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Code of Conduct on Confidentiality  
and handling personal identifiable information
March 2002
This is a generic Code of Conduct for all Wirral NHS staff and covers personal information concerning staff as well as patients. Caldicott Logo
Definitions

3.1 What is patient-identifiable information?

"All items of information which relate to an attribute of an individual should be treated as potentially capable of identifying patients and hence should be appropriately protected to safeguard confidentiality"
(Caldicott Committee:
Report on the review of patient-identifiable information, 1997)

These items include:

Surname Forename
Initials Address
Date of Birth Other dates (e.g. death, diagnosis)
Postcode Occupation
Sex NHS Number
National Insurance Number Ethnic Group
Local Identifier (e.g. Hospital or GP Practice Number)


3.2 Who is an unauthorised person?

An unauthorised person is anyone who does not need to know the information. Your job role, or level of access to a computer system, provides you with a level of authority to access information. Do not assume that all of your work colleagues are authorised to see the same information that you are. Even if they are in a more senior role to yourself - if they do not need to know the information, they do not need to have it. If you are in doubt as to whether you should share the information with one of your colleagues, seek the advice of your manager or the Caldicott Guardian.

In certain instances, an NHS body or member of staff may have a statutory responsibility to pass on patient information.

The NHS has a statutory obligation to notify the government of certain infectious diseases for public health purposes, e.g. measles, mumps, meningitis, tuberculosis, but not HIV/AIDS. Births and deaths must also be notified.

Limited information is shared with PCTs and Public Health Departments to assist with the organisation of national public health programmes, e.g. breast screening, cervical smear tests and childhood immunisation.


A Court of Law can insist that medical information be disclosed to them. When in doubt, seek advice from your manager.
 
Solicitors sometimes request medical reports but these requests must be accompanied by the signed consent of the patient. Third party information in the record will be withheld unless the third party has also given written consent. Again, when in doubt seek advice from your manager.
 
Do not access patient information for anything other than your official duties, as misuse of the computer system will result in disciplinary action. It is not acceptable for staff to access either their own records, or to access records on behalf of relatives, friends, or neighbours. This Code of Conduct is against this inappropriate use of the system. Staff and patients have rights of access to their own health and personnel records but this should only be done according to the guidance of the Data Protection Act 1998 (see Appendix 2). The Health Records Manager or Practice Manager within each organisation will be able to provide details.


3.3 What is meant by the transfer of personal identifiable information?

The transfer of personal identifiable information, by whatever means, can be as simple as:

taking a document and giving it to a colleague
making a telephone call
sending a fax
passing information held on computer

In all cases, however simple or complicated, the Caldicott Principles must be adhered to, in order to ensure that personal identifiable information is not disclosed inappropriately.


 

© 2003, Wirral Health Services and Wirral Health Informatics Service.