Sharing for Direct Care
As a patient of the Trust, your data will be shared within the health care team providing you direct health care; that could be doctors, nurses and other allied health professionals providing you with care and treatment. Authorised non health professionals will also have access to information about you as appropriate in order to manage your health records, write to invite you to appointments and generally manage your contacts with the Trust. All staff are bound by a contractual duty of confidentiality and are also subject to data protection legislation. Information will also be shared with your General Practitioner (GP) to ensure that there is one continuous record of all health care that you have received from any NHS provide or other health provider.
The Trust will also share relevant information with other NHS Trusts such as a Hospital Trust where you are being referred for specialist or hospital based treatment.
Integrated Care Record
The Trust works with other health and social care organisations to share information that will form part of your Integrated Care Record. The Integrated Care Record allows health and care professionals involved in your care to view your records to help them understand your needs and make the best decisions with you, and for you. Information we hold about you will be available, to read only, to other health and care professionals in Coventry and Warwickshire, Birmingham and Solihull, and Herefordshire and Worcestershire when they are involved in your health or social care.
For more information on how your data is used on the Integrated Care Record and how to exercise your rights please see the full Privacy Notice or copy and paste this link www.happyhealthylives.uk/integrated-care-record/privacynotice/.
Section 75 Partnership Agreement
As a result of Section 75 of the National Health Services Act 2006, in some of our services we work in formal partnership working arrangements with other registered professionals, such as social workers. These are mainly within are community mental health teams where we have specialist registered social workers who are employed as part of the Community Teams. This is from the appropriate local authorities, such as Coventry City Council and Warwickshire County Council.
Thus if you are a patient of a community mental health team your health records will have entries and information recorded within them by the whole care team including the registered social workers. These joint records will be managed in line with the current requirements as to security, confidentiality and how long we keep these records.
Information shared with you consent
Where the Trust receives a request for information about you including information from your health records, if this is not connected with your direct health/social care, the Trust would ask for your explicit i.e. written consent. For example if a Solicitor or other external organisation such as an Insurance company asked for copies of your health records, the Trust would only provide this information about you when you have consented in writing and told us what you are happy to share.
Information Shared in your ‘best interests’
If you lack the capacity to act on your own behalf, the Trust will, on a case by case basis, review what is in your best interests and may share relevant information with your appointed representatives, such as:-
- A person with Powers of Attorney
- A Court appointed Deputy
- Family members who you have agreed can be involved in your care
- Court of Protection
- Independent Mental Capacity Advocates (IMCAs)
Information shared to protect ‘vital interests’
There may be circumstances where we need to share information to protect you or another person or persons from serious harm. When this is the case, if we can tell you what we are going to share and why, we will do so. However, if to inform you would put you or another person in more danger we would share specific information to protect you or someone else. This would be on the legal basis of sharing to protect a person or persons “vital interests”. The reasons for sharing this information would be recorded.
Information shared in regard to Safeguarding
The Trust may also share information about you or information that you have shared with us in order to protect or safeguard you or another individual.
The Trust has a legal responsibility under the Children’s Act 1989 and the 2004 Act to share such information that is required by the appropriate local authority who are conducting investigations in regard to the safeguarding of a child or children.
The Trust also has a duty to cooperate and to share relevant information in regard to a vulnerable adult as a result of the changes within the Care Act 2014. This Act gives the Local Authority in each area a duty to put procedures in place to safeguard vulnerable adults who have care and support needs. Other organisations identified by this law, including health Trusts such as Coventry and Warwickshire Partnership NHS Trust have a duty to assist the Local Authority and to provide relevant and specific information to assist in the protection of a vulnerable adult.
Information shared with the Police in relation to a serious crime/fraud
There may be occasions when we receive a request from the Police for information about a suspect. We would only share limited information after considering the circumstances of the particular request. This would include consideration of the seriousness of the crime and whether withholding the information would be likely to serious prejudice the police’s ability to, prevent, detect, apprehend and prosecute that suspect in relation to the specific crime.
Information shared because of other legal bases
The Health and Social Care Act 2012 set up a new NHS organisation called NHS Digital. NHS Digital is also known as the Health and Social Care Information Centre.
One of the specific legal responsibilities of NHS Digital is to be the safe haven of health and care information. NHS Digital collects data and information about people using health and care services in England and in some cases Wales, Scotland and Northern Ireland. This information is needed to run the health service.
The Secretary of State for Health and Social Care, and NHS England, can tell NHS Digital to collect and process information on specific topics, or set up information systems to collect information. This means they can see, for example, whether policies are working or which treatments are most effective. These orders are called 'directions'.
The Care Quality Commission (CQC), National Institute for Health and Care Excellence (NICE) and NHS Improvement (NHSI) can also tell NHS Digital to collect information. These are called 'mandatory requests'.
Other health and care organisations and local authorities can also ask NHS Digital to collect information for them, if they are legally allowed to view this information.
When NHS Digital is told or asked to collect certain information nationally, this means that Coventry and Warwickshire Partnership NHS Trust has a legal duty to share the required information or data sets with NHS Digital.
NHS Digital publishes 'data provision notices', telling the Trust what data we need to provide to NHS Digital.
Some of the information provided to NHS Digital is identifiable patient information. One of NHS Digital’s roles is to convert such data into nonidentifiable data or anonymised data for use within the local Health Service Commissioning bodies such as the Clinical Commissioning Groups. Where identifiable data is not required this will be anonymised.