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INFORMATION GOVERNANCE What is the role and ...

1 INFORMATION GOVERNANCE INFORMATION GOVERNANCE is the framework of standards for handling INFORMATION in a confidential and secure manner. It guides us on how we deal with service user/patients and employees INFORMATION , especially when that INFORMATION is personal and sensitive. What is the role and responsibilities of an agency worker working with service user/patient INFORMATION ? It is your role to ensure INFORMATION about a service user/patient and/or their condition is only given on a need to know basis. You are guided by the law and Caldicott principles so it is important that you understand these. Never be afraid to question the reason for the INFORMATION to be shared. Duty of Candour Duty of Candour is a professional responsibility to be honest with patients/clients when things go wrong. Section 1 of your ICS policy states: Medical treatment and care is not risk free.

1 INFORMATION GOVERNANCE Information Governance is the framework of standards for handling information in a confidential and secure manner. It guides us on how we deal with service user/patients and employees

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Transcription of INFORMATION GOVERNANCE What is the role and ...

1 1 INFORMATION GOVERNANCE INFORMATION GOVERNANCE is the framework of standards for handling INFORMATION in a confidential and secure manner. It guides us on how we deal with service user/patients and employees INFORMATION , especially when that INFORMATION is personal and sensitive. What is the role and responsibilities of an agency worker working with service user/patient INFORMATION ? It is your role to ensure INFORMATION about a service user/patient and/or their condition is only given on a need to know basis. You are guided by the law and Caldicott principles so it is important that you understand these. Never be afraid to question the reason for the INFORMATION to be shared. Duty of Candour Duty of Candour is a professional responsibility to be honest with patients/clients when things go wrong. Section 1 of your ICS policy states: Medical treatment and care is not risk free.

2 Errors will happen and nearly all of these will be due to failures in organisational systems or genuine human errors. The obligations that challenges candour reminds us that for all its continued technological advances, healthcare is a deeply human business. A Statutory Duty of Candour being introduced relates to implementing a key recommendation from the Mid Staffordshire NHS Foundation Trust Public Enquiry (The Francis Enquiry). In responding to the Francis Report, the government supported the proposal to implement a duty of candour with criminal sanctions on providers. The Duty of Candour places a requirement on ICS and other providers of health and social care to be open with patients/clients when things go wrong. The Statutory Duty of Candour is enforceable by law. It is a criminal offence to fail to provide notification of a notifiable safety incident and/or comply with the specific requirements of notification.

3 If ICS are non-compliant to this legislation they could be liable to a potential fine of 2500 per incident. All healthcare professionals have a duty of candour a professional responsibility to be honest with patients/clients when things go wrong. What are the legal requirements of an agency worker working with service user/patient INFORMATION ? The Agency s confidentiality policy states: 1. All INFORMATION that: is or has been acquired by you during, or in the course of your duties, or has otherwise been acquired by you in confidence, relates particularly to our business, our clients and all persons in their care, or that of other persons or bodies with whom we have dealing of any sort, and has not been made public by, or with our authority will be confidential, and (save in the course of our business or as required by the law) you will not at any time, whether before or after work with The Agency, disclose such INFORMATION to any person without our written consent.

4 2 2. You are to exercise reasonable care to keep safe all documentary or other material containing confidential INFORMATION , and will at the time of ceasing to work for The Agency, or at any other time upon demand, return to us any such material in your possession. 3. You may be provided with personal INFORMATION regarding a patient prior to the commencement of a shift, and in this instance the confidentiality policy must be adhered to. In addition to this you have a legal requirement under the Data Protection Act and the INFORMATION GOVERNANCE Framework to only share INFORMATION necessary. These are explored in more depth later in this module. What are the main aims of an agency worker working with service user/patient INFORMATION ? To keep INFORMATION about service user/patients as confidential as possible Not share INFORMATION unless it is deemed absolutely necessary To understand and follow the Data Protection Act Follow the Caldicott Principles Understand confidentiality INFORMATION GOVERNANCE INFORMATION GOVERNANCE is a framework of best practice, standards and requirements of handling INFORMATION .

