The Patient Information Advisory Group (PIAG) was established in the United Kingdom under section 61 [1] of the Health and Social Care Act 2001 [2] and the Patient Information Advisory Group (Establishment) Regulations 2001 [3] to provide advice on issues of national significance involving the use of patient information and to oversee arrangements created under section 60 [4] of the Act. Its membership was drawn from patient groups, health care professionals and regulatory bodies. Following the implementation of the Health and Social Care Act 2008, [5] PIAG was abolished and its responsibilities transferred to a new body, the National Information Governance Board for Health and Social Care, with effect from January 2009.
The United Kingdom (UK), officially the United Kingdom of Great Britain and Northern Ireland, and sometimes referred to as Britain, is a sovereign country located off the north-western coast of the European mainland. The United Kingdom includes the island of Great Britain, the north-eastern part of the island of Ireland, and many smaller islands. Northern Ireland is the only part of the United Kingdom that shares a land border with another sovereign state, the Republic of Ireland. Apart from this land border, the United Kingdom is surrounded by the Atlantic Ocean, with the North Sea to the east, the English Channel to the south and the Celtic Sea to the south-west, giving it the 12th-longest coastline in the world. The Irish Sea lies between Great Britain and Ireland. With an area of 242,500 square kilometres (93,600 sq mi), the United Kingdom is the 78th-largest sovereign state in the world. It is also the 22nd-most populous country, with an estimated 66.0 million inhabitants in 2017.
The National Information Governance Board for Health and Social Care (NIGB) was established in the United Kingdom under section 157 of the Health and Social Care Act 2008, with effect from October 2008, with a range of advisory functions relating to information governance. From January 2009, the NIGB also gained functions under section 251 of the NHS Act 2006 which had previously been held by the Patient Information Advisory Group (PIAG) until its abolition. These functions were to advise the Secretary of State for Health on the use of powers to set aside the common law duty of confidentiality in England where identifiable patient information is needed and where consent is not practicable. From 1 April 2013, the NIGB's functions for monitoring and improving information governance practice have transferred to the Care Quality Commission, which established a National Information Governance Committee to oversee this work. Functions relating to section 251 of the NHS Act 2006 were transferred to the Health Research Authority's Confidentiality Advisory Group.
The terms of reference for the PIAG were to:
Section 60 of the Health and Social Care Act 2001 (subsequently Section 251 of the NHS Act 2006) provided a power to ensure that patient identifiable information needed to support essential NHS activity could be used without the consent of patients. The power could only be used to support medical purposes that were in the interests of patients or the wider public, where consent was not a practicable alternative and where anonymised information would not suffice. It was intended largely as a transitional measure whilst consent or anonymisation procedures were developed, and this was reinforced by the need to review each use of the power annually.
The NHS in England, NHS Scotland, NHS Wales, and the affiliated Health and Social Care (HSC) in Northern Ireland were established together in 1948 as one of the major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom, apart from dental treatment and optical care. The English NHS also requires patients to pay prescription charges with a range of exemptions from these charges.
This was developed to cover situations where informed consent could not be obtained, for example research projects of such a size as to make contacting each patient impracticable, where the public good derived from the research was agreed to outweigh the individual right to privacy.
Informed consent is a process for getting permission before conducting a healthcare intervention on a person, or for disclosing personal information. A health care provider may ask a patient to consent to receive therapy before providing it, or a clinical researcher may ask a research participant before enrolling that person into a clinical trial. Informed consent is collected according to guidelines from the fields of medical ethics and research ethics.
The right to privacy is an element of various legal traditions to restrain governmental and private actions that threaten the privacy of individuals. Over 150 national constitutions mention the right to privacy.
A patient's bill of rights is a list of guarantees for those receiving medical care. It may take the form of a law or a non-binding declaration. Typically a patient's bill of rights guarantees patients information, fair treatment, and autonomy over medical decisions, among other rights.
Confidentiality involves a set of rules or a promise usually executed through confidentiality agreements that limits access or places restrictions on certain types of information.
The Department of Health and Social Care (DHSC) is a department of Her Majesty's Government, responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the Secretary of State for Health and Social Care with two Ministers of State and three Parliamentary Under-Secretaries of State.
