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Confidentiality

Research and Information

All of those who request data from the WMCIU must complete an Information Request Form. The purpose of the request must be clear. In particular we need to know: who is requesting data, full details of why the data are required, who will have access to the data (raw and analysed) and to whom the data will be disseminated and in what format.

Identifiable data are those from which a patient can be directly identified (name, address) and also those which could potentially allow the patient to be identified, for example through:

  • Patient level data (even if they do not contain obviously identifiable variables, such as names, full postcodes, dates of birth, NHS numbers or hospital numbers)
  • Tabular data based on small geographic areas (i.e. smaller than a PCT) with cell counts <5 (or rates/percentages derived from cell counts <5)
  • Tabular data containing cells with underlying population denominators <1000

The need for identifiable information must be justified and we have to be certain that non identifiable alternatives cannot be used instead. Wherever possible we look to use alternatives to identifiable data, for example using the WMCIU patient or tumour number instead of name, using PCT instead of postcode and survival time in days instead of dates of diagnosis and death. Identifiable information can only be released in two instances

  1. To authorised personnel in legitimate organisations for approved purposes.
  2. If PIAG has granted the release and, in the case of research, Ethical Committee approval has also been provided.

We take great care to ensure that identifiable information is not disclosed. This includes not sending or accepting identifiable patient details via email. Identifiable information is only sent through the post double wrapped and any electronic data are sent password protected. We keep a record as part of an annual review by PIAG of all releases of patient identifiable information.

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Examples of authorised signatories:

Director of Public Health
Clinician
Medical Director

 

Examples of legitimate organistaions:

Cancer registries
Clinical genetics services
Organisations undertaking clinical audit (NHS Trusts)
Organisations directly involved in patient care
Cancer Networks
Screening QA Reference Centres
National Cancer Intelligence Centre, Office for National Statistics
Small Area Health Statistics Unit

 

Examples of approved purposes:

Cancer registration activities
Genetics counselling
Direct patient care
Public health surveillance
Clinical and service audits
Updating patients records

 
Information on the UKACR policy for the Release of Identifiable Patient Information