5 It has four aims, these are: To support the provision of high quality care by promoting the effective and appropriate use of INFORMATION ; To encourage responsible staff to work closely together, preventing duplication of effort and enabling more efficient use of resources; To develop support arrangements and provide staff with appropriate tools and support to enable them to discharge their responsibilities to consistently high standards; To enable organisations to understand their own performance and manage improvement in a systematic and effective way. Caldicott principles The Caldicott report was completed by Dame Fiona Caldicott, it has reviewed the use of INFORMATION within the NHS. She has identified 7 principles to safeguard INFORMATION . The principles in the Caldicott Report are summarised below: 1.

6 Justify the purpose(s) for using patient data 2. Don't use patient-identifiable INFORMATION unless it is absolutely necessary 3. Use the minimum necessary patient-identifiable INFORMATION 4. Access to patient-identifiable INFORMATION should be on a strict need to know basis 5. Everyone should be aware of their responsibilities to maintain confidentiality 6. Understand and comply with the law, in particular the Data Protection Act 7. The duty to share INFORMATION can be as important as the duty to protect patient confidentiality These principles are not a legal requirement, however, they are seen as essential requirements to support the Data Protection Act. 3 Dame Fiona Caldicott also recommended that each organisation would appoint a Caldicott Guardian, their role is to guide and monitor the organisation on the seven principles and resolve any issues and concerns regarding service user/patient INFORMATION .

7 Protect, Inform, Provide Choice and Improve You should PROTECT a person s INFORMATION by only recording relevant data. This must be accurate, consistent and kept secure and confidential. Keep patient records free of jargon or offensive, opinionated statements. INFORM a patient how their INFORMATION is used and when it may be disclosed. Let them know they have the right to access their own medical records. PROVIDE CHOICE for patients to decide whether their INFORMATION can be disclosed. As long as the patient is competent to make such a choice and where the consequences of the choice have been fully explained, their decision should be respected. Always look to IMPROVE the way you and the organisation protect, inform and provide choice to the patient, clients and employees. You can do this by attending regular update training, seeking line manager support and by reporting possible breaches.

8 You can find out more about this model within the Confidentiality NHS Code of Practice in the section Read more about it . Data Protection The key points of Data Protection are: INFORMATION must not be shared with a third party without the consent of the individual unless there is a legal reason to do so. It is a criminal offence to do so. The INFORMATION held must be accurate. You must only use the INFORMATION for the purpose it is intended. Personal INFORMATION must be current and kept for no longer than it is necessary. Service user/patients have the right to access INFORMATION kept about them. Personal INFORMATION must be stored securely. Remember these principles when you complete records and reports. Always make sure they are factual and do not contain your opinion. Consider where you are when completing records and reports.

9 Can anyone see what you are writing? Are you completing these so that the confidentiality of the person is maintained? Reporting & Recording If you have any concerns regarding INFORMATION GOVERNANCE you must report this immediately to the Duty Desk Team. Confidentiality Confidentiality is essential in Health and Social Care. We have access to personal data and must not under any circumstances share this with others who are not authorised or do not have a real need to know that INFORMATION . What does this mean to you? You cannot discuss a service user/patient in public a space where others may overhear 4 You cannot discuss any issues or concerns about a service user/patient with your friends or family. Any concerns must be reported to your line manager. When completing records you must ensure that nobody can read what you are writing.

10 Never leave service user/patient INFORMATION lying around, it must always be kept secure. Confidentiality can only be broken if you are doing it for the best interest of the service user/patient. Remember, if a service user/patient discloses INFORMATION to you that they or another person is in danger, harm or being abused you cannot keep this a secret. Freedom of INFORMATION Act Under the Freedom of INFORMATION Act 2000 people may request to see INFORMATION held on themselves. There are some exemptions to this, such as, if the INFORMATION contains personal INFORMATION about another person. The Data Protection Act would act as a guide for this. VIDEOS Dame Fiona Caldicott on the importance of INFORMATION GOVERNANCE : Confidentiality: What you need to know about Data Protection: NHS changes and data protection after 1 April 2013: USEFUL WEBSITES NHS INFORMATION GOVERNANCE : HSCIC INFORMATION GOVERNANCE : NHS Codes of Practice: Confidentiality: ICO Health: Data Protection Policy (NHS England): Data Protection Policy (NHS Wales): Data Protection Policy (NHS Scotland): GMC Confidentiality: Embedding informatics: REFERENCES 5 HSCIC.


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