At this practice, the need for the strict confidentiality of personal information about patients is
taken very seriously. This document sets out our policy for maintaining confidentiality and all
members of the practice team must comply with these safeguards as part of their contract of
employment or contract for services with the practice.
The importance of confidentiality
The relationship between dentist and patient is based on the understanding that any
information revealed by the patient to the dentist will not be divulged without the patient’s
consent. Patients have the right to privacy and it is vital that they give the dentist full
information on their state of health to ensure that treatment is carried out safely. The intensely
personal nature of health information means that many patients would be reluctant to provide
the dentist with information if they were not sure that it would not be passed on. If
confidentiality is breached, the dentist/dental hygienist/dental nurse faces investigation by the
General Dental Council and possible erasure from the Dentists or DCP Register, and may also
face legal action by the patient for damages and, for dentists, prosecution for breach of the
1998 Data Protection Act.
General Dental Council
All staff must follow the General Dental Council’s rules for maintaining patient confidentiality
contained in ‘Standards for dental professionals and Principles of patient confidentiality’.
If confidentiality is breached, each registered dental professional involved is responsible to the
Council for his or her individual conduct.
What is personal information?
In a dental context, personal information held by a dentist about a patient includes:
• The patient’s name, current and previous addresses, credit card details, telephone number,
email address and other means of personal identification such as physical description
• Information that the individual is or has been a patient of the practice or attended,
cancelled or failed to attend an appointment on a certain day
• Information concerning the patient’s physical, mental or oral health or condition
• Information about the treatment that is planned, is being or has been provided
• Information about family members and personal circumstances supplied by the patient to
• The amount that was paid for treatment, the amount owing or the fact that the patient is a
debtor to the practice.
Principles of confidentiality
This practice has adopted the following three principles of confidentiality:
Personal information about a patient:
• Is confidential in respect of that patient and to those providing the patient with health care
• Should only be disclosed to those who would be unable to provide effective care and
treatment without that information (the need-to-know concept), and
• Such information should not be disclosed to third parties without the consent of the patient
except in certain specific circumstances described in this policy.
Disclosures to third parties
There are certain restricted circumstances in which a dentist may decide to disclose information
to a third party or may be required to disclose by law. Responsibility for disclosure rests with the
patient’s dentist and under no circumstances can any other member of staff make a decision to
disclose. A brief summary of the circumstances is given below.
When disclosure is in the public interest
There are certain circumstances where the wider public interest outweighs the rights of the
patient to confidentiality. This might include cases where disclosure would prevent a serious
future risk to the public or assist in the prevention or prosecution of serious crime.
When disclosure can be made
There are circumstances when personal information can be disclosed:
• Where expressly the patient has given consent to the disclosure
• Where disclosure is necessary for the purpose of enabling someone else to provide health
care to the patient and the patient has consented to this sharing of information
• Where disclosure is required by statute or is ordered by a court of law
• Where disclosure is necessary for a dentist to pursue a bona-fide legal claim against a
patient, when disclosure to a solicitor, court or debt collection agency may be necessary.
Disclosure of information necessary in order to provide care and for the functioning of the
Information may need to be disclosed to third party organisations to ensure the provision of
care and the proper functioning of the NHS. In practical terms this type of disclosure means:
• Referral of the patient to another dentist or health care provider such as a hospital.
Data protection code of practice
The Practice’s Data protection code of practice provides the required procedures to ensure that
we comply with the 1998 Data Protection Act. It is a condition of engagement that everyone at
the practice complies with the code of practice.
Access to records
Patients have the right of access to their health records held on paper or on computer. A
request from a patient to see records or for a copy must be referred to the patient’s dentist.
The patient should be given the opportunity of coming into the practice to discuss the records
and will then be given a copy. Care should be taken to ensure that the individual seeking access
is the patient in question and where necessary the practice will seek information from the
patient to confirm identity. The copy of the record must be supplied within forty days of the
request and identifying information if this is requested.
The fact that patients have the right of access to their records makes it essential that
information is properly recorded. Records must be:
• Contemporaneous and dated
• Accurate and comprehensive
• Signed by the dentist
• Neat, legible and written in ink
• Strictly necessary for the purpose
• Not derogatory
• Such that disclosure to the patient would be unproblematic.
The principles of confidentiality give rise to a number of practice rules that everyone in the
practice must observe:
• Records must be kept secure and in a location where it is not possible for other patients or
individuals to read them
• Identifiable information about patients should not be discussed with anyone outside of the
practice including relatives or friends
• A school should not be given information about whether a child attended for an appointment
on a particular day. It should be suggested that the child is asked to obtain the dentist’s
signature on his or her appointment card to signify attendance.
• Demonstrations of the practice’s administrative/computer systems should not involve actual
• When talking to a patient on the telephone or in person in a public area care should be taken
that sensitive information is not overheard by other patients
• Do not provide information about a patient’s appointment record to a patient’s employer
• Messages about a patient’s care should not be left with third parties or left on answering
machines. A message to call the practice is all that can be left.
• Disclosure of appointment books, record cards or other information should not be made to
police officers or Inland Revenue officials unless upon the instructions of the dentist.
• Patients should not be able to see information contained in appointment books, day sheets or
• Discussions about patients should not take place in public areas of the practice.
If, after investigation, a member of staff is found to have breached patient confidentiality or this
policy, he or she shall be liable to summary dismissal in accordance with the practice’s
Employees are reminded that all personal data processed at the practice must by law remain
confidential after your employment has terminated. It is an offence under section 55(1) of the
Data Protection Act 1998, knowingly or recklessly, without the consent of the data controller Dr
Richard Brookshaw to obtain or disclose personal data. If the practice suspects that you have
committed such an offence, it will contact the Office of the Information Commissioner and you
may be prosecuted by the Commissioner or by or with the consent of the Director of Public
Queries about confidentiality should be addressed to Dr Richard Brookshaw.
Last Updated – 2nd April 2020