Private hospital sharing information

Posted , 7 users are following.

I recently sought help from a consultant in a private hospital for a health issue that was worrying me and my GP seemed unable to sort out. The consultant was actually very good, and with the help of an MRI Scan I now have a diagnosis and treatment plan. The health issue wasn't particularly personal, but I did feel that I had paid for thorough, private, and thus confidential consultations. I knew that information would be shared with my GP.

Yesterday I had a routine hospital appointment at an asthma clinic. The doctor looked at his computer screen and was able to see all of my consultations with the private consultant, including the MRI scan results. This wasn't just a summary letter but every consultation and notes made by the consultant in a completely different hospital. This may be considered a good thing, and I have yet to draw conclusions about it, but my immediate reaction is that I feel violated. I had assumed that consultations at a different, private hospital, paid for by me, would be confidential. I was going to tell the doctor, I didn't mind him knowing, and had I been asked for consent to share information I would have given it, but it was my information to share and make decisions about, not anyone else's. They were my consultations, conducted in a private setting.

I came home yesterday and was upset all day. Tonight I can't sleep. I have lost all sense of agency that I had obtained by paying for private consultations. I actually couldn't really affford them, and the MRI scan cost a fortune, but I had been so relieved to finally know what was wrong and had felt pleased that I had taken my health into my own hands. I don't know if I'm being stupid, but I just feel so hurt and angry that no one asked me about sharing my information. Is it usual for private hospitals to share all of their information on the NHS system? I realise that medical information has to be shared and letters passed on etc. I also realise that NHS systems share information. Normally I don't mind. But the NHS failed me when I needed to know what was wrong and I don't understand how they are entitled to my private consultation notes.

My husband doesn't understand my feelings about this at all. He thinks its a good thing. At the moment I want to complain to the GMC, the hospital, and anyone else I can think of. All of my ideas about confidentiality have been shattered. Is it just me? I would welcome any thoughts or advice about this.

2 likes, 5 replies

5 Replies

  • Posted

    Private hospital where you have paid for confidentail information is where I would direct my queries.

    Possibility is your GP has deemed it necessary to the add the information to your public hospital file, knowing your situation even though he couldn't put his finger on it.

    We had exactly the opposite take place, getting the local public hospital staff to take notice that we had seen a heart specialist in the days previous and were waiting on the report to GP when husband collapsed, and taken to our local hospital because we live in their catchment, by ambulance. 

    End result I was forced to use the pay phone in the waiting room to ring the private specialist and request that they fax a copy of husband results to hospital, when specailist asked for fax number of hospital I had to tell her they had insisted I couldn't ring from their hospital phone, specialist would have to call back to find the numbers, to say she was unimpressed was the understatement of the year.

    Discharged the following day from local hospital, I had a copy of the specailist report by then, thanks to a nurse, she knew my sister the director of nursing, and or old fashioned name matron of another hospital, her suggestion that I take my husband across the city to the dedicated heart hospital, I still think the Dr either didn't know what he was doing, or didn't care to treat husband knowing he was an ex-smoker.

    I have heard plenty of horror stories about this particular very senior Dr at local hospital, and its a case of watch out if you are overweight or ex-smoker.

    The reception at heart hospital was completly the opposite when I said I have a private specialist diagnoses, congratulated that I had taken the matter into my own hands and they then knew what was wrong, used her diagnoses as a starting point, rang her office got detailed printout of echocardiograms, and what her next suggestion was, which the heart hospital followed up, and much to their surprise husband did not have blocked arteries, he had an infection of the heart muscle, possibility a virus, they still don't know what caused it, as he has survived and is now over 6 years on from his inital problem.

    The heart hospital watches him very carefully, and the professor has taken an interest in his case, which all helps, I also have the phone number of the professor's secretery if I have any worries, and i have his ear when we present at the hospital, there now is a note on hospital file in his own handwriting, listen to wife, she knows what she is talking about, and he has signed the note off with his signature.

    Since husband got sick I have educated myself about heart failure with library books, local Dr's medical books, the internet, (have really frightened myself sometimes) have taken it all on board, beacuse for me knowing what is going on is how I cope.  Even that senior nurse sister said you are very good, when she asked me some questions about husbands condition, and mentioned as a comment that even she has been having heart issues, she laughed when I fired about 9 questions at her, about her condition, she told me I can come and work in her heart ward at her hospital, but she knows I have no formal nursing training.

    The local hospital, I am very suspicious of their ability to treat anything more than a broken bone, and even then they stuffed that up when husband broke his ankle last november, set ankle without any painkillers, well they gave him painkiller injection but didn't give it time to work, very shabby and I didn't mince my words when I told them so, and in no uncertain terms threatened them with legal action.

  • Posted

    I think once your GP got the information , which you had consented to, he or she then uploaded it to the data base that is accesible to other medical practioners and hospitals. I had a similar problem though again , mine was the oppposite way round, in that I went to a private emergency unit with a swollen foot, I had previously been at A & E a few weeks prior, but couldnt face another 9 hr wait so opted togo private.  

    The consultant who seen me was unable to access my old xray pictures to do a comparisson as the NHS hospital didnt " share" their records.   I had to have further tests repeated including blood and Xrays which may not have been needed if the previous ones had been available !

    Confidentiality clauses can be confusing , its one thing a medical practioner discussing your care and treatment outside the hosiptial to others not immediaitely connected with your care, this is very clear cut.  However, sharing with other medical staff , whom you may be consulting with is a bit of a grey area.  sorry I cant be more helpful, its not something I have come across before but at least you were able to get to the bottom of what was causing your problem and can hopefully get full recovery .

  • Posted

    Dear Florin, I feel the opposite. I have had private consultations and there seems to be no communication facilities at all between the NHS and the private sector apart from pen and ink. In fact communication within the NHS does not seem that brilliant. My GP cannot see my xrays. I would like to have all the information about me available in one place to any medical person rather than just data held in separate places so things could be missed so they do not have the whole picture.
  • Posted

    Hi Florin - sorry to read of your situation. As has been suggested, it would be beneficial for you to question the parties concerned, probably by letter/email so there is a record of your querie should you find any discrepancy in privacy rights which you choose to take further. You must not be afraid to ask questions, and I understand the frustration at being left out of the loop when the subject is something as crucially important as your health. 
  • Posted

    I am so sorry you are unhappy about your information being passed on, but 2 thoughts occur to me.  Nearly all consultants work for the NHS as well as their private work, and what if your consultation results were seriously bad, would you not want your own Dr to know this?   There have been notices on display for a long time in my local hospital about the sharing of Patients records, and it is possible to opt out of the sharing.  But--if you had a serious accident, wouldn't you want A & E to be able to know if you had any problems?  Best wishes  Anne I.

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