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