Data Sharing Review
Ian Batten
ukcrypto at chiark.greenend.org.uk
Fri, 18 Jul 2008 09:59:11 +0100
On 18 Jul 08, at 0929, PeteM wrote:
>
> Do you mean you would like this USB stick to be the *only* copy of
> your medical notes?
As a complete entity? Yes. Or let me rephrase that: it should, at my
option, be the only copy of my records available without a warrant.
If there's a need to keep an escrow'd copy accessible only by court
order then that's one thing, but what Mr Hansen would refer to as
``the medical bods'' want my records to be available to everyone who
works for the NHS, its suppliers, its friends and people who doctors
meet in pubs.
> That is not possible: each practitioner who deals with you has a
> right to keep a copy of the encounter in order to protect his *own*
> interests.
That's fine. He can keep records of his own encounter. And if really
bad legal stuff happens, he can perhaps get an escrow'd copy of other
encounters as part of the legal process.
> He may need to defend himself in a negligence suit you bring against
> him. He may be audited by the NHS Counter Fraud people to ensure
> that he hasn't been forging his quality of service claims, or
> writing phoney prescriptions for you that he then gives to somebody
> else.
The first case may require that there be an escrow'd copy he can get
without my consent. The second two don't: if NHS investigators
(hardly doctors involved in my care, which the the claim made in the
laughable patient records guarantee) wish to see my records, they can
ask me. I might even agree.
ian