Dissenting from care.data: an analysis of opt-out forms

Background Care.data was a programme of work led by NHS England for the extraction of patient-identifiable and coded information from general practitioner GP records for secondary uses. This study analyses the forms (on the websites of GP practices) which enabled patients to opt out. Methods Theore...

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Main Authors: Vezyridis, Paraskevas, Timmons, Stephen
Format: Article
Published: BMJ Publishing Group Ltd 2016
Online Access:https://eprints.nottingham.ac.uk/39122/
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author Vezyridis, Paraskevas
Timmons, Stephen
author_facet Vezyridis, Paraskevas
Timmons, Stephen
author_sort Vezyridis, Paraskevas
building Nottingham Research Data Repository
collection Online Access
description Background Care.data was a programme of work led by NHS England for the extraction of patient-identifiable and coded information from general practitioner GP records for secondary uses. This study analyses the forms (on the websites of GP practices) which enabled patients to opt out. Methods Theoretical sampling and summative content analysis were used to collect and analyse dissent forms used by patients to opt out from care.data. Domains included basic information about the programme, types of objections and personal details required for identification purposes. Results One hundred opt out forms were analysed. Fifty-four forms mentioned that this programme was run by NHS England. Eighty-one forms provided 2 types of objections to data sharing and 15 provided only one objection. Only 26 forms mentioned that direct care would not be affected and 32 that patients maintain their right to opt back in anytime. All but one of the opt out forms we reviewed requested the name of the person wishing to opt out. Ninety-four required a date of birth and 33 an NHS number. Eighty-two required an address, 42 a telephone number and 7 an email address. Conclusion Numbers of patients (not) opting out should be treated with caution because the variability of information provided and the varied options for dissent may have caused confusion among patients. To ensure that dissent is in accordance with individual preferences and moral values, we recommend that well-designed information material and standardised opt out forms be developed for such data sharing initiatives.
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spelling nottingham-391222020-05-04T18:17:45Z https://eprints.nottingham.ac.uk/39122/ Dissenting from care.data: an analysis of opt-out forms Vezyridis, Paraskevas Timmons, Stephen Background Care.data was a programme of work led by NHS England for the extraction of patient-identifiable and coded information from general practitioner GP records for secondary uses. This study analyses the forms (on the websites of GP practices) which enabled patients to opt out. Methods Theoretical sampling and summative content analysis were used to collect and analyse dissent forms used by patients to opt out from care.data. Domains included basic information about the programme, types of objections and personal details required for identification purposes. Results One hundred opt out forms were analysed. Fifty-four forms mentioned that this programme was run by NHS England. Eighty-one forms provided 2 types of objections to data sharing and 15 provided only one objection. Only 26 forms mentioned that direct care would not be affected and 32 that patients maintain their right to opt back in anytime. All but one of the opt out forms we reviewed requested the name of the person wishing to opt out. Ninety-four required a date of birth and 33 an NHS number. Eighty-two required an address, 42 a telephone number and 7 an email address. Conclusion Numbers of patients (not) opting out should be treated with caution because the variability of information provided and the varied options for dissent may have caused confusion among patients. To ensure that dissent is in accordance with individual preferences and moral values, we recommend that well-designed information material and standardised opt out forms be developed for such data sharing initiatives. BMJ Publishing Group Ltd 2016-10-07 Article PeerReviewed Vezyridis, Paraskevas and Timmons, Stephen (2016) Dissenting from care.data: an analysis of opt-out forms. Journal of Medical Ethics, 42 . pp. 792-796. ISSN 1473-4257 http://jme.bmj.com/content/42/12/792 doi:10.1136/medethics-2016-103654 doi:10.1136/medethics-2016-103654
spellingShingle Vezyridis, Paraskevas
Timmons, Stephen
Dissenting from care.data: an analysis of opt-out forms
title Dissenting from care.data: an analysis of opt-out forms
title_full Dissenting from care.data: an analysis of opt-out forms
title_fullStr Dissenting from care.data: an analysis of opt-out forms
title_full_unstemmed Dissenting from care.data: an analysis of opt-out forms
title_short Dissenting from care.data: an analysis of opt-out forms
title_sort dissenting from care.data: an analysis of opt-out forms
url https://eprints.nottingham.ac.uk/39122/
https://eprints.nottingham.ac.uk/39122/
https://eprints.nottingham.ac.uk/39122/