Gransnet forums

Health

Protecting your medical records - apologies for long post, but this could be important for you.

(38 Posts)
B9exchange Mon 17-May-21 16:57:07

There is an organisation called MedConfidential which has been battling for years to protect the right of everyone to keep their medical records private and to be used solely for their clinical care. The have now issued the strongest warning I have ever seen from them about the latest government plan to take this data and share it with research, insurance companies, banks, police and the like.

The majority of the population won't care what happens to their records, and that is absolutely fine, but there are those for whom this could be a disaster, such as those hiding from abusers or immigrants, and there will be about 2% of the population who would just like to keep things private anyway.

I have published below an email just received from Medconfidential. medconfidential.org/

"Let us tell you about the massive new GP data grab the Government would rather you didn’t hear about...

The countdown has already begun. The Government’s plan is to copy your entire GP medical history – including all the most sensitive parts – and make it available for third parties to apply for and buy access. Even though Matt Hancock directed it to happen he’s not going to tell anyone about it. Neither will Boris.

Details are still a bit sketchy; critical documents like the programme’s Data Protection Impact Assessment aren’t (?written) published yet, and some of what’s being said to patients seems... contradictory. The promise that “you can opt out at any time”, for example, doesn’t fit with the fact that once your data has been copied, it will never be deleted.

We will provide more information as it emerges, but for now...

If you’re wondering why you haven’t heard about this, it’s because they haven’t told you. The Government are playing the odds that you, your family and your friends and colleagues won’t have noticed some information they buried on a website, or the handful of tweets they’ve made.
While you can opt out, they’ve made it deliberately confusing and difficult. Unlike the single form medConfidential provided at the beginning of the previous attempted GP data grab in 2014, you must now use several:

•The most important one is the ‘Type 1’ opt-out form – this is the only opt-out that will prevent your GP data being copied to NHS Digital, and then onwards. If you haven’t done so already, you need to fill one in and send it to your GP practice within the next six weeks. (If you opt out after 30 June, your GP data could be copied from your practice at any point and, once copied, it will never be deleted.)

•If you opted out from care.data in 2014, your opt-out will still be valid. Your own GP practice may still be using a form from that period, but it is completely different from the ‘National Data Opt-out’, which used to be called a ‘Type 2’ opt-out. Bottom line, if you opted out of care.data in 2014, you should be OK for now.

•The National Data Opt-out, introduced in 2018, limits NHS Digital from selling access to some of your data in some circumstances. (They still sell it 85% of the time.) This opt-out process is supposedly ‘digital first’ but in 2021, for people and families with dependents, NHS Digital’s process still involved multiple PDF forms – which we’ve combined into one. And because the process is so overly complicated, we’ve created a page to help guide people through it: medconfidential.org/2021/children/

If you don’t opt out before 30 June 2021, the Government will take a copy of everything medical that ever made it into your GP record, throughout your whole life – apart from some limited aspects of information around gender recognition or IVF treatment (if you have received any).

The first upload will be of your entire GP medical history to date – which will happen as soon as your next GP appointment, possibly even before that – and then there will be daily updates thereafter, to copy every new thing that is recorded about you.

There will doubtless be much more to come, but the headline is this:

The Government intends to take your entire GP history, and isn’t even planning on telling you that you have a choice, i.e. by writing you a letter.

This time they are not even sending out a junk mail leaflet, but they might do some tweets and social media ads. (As we write this, their YouTube video appears to have fewer than 260 views.)

To summarise, the process to dissent fully from the copying and then further use of information from your GP record for purposes beyond your direct care is as follows:

•Give a Type-1 form to your GP, for your whole family’s GP records;
•Do the online National Data Opt-out (NDOP) for yourself;
•Download, fill in and e-mail the multi-page NDOP form for your children.

There should be better options, but this Government apparently doesn’t want to listen.

medConfidential has been fighting to ensure every use of patients' data is consensual, safe, and transparent since 2013. We aren’t there yet, but there’s every reason to believe that if enough people take action, we will get the protections you and your family deserve.

This Government sees so little value in any form of protest that it is trying to ban it through legislation. And its Ministers’ (and senior officials’) view of profit seems to be that ‘any means are acceptable’. Indeed, in a global shortage in the throes of a pandemic, politicians picked their friends to profit off the NHS to provide PPE for nurses.

Why would anyone believe they wouldn’t seek to profit in exactly the same way from your health data?

If you’ve been passed this Bulletin and believe they can be persuaded to change course, or if you simply want to be kept informed, please join our mailing list for more news. And don’t forget to forward this e-mail to your friends and loved ones, who may wish to make their own choice before the end of June.

Phil Booth & Sam Smith
17th May 2021"

Doodledog Sat 22-May-21 16:59:50

Visgir1

The other side.. As a Health Care professional in a Hospital setting. I run my own clinics.
We can now feed into the GP's info on patients for medication, recent events, other correspondence from different heath care agencies, which helps us treat patients, No doubling up.
When someone has issues communicating this is valuable.
Total pain when someone has opted out of shared data.
You would be surprised how any people have no idea what medication they are on, in some cases where they live.

But unless or until the GP records are connected to hospital ones, there is no point that I can see.

My GP has referred me to consultant care for two long term conditions - I now 'see' an endocrinologist and a gastroenterologist. These people do not talk to one another, and any tests they carry out do not appear on my records at the surgery, although if they prescribe drugs my GP is informed and they go on the medication list.

