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Name : Meshary Abdullah Alhammad  

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Reg. ID : 351103970

: 12 – 11 2017

Count :





Presented to

Department / Module:
medical informatics

College of Medicine,

Majmaah University,

Kingdom of Saudi Arabia.















Contents :






















Definitions :


Confidentiality in a simple way it is the saving and maintaining  of trust between doctors and the patients.
(1) by protection of a patient’s personal information or personal
informed decision from unauthorised parties And it can enhance patient’s welfare and ability
of trustful among different healthcare providers.  (4)


Privacy :is the practice of maintaining the security
and confidentiality of patient records.(2) it Improves  the efficiency and effectiveness of the health
care system (3)

Some informations  have to be
secured and preserved by the health care providers such as general  informations of the patient like his name ,
where he lives , and his address. Some other informations such as his health
wellbeing and his specifc conditions if he suffers from for example AIDS , the
health care provider shouldn’t  disclose these
information to the people who are not concerned about this information like the
community . if so it will breaking the rules of Confidentiality
and may affect patient  privacy. Others include
his emotional and economical state. (5)


Important dates (6) :



Article Human Rights Act 1998: 
Statement “Everyone has the right to respect for his private and family
life, his home and his correspond ”


NHS Regulations 1974:
States that GUM clinics can only release confidential information to the
patient’s GP only with explicit consent from the patient (it cannot be implied)


Human Fertilisation Act 1990 (1992 amendment):
States that fertility clinics also require explicit consent before allowing
disclosure of information to the patient’s GP.


Abortion Act 1991:
Abortions must be notified to the Chief Medical Officer


Misuse of Drugs Act (1971):
Known or suspected drug addicts must be notified to the Home Office


Public Health (Infectious Diseases) Regulations 1988:
Certain infectious diseases must be notified to the local authorities (i.e. TB)


Prevention of Terrorism Act 2000: 
Any person with information that might prevent an act of terrorism must report
it to the polic

So according to above informations mentioned, every patient has his
right of confidentiality so he can ask the doctor not to disclose these
information or even it could be started from the doctor him self , in some
cases the confidentiality has to be broke like in a cases of drug addiction or
terrorism or in a case of some serious conditions like HIV infection or
tuberculosis  so at that case the health
care provider has to tell the authorities in the hospital because his
responsibility toward this is higher than when being silence


Major principles
of breaking confidentiality (1) :


Justification for the purpose
of disclosing .

The health care provider
has to disclose the informations which is necessary

Using the smallest amount
of necessary identifiable informations of the patient

Breaking the confidentiality
should be with limited needed information

All the health care
providers should know and aware of their responsibilities










Refrences :


(1)  K Blightman, MBChB FRCA GDL DFMS LLM SE Griffiths, BSc MBBS FRCA LLMC Danbury, MPhil FRCP FRCA FFICM, oxfors journal , 28
August 2013,



(3)  Patient Confidentiality, Privacy,
and Security Awareness Boston Medical Center article


(5)  Head of Corporate Information
Governance , NHS england, June 2016

(6)  Public Health England
,Notifications of
infectious diseases (NOIDs) and Health emergency planning
1 May 2010


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