by NRparent on Sun Sep 27, 2009 3:36 pm
I have a link (which if I still have - I can't get to) where it explains that medical records should only be shared with other medical profesionals for (if I remember correctly) treating a patient. Reserch has some contribution and isn't relevant in this post.
From what I can work out, the Judge can make an order for medical record disclosure, only if there is an overiding need for the medical records to be disclosed. The disclosure doesn's simply mean - giving all the records over. The Judge is expected to ensure that the records and it's details are confined to a specific use, for a particular duration and with conditions attached.
In a house of lords document, one of the lords says that a Judges hands can't be tied (or something like that, so the Juddge has the power to get the records assesed or analised). That point goes on to detail that a Judge needs to have the nessesar information to make a decision (or an order). That's the Judges power...so the Judge can make the order. A littigant's strength is to argue against the making of that order. The first point of argument is....that the requesting party should make the application and say why they want the order made, not the respondent say why the order should not be made. It's hard to not fall into the trap of defending the records before the requesting party have said why they want the order made.
When a guardian is apointed, the guardain can use anything she gets as her/his evidence, regardless of how they got it or where it came from. That point comes from the children act or the FPR.
I think the guidelines and laws are there and clear. Medical records enjoy confidentiality and the owner of the information is the patient, who should consent to the disclosure, if he agrees. The court can make an order, when there is overiding reasons which are established before the order can be made. What I can't find out is if the establishing of the overiding reasons to make the order enjoy a time limit (which could be subject to an appeal) from when the reasons were found to the makeing of an order. Logic tells me that there should be a time limit...otherwise the trial could be unfair. (i think).
When a child is involved, there is a "no delay" principal. So....can that "no delay" principal be applied to a parents medical records. One (or an absent parent) could argue "yes" if the child is resident with the parent who refuses to consent. Logic suggests that non medical opinion isn't reason enough (I agree). The child needs to be "at risk of harm" and the parent who is refusing should have a history which suggests that there is a real and actual threat to the child.
The Judge has other orders which he can make, before he makes an order for medical record disclosure....for example a S37 report. Some of the cases I have followed went down the S37 report. 2 cases where I was directly involved, the S37 report recomended keeping the child with the resident parent. In one of the 2 cases, the resident parents medical records were already given, the other case, the parent refused to consent and no one pressed the issue any more.
The 2 cases I refer to are already at a final order stage.