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Wed, 1 Nov 2006 09:07:23 +0000 |
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>
>Have the authors of this part of the code considered that it may be
>illegal in some areas to "require" a consent to share health
>information? In Australia, I believe it would breach the Privacy Act
>to require this consent
I think I am right in saying the same would be true in the UK. No
healthcare practitioner is ever obliged to share information about a
client with any other HCP on confidentiality grounds, and that goes
for practitioners inside and outside the public healthcare system.
In some circumstances, an HCP might strongly advise a client to allow
this sharing, but he/she has to allow the client's wishes to
predominate.
When it comes to volunteer organisations like my own, the default
position is confidentiality - I think the same is probably true of
LLL, too. We are 'mother-centred' and we almost never share the
encounter with anyone else. We have a protocol which we follow if we
think the mother and/or baby is in danger.
We are encouraged to 'contradict' the mother's own doctor when
appropriate! We do this by listening to what the mother tells us, and
then sharing information with her about which we say 'you might like
to share this with your doctor' . We *don't* say 'your doctor
doesn't know a thing about breastfeeding' or anything disparaging, of
course, still less, 'your doctor has it wrong'.
We have to do the 'share with your doctor' thing when the doc has
told her stuff like
* wean or I won't prescribe antidepressants
* your milk turns to water when your baby is 6 mths/1 year/18 mths whatever
* mastitis? Wean immediately
* 10-day old babies should sleep through the night and if they don't,
it means the mother hasn't got enough milk
This is not 'doctor bashing' - these are all true examples.
Heather Welford Neil
NCT bfc, tutor, UK
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