Sorry I have been away, working on this. So glad you have found the thread again, happy to answer any questions if I can.
The delay should result in a full review, Tim Kelsey is still blaming the upset on poor communication. (This is the second delay because of failure to make people aware, the first one resulted in the leaflet drop decision, they were tucked inside pizza menus, or never delivered at all (latest survey says 67% unaware after the campaign, so congratulations for finding this thread!)
Things that should be included in the review -
1) Pseudonymisation at source. Dreadful word, I know, (complicated explanation alert) but means that instead of all your identifiable data except name and address going up as will happen now, it is all stripped out bar a string of unintelligible numbers. Data from hospitals and other sources can be treated in the same way, and will come up with the same string for each patient, so the data can be linked for research purposes, but the patient's identity is not revealed. This is technically possible already, but would make it more difficult to sell on, as not so desirable to clients (or the Health and Social Care Information Centre!)
2) Opt in, not opt out. The concept of being able to 'donate' your data for research is an attractive one, and should be fully examined. However the main problem is that we are a naturally lethargic population when it comes to opting in to anything, look at kidney donation for example. This would mean the data would be less valuable for research, and could be skewed, as the population who did opt in would not be truly representative of the population as a whole.
3) Do we actually need a massive database? Data could be extracted as required and approved, to meet specific research requests. This would fit the Data Protection principle not to take more data than necessary, and to keep it for the minimum period.
4) Could the HSCIC do the data processing, and not actually release the data itself to third parties wanting it? eg Diabetes research into eye disease could ask for a specific search to be run, and just receive the results, not the actual data.
5 A full and frank discussion with the public, on TV, newspapers, social media, websites, and including patient participation groups, privacy campaigners, researchers, the medical profession.
I think a full review, to be done properly, will take more than six months....
more info on www.care-data.info/
Opt out form www.medconfidential.org
And just to lighten things up,
paulbernal.wordpress.com/2014/02/25/tim-kelsey-discovers-care-data-is-in-trouble/
