The duty of confidentiality is an ethical and legal obligation to keep information about a patient or client confidential. A clinician may not disclose this information without the consent of the individual or a legally authorized surrogate decision-maker (such as a parent, guardian or other person designated by an advance medical directive).
Clinicians must also consider when disclosures are appropriate under other circumstances. For example, they must comply with mandatory reporting statutes (e.g. child abuse), respond to a subpoena or court order, investigate suspected misconduct or maltreatment and share information with other healthcare providers for treatment purposes. They must also reveal information when necessary for the performance of their professional duties, including conducting research and quality improvement activities.
While some doctors, particularly GPs, have a rights-based approach to the duty of confidentiality, others take a more helpful view of this principle. They regard it as fostering trusting therapeutic relationships by encouraging patients to be open about their health problems and concerns. This enables physicians to provide their patients the best possible care and treatment.
Physicians may be required to reveal confidential patient information postmortem in the context of medico legal cases, such as inquests and coroners' inquiries. These investigations are often complex, involving expert witness testimony and detailed examinations. In these situations, the duty of confidentiality is weighed against a public interest justification and a balance of competing interests.
CONCLUSION:Health Legal has a comprehensive Medico-Legal FAQs handbook covering all the
medico legal questions that we get asked by our members. We update this frequently, and it's available to all members for free. To request a copy, please get in touch with us. You can also access our Medico Legal FAQs via the Knowledge Hub, where you can ask us specific questions about the law and its application to health service work.