What I can see on System Online and on the NHS app is a record of appointments, medication and test results if the tests were instigated by the GP, but not the consultants. This means that I am unable to see whether my conditions are improving or worsening, and I am unable to check when things happened and so on.

As patients are supposed to take an active role in our care, this is very frustrating.

B9exchange Sat 22-May-21 17:19:27

For those who do want to share their records for their care, online access is part of the GP contract, and you have every right to complain to your CCG (soon to be ICN, all change at great expense yet again!) You should have access to any coded information including all hospital diagnosed sent to your GP in discharge letters. If you haven't given permission for a summary care record to be created (and some people have very good reasons for not wanting one) you can always show a hospital doctor your medical details on your phone or tablet.

But it is the secondary use of your data I am talking about. Data is collected in GP and hospital settings for the pupose of providing continuity of care. You have not been asked, and have not had the opportunity to opt out, of having all your GP records extracted on 1st July and stored in a huge NHSDigital database, where any organisation can apply for access.

I would like a big press campaign to let people have that choice, with instructions on how to opt out. So far only The Register has picked up on it www.theregister.com/2021/05/13/nhs_data_grab/ most of the mainstream press are currently too taken up with demanding face to face appointments!

Delila Sat 22-May-21 19:00:19

Alexa, the link you gave doesn’t seem to work, but I googled ‘NHS Digital myth busting social media posts’ and found the information.

B9exchange Sat 22-May-21 21:43:28

Alexa that information is not what I have been talking about, I was talking about the new GP data extraction replacing GPES, and the NHS Digital link about it is here digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research/advice-for-the-public

As you will see if you read it, the deadline is 23rd June. The extraction will take place on 1st July, and although of course you can opt out any time after that, the data already taken will not be deleted. It will only prevent any future uploads.

CraftyGranny Sat 22-May-21 22:46:04

I really don't think the NHS could share medical information other than within the NHS. Our medical records are strictly confidential.

Even if a person working in the NHS accesses medical records that are not within their remit, they would be in serious trouble. Each time a records is opened it is automatically logged together with the users identity.
I too think this is a bit of scaremongering going on.

Even when, say, a presentation is being made within the hospital, maybe on MRSA patients for a given time, for instance, the patient names are always omitted, only the data is used.

B9exchange Sat 22-May-21 23:14:26

Yes information governance is alive and well in the NHS trusts and surgeries, but all hospital data has been sent to NHS Digital or its predecessors, for many years. Look up HES data. If you want to research this, please look up the care.data debacle that the Government finally had to pull the plug on when it was discovered how many companies they were sharing it with. www.theguardian.com/politics/2015/jun/26/nhs-patient-data-plans-unachievable-review-health NHS Digital talk about pseudonymisation, but it is easy enough to re-identify records by combining databases.

I have been in health informatics for many years, I do know what I am talking about, I have only supplied factual links.

The new GP extraction scheme commencing on 1st July is a re-introduction of the care.data creation of a database of all identifiable GP records. It will be massive, and of course the NHS is not immune to hacking as we know, the data is incredibly valuable. All I am trying to do is provide the information so that those who do not want their data extracted on 1st July are aware of the extraction and have the opportunity to opt out if that is what they feel they need to do.

Graso Sat 22-May-21 23:51:38

Thank you so much for drawing our attention to this matter B9exchange.

I will certainly be acting on this myself and informing friends and family.

Another sneaky underhand manoeuvre by our Government.

Alexa Wed 26-May-21 11:17:56

Thank you B9Exchange. I read the link you posted
digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research/advice-for-the-public

and it seems okay to me. However I am not a very good critic of these matters. I am also biased in favour of spreading info wherever it does good for people to know.

My general impression is that, where most patients are personally unknown to clinicians and researchers, it is a worthwhile risk to share data electronically, with the best safeguards available.

B9exchange Fri 28-May-21 09:31:46

At last the press are beginning to pick up on this, first the Register, www.theregister.com/2021/05/13/nhs_data_grab/ and now yesterday's Metro. metro.co.uk/2021/05/27/nhs-england-set-to-share-medical-records-with-outside-third-parties-14655452/

It was in the Financial Times too, but not much point behind a firewall!

This is the list of companies who have received your data in the past, but it was just diagnoses, this time it will be the full whack. www.theysolditanyway.com/ On the list of NHSDigital charges are what it would cost to link different databases , for example your hospital records and your GP records, which would make the data easier to identify individuals.

Alexa I am pleased that it doesn't bother you, and for most people that will hold true, but there are those for whom keeping their data private is very important to them, and I fully believe that they have the right to be told how and when to opt out. There are only 25 days left to do this. If you think someone might be concerned, please do point them in the right direction.

mamaa Sun 30-May-21 15:09:40

In today’s Guardian so the news is slowly leaking out
www.theguardian.com/society/2021/may/30/gps-warn-plans-share-patient-data-third-parties-england?CMP=Share_iOSApp_Other

B9exchange Sun 30-May-21 15:14:23

Yes, thank goodness! It has been sprung on the GPs somewhat too, they didn't get much notice, and when the first opt out form dropped in, they didn't know what to do with it, or so they claimed! smile. The code to put in the clinical data system to prevent your data leaving with all the rest is the same one as for the disastrous Care.data, so not difficult for them.

I am just so glad that hopefully most who need to know about opting out will get to hear about it.

B9exchange Wed 02-Jun-21 19:30:01

Hooray!, just been featured on the One Show!

I have posted further details on the thread that was started after this one