When data protection and confidentiality is debated "the need to know" is often wheeled out as a rationale for access to personal identifiable data.
See the following:
NHS Confidentiality Consultation - FIPR Response (esp. #18).
DoH, Confidentiality, UK
In addition, if I need to access the record of patient held at hospital 'x' from hospital 'y' what is the health care relationship that prompts and justifies this need?
At present visiting nursing and care homes, you go knowing that data capture and recording (care assessment) is a fundamental requirement. Having a secure laptop for community has long been promised. While tech solutions are available and implemented elsewhere, my lack of such technology prompts me to imagine a future visit. ...
Pulling up at the nursing home I walk up the drive, ring the bell. While I wait the new tablet device in its bag has already introduced itself to the home. As I am allowed in - my identity assured - the tablet continues its dialogue, it:
- Downloads and updates existing active client data.
- Downloads additional data as per the agreed dataset on the new referral.
- Checks on items 1-2 with a review of recent prescribing for key psychotropic medicines.
- It checks the most recent NICE, Cochrane evidence and reconciling the local care knowledge. (This may seem excessive at present, but come personalised medicine this will be crucial).
- Will check on most recent clinical reviews and due dates.
- The h2cm template is there ;-) ready to present the care domain summary for the general physician ... and possibly (roles?) the next care professional to visit this home and this resident.
- the nursing home;
- the individual's room;
- the individual themselves.
- (and their relatives)
Gestalt - proximity