Guidance on confidentiality Flashcards

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1
Q

Do the Principles of confidentiality apply after death?

A

yes

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2
Q

What is the name of the legislation in regards to data protection that pharmacy professionals must keep up to date and comply with

A

UK domestic data protection legislation:
General Data protection
Human Rights Act

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3
Q

What does the UK domestic data protection legislation cover?

A

Personal information including data about the physical or mental condition of a person

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4
Q

How does the HRA contribute to patient confidentiality?

A

Gives individuals the right to respect for their private life.

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5
Q

Why is it important to maintain confidentiality?

A

Important part of a pharmacy professional with a patient

Patient may be reluctant to ask for advice or give the professional the information they need to provide proper care

It can damage publics trust in professional and other HCPs.

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6
Q

DUTY OF CONFIDENTIALITY
What confidentiality duty do pharmacy professionals have to follow ?

A

Have a professional and legal duty to keep confidential the information they obtain during the course of their professional practice.

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7
Q

DUTY OF CONFIDENTIALITY
What does this apply to?

A

This duty applies to information about any PERSON, whatever their AGE and continues to apply after death.

It applies to ALL information that pharmacy professionals obtain during their course of their professional practice.

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8
Q

DUTY OF CONFIDENTIALITY
When does this arise?

A

when one person discloses information to another in circumstances where it is reasonable to expect that the information will be held in confidence.

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9
Q

DUTY OF CONFIDENTIALITY

What are examples of confidential information?

A

Electronic and hard copy data

Personal details

Information about persons medication

Other info about a persons medical history, treatment or care that could identify them

Information that people share that is not strictly medical in nature but that the person disclosing it would expect it be kept confidential.

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10
Q

DUTY OF CONFIDENTIALITY
What does confidential information NOT include

A

Anonymous information- info from which individuals cannot be identified

Pseudonymised info- info from which individual cannot be reasonably identified, but which allows info about different people receiving care to be distinguished.

information that is already legitimately in the public domain.

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11
Q

PROTECTING INFORMATION

How can pharmacy professionals take steps to protect confidential information given?

A

Take all reasonable steps to protect the confidentiality and security of information they receive, access, store, send or destroy, including protection against unauthorised or unlawful processing and against intrusion, destruction and damage.

Steps to ensure when processing personal data, it accurate and where necessary kept up to date.

steps to prevent accidental disclosure of information- not leaving confidential info where it may be seen or accessed by anyone who should not access it

Access confidential information records only as part of providing treatment and care of person

Ensure that everyone they work with know about their responsibility to maintain confidentiality

Raise concerns for person responsible for data control where they work or with any other appropriate authority.

Store hard copy and electronic documents and all sources of confidential info securely for reasonable amount of time.

Not discuss information that can identify people, if it can be overheard or seen by others not involved in their care.

Not disclose information on any social medias, websites, forums that can identify the person.

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12
Q

DISCLOSING CONFIDENTIAL INFORMATION
What circumstances may it be appropriate for a pharmacy professional to disclose confidential information?

A

If they have the consent of the person under their care

Had to disclose it by law

Should do so in the public interest

Must do so in the vital interest of a person receiving treatment or care e.g, if patient needs immediate urgent medical attention.

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13
Q

PROTECTING INFORMATION

What would occur if a capable patient refuses to disclose information to HCP treating them?

A

It may mean the care they are provided with is limited.

The decision must be respected, but the patient must be aware of the impact it could have on their health

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14
Q

PROTECTING INFORMATION
What should a pharmacy professional do if they DO decide to disclose confidential information about a person?

A

Pseudonymes information it make it anonymous if they do not need to identify the patient receiving care

Get the persons consent to share their information

Disclose only the information needed for that particular purpose
Ensure if they disclose the information the people who receive it are aware of it is confidential and treat it as such.

Make appropriate records

Be prepared to justify the decisions and any actions they take

Release the information promptly once they are satisfied what info should be disclosed and have taken all necessary steps to protect confidentiality.

Retain a copy of the disclosure made

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15
Q

PROTECTING INFORMATION
When do pharmacists not need to gain consent to share a persons information?

A

Disclosure is required by law

Disclosure can be justified in the publics interest

Doing so would be impracticable and would put the pharmacy professional or others at risk of serious harm or would prejudice the purpose for disclosure e.g to prevent a crime.

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16
Q

PROTECTING INFORMATION
When a pharmacist decides to disclose confidential information; what should records show

A

Who the request came from

Whether they obtained the consent of the person under their care or their reasons for NOT doing so

Whether consent was given or refused

What information they disclosed

How it was ensured the disclosure was made securely

What the lawful authority or provision was under which the request and/or disclosure was made

17
Q

DISCLOSING INFORMATION W/CONSENT
If disclosure is to be made with consent, what must the person know and understand?

A

What information will be disclosed

Why information will be disclosed

Who it will be disclosed to

The likely consequences of disclosing and of not disclosing the information

18
Q

DISCLOSING INFORMATION WITHOUT CONSENT

What should pharmacists do before disclosing information without consent?

A

Be satisfied that the law says they have to disclose the information or that it can be justified as being in the public interest and also meets requirements of data protection legislation.

Ask for clarification from person making he request if they are unsure about the basis for the request

Ask for the request in writing

19
Q

DISCLOSURES REQUIRE BY LAW

When is disclosure required by law?

Give examples

A

When a person or body is using their powers under the law to ask for information

EXAMPLES:

The police or another enforcement prosecuting or regulatory authority

A healthcare regulator such as the GPhC or the GMC

An NHS counter-fraud investigation officer

A coroner, procurator fiscal, judge, or relevant court which orders that the information should be disclosed.

20
Q

DISCLOSURES REQUIRED BY LAW

Do those authorised to acquire information under the law have automatic access to information?

A

No,pharmacy professionals must be satisfied that they have a legitimate reason for requesting the information.

21
Q

DISCLOSURES MADE IN THE PUBLIC INTEREST

When can information be disclosed in the publics interest?

A

If the information is needed to prevent:

A serious crime

Serious harm to a person receiving care or to a third party

A serious risk to public health

22
Q

DISCLOSURES MADE IN THE PUBLIC INTEREST

How should pharmacy professionals decide to make make the decision?

A

They must:

Carefully balance the competing interests of maintaining the confidentiality of the info and the public interests benefits

The possible harm that may be caused by NOT disclosing the info against potential consequences OF disclosing the information.

Satisfied that the disclosure would comply with the requirements of data protection law

if needed get advice from a relevant body.