*BREAKING NEWS, 7 Feb 2014*
UPDATE 12/2/14: We are awaiting official clarification from DH and HSCIC, expected soon.
UPDATE 14/2/14: We are still waiting to see how long it takes for DH to confirm whether NHS England has been caught misleading the public
GP magazine Pulse reported on 7/2/14, âPatients who have opted out of the scheme will still have their records sent to the HSCIC stripped of identifiersâ (see 4th paragraph from bottom of this article). This confirms something buried on page 9 of NHS Englandâs recently-published care.data Privacy Impact Assessment [PDF] (UPDATE 12/2/14: there appeares to be a problem with the official link to the PIA, so here is a copy), which states:
Where patients have objected to the flow of their personal confidential data from the general practice record, the HSCIC will receive clinical data without any identifiers attached (i.e. anonymised data).
i.e. the intention is to still to extract information from the medical records of people who had opted out, just not with their NHS number, postcode, date of birth and gender attached.
This is not what any reasonable person would understand by opt out â if you opt out, no information from your medical record should leave your GP practice. We are working hard to resolve this and will let you know as soon as we can what is going on. If you want to be kept informed when something happens, please:
If you havenât done so already, our advice continues to be to opt out now. The codes applied to your medical record are the only mechanism by which your information can be blocked from extraction. Our job now is simple: we have to make NHS England and HSCIC make the codes work the way they should and and do what millions of us have been told they would do.
As well as opting out, you may want to write to your MP about this.
While you are composing your thoughts, you might also want to watch this short film, âKeep My Secretsâ that we think NHS England could learn from.
Opt out form
In January 2014, NHS England sent out a leaflet entitled Better information means better care (2MB PDF) via junk mail. It was not addressed directly to you as a patient and it deliberately didnât include an opt-out form. The leaflet says you should âspeak to your GP practiceâ if you want to opt out. This is misleading and could waste your time and potentially waste valuable GP appointment time as well.
All you need do is write a letter or download a simple form (link below) instructing your doctor to opt you out, which you can fill in and post or drop into your surgery reception for their attention.
If you have any problems getiing your surgery to understand what you are opting out of or if they hand you an opt out form for something else, e.g. the Summary Care Record, then let us know using our handy formFix tool â you tell us, and weâll send them some details.
Dr Neil Bhatia, a Hampshire GP, has written the text of a leaflet with a tear-off form that you can use for yourself, your children and anyone for whom you hold enduring power of attorney:
Please do take a few moments to e-mail this PDF to your family, friends and colleagues, or send them the link to this page â www.medconfidential.org/how-to-opt-out â or share it on social media. You might even print off copies of the form (which conveniently prints double-sided and folds to fit in a DL envelope) to give to others who may not have heard about whatâs going to happen to their medical records, and wonât know what they can do.
Dr Bhatia also provides more information on the care.data scheme on his website: www.care-data.info