Savvy Kernow Sample Policy Documents Confidentiality Policy / Confidentiality Agreement Introduction The duty of confidentiality owed to a person under 16, in any setting, is the same as that owed to any other person. All services providing support to young people should have a confidentiality policy which reflects this and makes clear that young people under 16 have the same right to confidentiality as adults. The duty of confidentiality is not however, absolute. Where there is thought to be a risk to the health, safety or welfare of a young person, guidance from the Local Safeguarding Children Board (LSCB) should be followed. www.safechildrencios.co.uk/default.aspx?page=263 Confidentiality policies should be prominently displayed within service areas and promotional literature. In addition, each young person and their family should have the confidentiality policy and its limitations explained to them at each point of contact. Last updated October 2015 Savvy Kernow Sample Policy Documents Confidentiality Policy (for Health Services) Sample 1 – GP Practice Confidentiality Policy Confidentiality is the cornerstone of health care and central to the work of everyone working in general practice. All information about patients is confidential: from the most sensitive diagnosis, to the fact of having visited the surgery or being registered at the practice. The duty of confidentiality owed to a person under 16 is as great as the duty owed to any other person. All patients can expect that their personal information will not be disclosed without their permission except in the most exceptional of circumstances, when somebody is at grave risk of serious harm. Responsibilities of practice staff All health professionals must follow their professional codes of practice, and the law. This means that they must make every effort to protect confidentiality. It also means that no identifiable information about a patient is passed to anyone or any agency without the express permission of that patient, except when this is essential for providing care, or necessary to protect somebody’s health, safety or wellbeing. All health professionals are individually accountable for their own actions. They should also work together as a team to ensure that standards of confidentiality are upheld, and that improper disclosures are avoided. Additionally, the GP as employer: Is responsible for ensuring that everybody employed by the practice understands the need for, and maintains, confidentiality. Has overall responsibility for ensuring that systems and mechanisms to protect confidentiality are in place; and has vicarious liability for the actions of those working in the practice – including the health professionals and nonclinical staff. Standards of confidentiality apply to all health professionals, administrative and ancillary staff – including receptionists, secretaries, practice managers, cleaners and maintenance staff who are bound by contracts of employment to maintain confidentiality, and also to students or others observing practice. They must not reveal, to anybody outside the practice, personal information they learn in the course of their work, or due to their presence in the surgery, without the patient’s consent. Nor will they discuss with colleagues any aspect of a patient’s attendance at the surgery in a way that might allow identification of the patient, unless to do so is necessary for that patient’s care If disclosure is necessary Last updated October 2015 Savvy Kernow Sample Policy Documents If a patient or another person is at grave risk of serious harm, which disclosure to an appropriate person would prevent, the relevant health professional will counsel the patient about the benefits of disclosure. If the patient refuses to allow disclosure, the health professional can take advice from colleagues within the practice, or from a professional, regulatory or defence body, in order to decide whether a disclosure without consent is justified to protect the patient or another person. If a decision is taken to disclose, the patient should always be informed before the disclosure is made, unless to do so could be dangerous. If at all possible, any such decisions should be shared with another member of the practice team. Any decision to disclose information to protect health, safety or wellbeing will be based on the degree of current or potential harm, not on the age of the patient. Last updated October 2015 Savvy Kernow Sample Policy Documents Sample 2 Policy Statement Confidentiality is the cornerstone of health care and central to the work of everyone working in general practice. All information about patients is confidential: from the most sensitive diagnosis, to the fact of having visited the surgery or being registered at the practice. All patients and/or employees can expect that their personal information will not be disclosed without their permission, except in the most exceptional of circumstances, or if someone is at grave risk of serious harm. The duty of confidentiality owed to a person under 16 is as great as the duty owed to any other person. This policy applies to all staff. Responsibilities GP partners, as employers, are responsible for: ensuring that all practice staff understand the need for and maintain confidentiality; ensuring that systems and mechanisms are in place to protect confidentiality; and have vicarious liability for the actions of practice staff. Practice employees must make every effort to protect confidentiality; ensuring that no identifiable information about a patient, or the practice, is divulged to any person, agency or third party. Policy In the course of employment, placement or associated work with the practice, a person may have access to, see or hear confidential information relating to patients, staff, associated healthcare professionals or the practice. Unless acting on the instruction of authorised person within the practice, on no account should such information be divulged or discussed, except in the performance of normal duties. Confidential information shall include, but not be limited to, the following: Information regarding any patient or employee of the practice. Information concerning the services offered or provided by the practice, including the names of any patients, persons, companies or other organisations to which such services are provided. Any information which you have been told is confidential and/or which you might reasonably expect to be confidential. All records, including paper records, VDU screens and computer printouts, should never be left in such a manner that unauthorised persons can obtain access to them. Last updated October 2015 Savvy Kernow Sample Policy Documents VDU screens must always be cleared when left unattended, systems should be logged out and passwords cleared. All passwords should be kept confidential. Employees should only access or process personal data and records in accordance with instructions received by the practice. Employees must not access data for any personal reasons or on behalf of a third party, unless instructed to do so by an authorised person of the practice during the performance of normal