give them a full list of diabetics, to include name, address, diagnosis (obviously) and got their barrister to give me a hard time when I refused. See http://www.dh.gov.uk/ab/PIAG/index.htm and look at the last sentence of the first paragraph. Rant over, I'm off to bed We are all doomed. Alan Naylor, Sharon [HMPS] wrote: Interested in your final comment - can I ask why ?(being nosy) ________________________________ From: [log in to unmask] [ mailto:[log in to unmask]] On Behalf Of Alan Sent: 18 October 2009 23:25 To: [log in to unmask] Subject: Re: [OCC-HEALTH] RE OH Departments informing employee's own GP when they have administered an immunisation As a GP I'd like to be informed if you are giving my patients jabs for several reasons: To keep the records up to date and therefore able to answer the question "when was my last XXX injection", when they are going on holiday To be able to know which vaccine (and which brand) they have had an adverse reaction to - e.g. there is a flu vaccine available for people with a history of egg anaphylaxis, which could be used instead, or to know which Swine Flu vaccine to give them when they attend surgery for a booster - as you know, the brands are not interchangeable. To save me chasing them when the vaccination becomes more significant, such as during a flu outbreak, or if they fall into a target group for things like flu vaccine. I have to say that it is rare for anyone to inform me that they have immunised a patient of mine; when I had an OH hat, I always told the asthmatics and those with heart disease to tell their GP. It IS important that someone, somewhere has a complete record and this has traditionally been the GP. If the multibillion pound Connecting For Health project does what it should, then lots of people will be able to add health data to someone's centralised electronic health record, and the GP will lose that responsibility. However ( and despite my interest in IT), I have a lot of concerns about this project and I will not allow my own health records to be uploaded onto the spine. Alan This email was received from the INTERNET and scanned by the Government Secure Intranet anti-virus service supplied by Cable&Wireless in partnership with MessageLabs. (CCTM Certificate Number 2009/09/0052.) In case of problems, please call your organisation's IT Helpdesk. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk The original of this email was scanned for viruses by the Government Secure Intranet virus scanning service supplied by Cable&Wireless in partnership with MessageLabs. (CCTM Certificate Number 2009/09/0052.) On leaving the GSi this email was certified virus free. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk