School of Applied Business and Management
Unit: 1STU104 – Legal and Ethical Context of
Practice.
Topic : Discuss the safe and effective use of health and social
care information
September 2021 Presentation By: MR. OWENS
The CARE CERTIFICATE
Handling information
Standard
2
Learning outcomes
14.1 Handling information
Standard
3
Handling information
The information about an
individual's care and support
may be personal and sensitive.
This information must be
treated as confidential and
only shared with people who
need to know.
Respecting confidentiality is:
■ A legal requirement
■ Essential to promote the
individual
■ An important part of
building trust.
4
Information sharing
■ Information can be shared with
people who need-to-know.
Yes X No✓
■ Which of the people below would ‘need-to-know’ about an
individual’s care and support needs?
The individual’s neighbour X
A health and social care worker who is involved in providing care ✓
The individual's family or friends X
The worker’s family or friends X
A health and social care worker not involved in providing care
to the individual
X
A worker in a different role who is involved in providing care to
the individual ✓
5
Social media
■ The internet enables sharing
of information through
social media such as
‘Facebook’ and ‘Twitter’
■ Mobile internet technology
makes it possible to share
information instantly
increasing the risks of
breaching confidentiality.
6
The General Data Protection Regulation 2016
There are 6 privacy principles contained within the GDPR:
1. Lawfulness, fairness and transparency
2. Purpose limitations
Personal data can only be obtained for specified, explicit and legitimate
purposes and can only be used for a specific purpose and no other,
without further consent.
3. Data minimisation
No more than the minimum amount of data should be kept for specific
processing.
4. Accuracy
Data must be accurate and where necessary kept up to date.
5. Storage limitations
Data no longer required should be removed.
6. Integrity and confidentiality
Data must be handled in a secure manner
7
Freedom of Information Act
The Freedom of Information Act and the Environmental
Information Regulations allow members of the public to access
recorded information held by public authorities in England,
Northern Ireland and Wales.
8
Handling information in health
and social care
■ You must always work in agreed ways that
protect information
■ Examples of policies and procedures which protect
information include:
Secure storage of Office security
Computer firewalls
keys codes
Not sharing passwords with Locked filing cabinets and
unauthorised people cupboards
Security fobs or cards to access
Password protection
secure areas
9
Care plans
Care plans are an important tool in good communication
between those involved in providing care and support.
In order to ensure quality and consistency of care
they must be:
■ Kept up to date
■ Complete
■ Accurate
■ Legible
■ Factual (without opinion)
■ Free from jargon.
10
Reporting concerns
Concerns about the recording, storing or sharing of
information should be reported to your manager.
Confidential files being left around
A missing key to a cabinet containing confidential files
Passwords being shared with unauthorised people
Personally identifiable information being shared on
social media
Workers discussing an individual in the pub.
If your concerns are not taken seriously you have a duty to
report incompetent or unsafe practice to the regulatory body.
11
Knowledge check
What type of information does the ‘General Data Protection
Regulation 2016 (GDPR)’ apply to?
Click to reveal answer
Spoken information
Information which is given
in training sessions
Electronic files and organised,
paper filing systems
Information that does not identify individuals
12
Knowledge check
Who would be your first point of call if you have concerns
regarding confidentiality?
Click to reveal answer
My manager or supervisor
My colleague
The individual or their family
The Care Quality Commission
13
Knowledge check
Which of the following people would be classed as an ‘authorised
person’ or would ‘need-to-know’ personal information?
Click to reveal answer
A senior worker not involved in
supporting the individual
A member of the family of the
individual that you support
A colleague who is not
involved in supporting care
Another worker from the care
team providing support to an individual
14
Explain when, and how, to share information
and advice between peers in accordance
with current legislation and policy
15
The seven golden rules to sharing
information
■ Remember that the General Data Protection Regulation
(GDPR), Data Protection Act 2018 and human rights law
are not barriers to justified information sharing, but
provide a framework to ensure that personal information
about living individuals is shared appropriately.
■ Be open and honest with the individual (and/or their
family where appropriate) from the outset about why,
what, how and with whom information will, or could be
shared, and seek their agreement, unless it is unsafe or
inappropriate to do so.
■ Seek advice from other practitioners, or your information
governance lead, if you are in any doubt about sharing
the information concerned, without disclosing the
identity of the individual where possible.
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■ Where possible, share information with consent, and
where possible, respect the wishes of those who do not
consent to having their information shared. Under the
GDPR and Data Protection Act 2018 you may share
information without consent if, in your judgement, there
is a lawful basis to do so, such as where safety may be at
risk. You will need to base your judgement on the facts of
the case. When you are sharing or requesting personal
information from someone, be clear of the basis upon
which you are doing so. Where you do not have consent,
be mindful that an individual might not expect
information to be shared.
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■ Consider safety and well-being: base your information sharing
decisions on considerations of the safety and well-being of
the individual and others who may be affected by their
actions.
■ Necessary, proportionate, relevant, adequate, accurate, timely
and secure: ensure that the information you share is
necessary for the purpose for which you are sharing it, is
shared only with those individuals who need to have it, is
accurate and unto-date, is shared in a timely fashion, and is
shared securely (see principles).
■ Keep a record of your decision and the reasons for it –
whether it is to share information or not. If you decide to
share, then record what you have shared, with whom and for
what purpose.
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Sharing Information
■ Sharing information is an intrinsic part of any frontline
practitioners’ job when working with children and young
people. The decisions about how much information to share,
with whom and when, can have a profound impact on
individuals’ lives. Information sharing helps to ensure that
an individual receives the right services at the right time and
prevents a need from becoming more acute and difficult to
meet.
■ Poor or non-existent information sharing is a factor
repeatedly identified as an issue in Serious Case Reviews
(SCRs) carried out following the death of or serious injury to,
a child. In some situations, sharing information can be the
difference between life and death.
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■ Fears about sharing information cannot be allowed to stand
in the way of the need to safeguard and promote the welfare
of children at risk of abuse or neglect. Every practitioner
must take responsibility for sharing the information they
hold, and cannot assume that someone else will pass on
information, which may be critical to keeping a child safe.
20
The principles
■ The principles set out below are intended to help
practitioners working with children, young people,
parents and careers share information between
organisations. Practitioners should use their judgement
when making decisions about what information to share,
and should follow organization procedures or consult
with their manager if in doubt.
■ The most important consideration is whether sharing
information is likely to support the safeguarding and
protection of a child.
21
Necessary and proportionate
■ When taking decisions about what information to share,
you should consider how much information you need to
release. Not sharing more data than is necessary to be of
use is a key element of the GDPR and Data Protection Act
2018, and you should consider the impact of disclosing
information on the information subject and any third
parties. Information must be proportionate to the need
and level of risk.
22
Relevant
■ Only information that is relevant to the purposes should
be shared with those who need it. This allows others to
do their job effectively and make informed decisions.
23
Adequate
■ Information should be adequate for its purpose.
Information should be of the right quality to ensure that it
can be understood and relied upon.
24
Accurate
■ Information should be accurate and up to date and
should clearly distinguish between fact and opinion. If
the information is historical then this should be
explained.
25
Timely
■ Information should be shared in a timely fashion to
reduce the risk of missed opportunities to offer support
and protection to a child. Timeliness is key in emergency
situations and it may not be appropriate to seek consent
for information sharing if it could cause delays and
therefore place a child or young person at increased risk
of harm. Practitioners should ensure that sufficient
information is shared, as well as consider the urgency
with which to share it.
26
Secure
■ Wherever possible, information should be shared in an
appropriate, secure way. Practitioners must always follow
their organisation’s policy on security for handling
personal information.
27
Record
■ Information sharing decisions should be recorded,
whether or not the decision is taken to share. If the
decision is to share, reasons should be cited including
what information has been shared and with whom, in line
with organisational procedures. If the decision is not to
share, it is good practice to record the reasons for this
decision and discuss them with the requester. In line with
each organisation’s own retention policy, the information
should not be kept any longer than is necessary. In some
rare circumstances, this may be indefinitely, but if this is
the case, there should be a review process scheduled at
regular intervals to ensure data is not retained where it is
unnecessary to do so.
28
When and how to share information
■ When asked to share information, you should consider
the following questions to help you decide if, and when,
to share. If the decision is taken to share, you should
consider how best to effectively share the information. A
flowchart follows the text.
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When
■ Is there a clear and legitimate purpose for sharing
information?
• Yes – see next question
• No – do not share
▪ Do you have consent to share?
• Yes – you can share but should consider how
• No – see next question
▪ Does the information enable an individual to be identified?
• Yes – see next question
• No – you can share but should consider how
▪ Have you identified a lawful reason to share information
without consent?
■ • Yes – you can share but should consider how
■ • No – do not share
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How
■ Identify how much information to share
• Distinguish fact from opinion
• Ensure that you are giving the right information to the right
individual
• Ensure where possible that you are sharing the information
securely
• Where possible, be transparent with the individual, informing
them that that the information has been shared, as long as
doing so does not create or increase the risk of harm to the
individual.
■ All information sharing decisions and reasons must be
recorded in line with your organization or local procedures. If
at any stage you are unsure about how or when to share
information, you should seek advice on this. You should also
ensure that the outcome of the discussion is recorded.
31
Flowchart of when and how to share
information
32
Types of Privacy
33
The First Kind: Defensive Privacy
▪ The first type of privacy
is defensive privacy, which
protects against transient
financial loss resulting from
information collection or
theft. This is the territory of
phishers, conmen,
blackmailers, identity thieves,
and organized crime. It could
also be the purview of
governments that seize
assets from people or
businesses.
34
The Second Kind: Human Rights
Privacy
■ The second type of privacy
is human rights privacy,
which protects against
existential threats resulting
from information collection or
theft. This is the territory of
stalkers and other felonious
criminals as well as
authoritarian governments
and other persons intent on
doing damage to someone
for personal for his or her
beliefs or political views.
35
The Third Kind: Personal Privacy
■ The third type of privacy
is personal privacy, which
protects persons against
observation and intrusion;
it's what Judge Thomas
Cooley called "the right to
be let alone",
36
The Fourth Kind: Contextual Privacy
■ The fourth type of privacy
is contextual privacy, which
protects persons against
unwanted intimacy.
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