As an addendum to my previous response I should add that I used "medical" confidentiality as an example, as the OP was NHS. The same would apply to other data held under an obligation of confidentiality.
My point was that where personal data is being considered for secondary use, which is not confidential, legitimate interest /public task may be available and consent is irrelevant (PN still required!).
This can remove a big obstacle.
Where information is confidential one of the overrides OP stated is required. However outside NHS it will often be easier to find e.g. clear statutory power.
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