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0800 716 646
2 January 2015
Clinical information may need to be shared with other members of the team for the 'primary purpose' of ensuring the patient's proper care and treatment.
Patients should be told why, when and with whom their information will be shared and if they object their views should usually be respected. An exception might be where disclosure is justified in the public interest.
This guidance was correct at publication 02/01/2015. It is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.
Thank you to Dr Burrows for this comment, which raises an important question. The GMC guidance 'Confidentiality: good practice in handling patient information' (2017) addresses this in paragraphs 30-31. If a patient who has capacity objects to particular personal information being shared for their direct care, you should not disclose the information unless it would be justified in the public interest. You should explain the potential consequences to the patient and aim for a compromise; in many cases, it may be that a referral can be made safely in that way. But, if you are convinced that the information is in your view essential for safe care and the patient cannot be persuaded, you should explain to the patient that you cannot arrange for their treatment without also disclosing that information. You are welcome to make contact with our advisers to discuss individual cases.
Recently heard of a colleague who referred from primary to secondary care, writing an appropriate letter detailing the problem and including the patients past medical history. After the secondary care consult the patient complained that they had not given permission for their relevant PMH to be provided to the secondary care doctor (although equally they had not said they were unhappy about it at the time of the referral). From the above you seem to suggest that should a patient not want their record/PMH included in a referral letter then we should respect this, how then can primary care produce sensible and acceptable referrals?
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