Medical privacy or health privacy is the practice of maintaining the security and confidentiality of patient records. It involves both the conversational discretion of health care providers and the security of medical records. The terms can also refer to the physical privacy of patients from other patients and providers while in a medical facility. Modern concerns include the degree of disclosure to insurance companies, employers, and other third parties. The advent of electronic medical records (EMR) and patient care management systems (PCMS) have raised new concerns about privacy, balanced with efforts to reduce duplication of services and medical errors.
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body of the Department of Health in the United Kingdom, which publishes guidelines in four areas:
The terms medical record, health record, and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdiction. The medical record includes a variety of types of "notes" entered over time by health care professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, x-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health care providers and is generally enforced as a licensing or certification prerequisite.
The Health and Safety at Work etc. Act 1974 is an Act of the Parliament of the United Kingdom that as of 2011 defines the fundamental structure and authority for the encouragement, regulation and enforcement of workplace health, safety and welfare within the United Kingdom.
NHS Scotland, sometimes styled NHSScotland, is the publicly funded healthcare system in Scotland. It operates 14 territorial NHS Boards across Scotland, seven special non-geographic health boards and NHS Health Scotland.
Health and Social Care in Northern Ireland (HSC) is the designation of the publicly funded service which provides public health and other social care services in Northern Ireland. The Northern Ireland Executive through its Department of Health is responsible for its funding, while the Public Health Agency is the executive agency responsible for the provision of health and social care services across Northern Ireland. It is free of charge to all citizens of Northern Ireland and the rest of the United Kingdom.
Dame Fiona Caldicott, is a psychiatrist and psychotherapist and, previously, Principal of Somerville College, Oxford.
Community health councils were established in 1974 to provide a voice for patients and the public in the National Health Service (NHS) in England and Wales.
The Caldicott Committee's Report on the Review of Patient-Identifiable Information, usually referred to as the Caldicott Report was a review commissioned in 1997 by the Chief Medical Officer of England due to increasing worries concerning the use of patient information in the National Health Service (NHS) in England and Wales and the need to avoid the undermining of confidentiality because of the development of information technology in the NHS, and its ability to propagate information concerning patients in a rapid and extensive way.
Dame Joan Margaret Higgins, DBE FAcSS is a British academic and educator.
The Mental Health Act Commission was an NHS special health authority that provided a safeguard for people detained in hospital under the powers of the Mental Health Act 1983 in England and Wales. Mental health care is the only part of health care where patients can be treated under compulsion, and necessarily there are very clear legal requirements on hospitals and the other services involved - primarily local authority social services. The Commission was abolished on 31 March 2009.
The NHS Constitution for England is a document that sets out the objectives of the National Health Service, the rights and responsibilities of the various parties involved in health care, and the guiding principles which govern the service. First published on 21 January 2009 it was one of a number of recommendations in Lord Darzi’s report ‘High Quality Care for All’ as part of a ten-year plan to provide the highest quality of care and service for patients in England. Previously these rights and responsibilities had evolved in common law or through English or EU law, or were policy pledges by the NHS and UK government have been written into the document. It can be seen as a development of the ideas that began with the introduction of the Patient's Charter in 1991.
Medical states or medical conditions are used to describe a patient's condition in a hospital. These general terms are most commonly used in information given to the news media, and are rarely used as clinical descriptions by physicians, who in their daily business describe medical problems more precisely.
The Health and Social Care Act 2012 is an Act of the Parliament of the United Kingdom. It provides for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished NHS primary care trusts (PCTs) and Strategic Health Authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or health care funds, from the abolished PCTs to several hundred "clinical commissioning groups", partly run by the general practitioners (GPs) in England but a major point of access for private service providers. A new executive agency of the Department of Health, Public Health England, was established under the Act on 1 April 2013.
care.data was a programme announced by the then Health and Social Care Information Centre in Spring 2013. It aimed to extract data from GP surgeries into a central database through the General Practice Extraction Service (GPES). Members of the English population who were registered with GP practices were informed that data on their health would be uploaded to HSCIC unless they exercised their rights to object by informing their GP.
The National Data Guardian for Health and Social Care is an independent, non-regulatory, advice giving body in England sponsored by the Department of Health and Social Care. Dame Fiona Caldicott has held the position since its inauguration in November 2014.