![]() ![]() ![]() PCD being used to support research and improve treatment and care (for example, research determining the effectiveness of the NHS bowel cancer screening programme). In addition, we will still have a responsibility to guard against direct cyber attacks (for example, botnet viruses) as well as other causes of data breaches involving people, processes, and technology. However, these recommendations put general practice in an anomalous situation because we do not purchase our own IT systems and are dependent on others but answerable to CQC (and the Information Commissioners Office) for any failings. The CQC review also calls for a review of the arrangements for internal data security audit and external validation. Other recommendations from the CQC review include a removal of outdated computer systems and emphasise the importance of providing all staff with the right information, tools, training, and support to allow them to do their jobs effectively while still being able to meet their responsibilities for handling and sharing data safely. The CQC recommendations emphasise the importance of leadership in demonstrating clear ownership and responsibility for data security. The CQC review 2 published at the same time sets out new data security standards which are intended to be applied across all health and social care organisations, although further work will have to be undertaken to establish the validity of these standards for organisations providing social care. As a way of improving confidence and trust in data security, Caldicott also calls for tougher sanctions for malicious breaches and the government plans to introduce criminal penalties for people who deliberately use anonymised data to re-identify individuals. Caldicott 3 addresses the further issue of data security and future models of consent.Īs far as data security is concerned, the new Caldicott report sets out 10 standards which need to be applied in every healthcare organisation to address the three causes of data breaches: people, processes, and technology. The first of her reviews recommended six principles for the protection of people’s confidentiality (the Caldicott principles) and the second recommended an additional Caldicott principle which stated that duty to share information can be just as important as the duty to protect patient confidentiality. Dame Fiona Caldicott’s review follows her previous reviews in 1996/19. ![]() The NHS and GPs in particular, must be ‘beyond reproach’ in their use of health data to improve both direct and indirect patient care as well as contributions to public health and health research. The demise of care.data was in no small part due to a loss of public trust and Caldicott 3 demands increased dialogue with the public to restore their trust. 4 The use of such data, however, raises great concerns about data security, patient privacy, and probably most importantly public trust, not only in the NHS but also in the relationship with their doctor. There is little doubt that the use of large-scale health data has considerable potential to benefit not only patient care but also public health and research. ![]()
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