duties. It is possible that employees may know or be related to a person who visits the practice or attends a clinic held by the practice. In these circumstances, employees must disclose their relationship prior to having any involvement in the case, so that the patient and/or medical practitioner may decide whether the employee’s continued involvement is appropriate. Disclosure If a patient or another person is at a grave risk of serious harm, and disclosure to an appropriate person would prevent that, counsel will be given to the patient about the benefits of disclosure. If the patient refuses to allow disclosure, advice should be sought from colleagues within the practice, or from a professional, regulatory or defence body, in order to decide whether a disclosure without consent is justified to protect the patient or another person. If a decision is taken to disclose, the patient should always be informed before the disclosure is made, unless to do so could be dangerous. If at all possible, all decisions should be shared with practice colleagues. Any decision to disclose information to protect health, safety or wellbeing will be based on the degree of current or potential harm, not the age of the patient. Confidentiality and Freedom of Speech The practice encourages open and informative communication, but all information should be considered confidential to non-practice staff and records should not be divulged, unless required by law, or the employee has written authorisation from an authorised person to do so. Any breach of confidence or trust may be a disciplinary offence and may also result in a civil action for damages, irrespective of any action taken by the practice. Employees may not, either during their employment or at any time after, divulge any confidential information belonging to the practice. However, restrictions on disclosure of confidential information will not be applied to the raising of concerns in good faith in accordance with the provisions of the practice’s Whistleblowing Policy. Last updated October 2015 Savvy Kernow Sample Policy Documents Sample Confidentiality Agreement 1 I confirm that I have read and understood the Confidentiality Policy and that it applies throughout my employment (or work placement) with and after my departure from the practice. I understand that any information received about patients is confidential and undertake not to disclose any information learnt in the course of my employment to anyone outside the practice. I also understand that the duty of confidentiality owed to a person under 16 is as great as the duty owed to any other person. If I feel that disclosure is necessary in the public, patient or family interest, I will discuss this with the appropriate health professional. I understand that a breach of the Confidentiality Policy may result in disciplinary action being taken, which may include dismissal. I understand that disclosures of confidential information or disclosures of any data of a personal nature can result in prosecution for an offence under the Data Protection Act 1988 or an action for civil damages under the same Act in addition to any action taken by the practice. Signed: ____________________________________________________________________ _______ Name (in capitals): _______________________________________________________________ Date: ____________________________________________________________________ _________ (Source: Three Spires Medical Practice 2013) Last updated October 2015 Savvy Kernow Sample Policy Documents Sample Confidentiality Agreement 2 I understand that all information about patients held by this practice is strictly confidential, including the fact of a particular patient having visited the surgery. I also understand that the duty of confidentiality owed to a person under 16 is as great as the duty owed to any other person. I will not disclose personal information learnt in the course of my work in the surgery to anybody outside the practice. I understand that a breach of this obligation may result in my contract being discontinued. Signed ____________________________________________________________________ ________ Date ____________________________________________________________________ __________ Last updated October 2015 Savvy Kernow Sample Policy Documents Sample Confidentiality Agreement 3 I understand that all information about patients held by this practice is strictly confidential: from the most sensitive diagnosis, to the fact of having visited the surgery or being registered at the practice. I also understand that the duty of confidentiality owed to a person under 16 is as great as the duty owed to any other person. I have read and understood the practice's Confidentiality policy and agree to be bound by its terms. I will not disclose personal information learnt in the course of my employment to anybody outside the practice. If I feel disclosure is necessary in the interests of a patient, his or her family, or the public, I will inform the patient beforehand, unless to do so would be dangerous for the patient or others. I have received information and training on this matter and understand that a breach of this obligation may result in my dismissal. Signed ____________________________________________________________________ ________ Date ____________________________________________________________________ __________ Last updated October 2015 Savvy Kernow Sample Policy Documents Sample Confidentiality Statement NB: Savvy Kernow has confidentiality posters available to all services working with Savvy Kernow which were designed with young people. Please contact Savvy Kernow if you would like any copies. a) Here to listen, not to tell We provide a confidential service to all our patients, including under 16s. This means that you can tell others about this visit, but we won't. The only reason why we might have to consider passing on confidential information without your permission, would be to protect you or someone else from very serious harm. We would always try to discuss this with you first. If you are being treated elsewhere - for example at a hospital or Brook centre - it is best if you allow the doctor or nurse to inform the practice of any treatment you are receiving. If you have any worries about confidentiality, please feel free to ask a member of staff. b) Confidentiality Statement You can be sure that anything you discuss with any member of this practice - family doctor, nurse or receptionist - will stay confidential. Even if you are under 16 nothing will be said to anyone - including parents, other family members, care workers or tutors - without your permission. The only reason why we might have to consider passing on confidential information without your permission would be to protect you or someone else from serious harm. We would always try to discuss this with you first. If you are being treated elsewhere - for example at a hospital or Brook centre - it is best if you allow the doctor or nurse to inform the practice of any treatment you are receiving. If you have any worries about confidentiality, please feel free to ask a member of staff. Last updated October 2015