Transcript Document
To Share or Not to Share? IGR
16th October 2013
Janet Davies, Director of Nursing & Service Delivery
Information
Focus on Patients
Essential for Care
Rules and Guidance
Critical for Governance
Can restrict good practice
Citizens Said
Powerful stories reinforcing what the Future Forum heard
Strong support for
– more sharing of information to support their care
– anonymous data to be used “for the public good”
– research but plea to be asked before information is used
Antipathy to their identifiable information being used for
other purposes
No surprises and the complex area when carers are
involved
Organisations Said
Anxious about sharing
Concerns about organisations’ reputation
Causes:
– The Caldicott principles especially number 4
– Large fines from ICO for data breaches
– Greater awareness of data protection
– More care pathways cross organisational boundaries
Increased caution among health & care professionals
Nurses Said
Prevented from communicating with patients using technology
of choice
Concerns about sharing information between health and social
care causing problems where teams interface
Sharing with independent/third sector problematic
Families are treated differently in health and social care
Rules and Guidance are all different – and creating confusion
Training not fit for purpose for all
Rules go beyond Caldicott principles
Challenge
To make recommendations that change the culture while
staying within the law and maintaining
focus on good IG practice
The Final Report - Purpose
Enhance trust
Better balance the risks of failure to maintain
confidentiality, and failure to share
Simplify information governance, and for it to be seen
as more closely aligned to clinical governance, not as a
technical issue
14 Chapters
26 Recommendations
A new Principle
The duty to share information can be as important as
the duty to protect patient confidentiality
THE GOVERNMENT RESPONSE
ISOG – take forward work
IIGOP – Oversee activity
NEW RULES
HSCIC:
Treating confidential information with
respect
Rule 2:
Members of the Care team should share
confidential information when it is needed
for the safe and effective care of an
individual