University of Edinburgh - Edinburgh Law School

6 downloads 27955 Views 976KB Size Report
University of Edinburgh School of Law Working Paper No 2011/26. Page 1 of 101 ...... additional data if necessary; check consent or ethics committee stipulations; be ...... http://cdn.hm-treasury.gov.uk/2011budget_growth.pdf (page 8) ...
University of Edinburgh School of Law Working Paper Series No 2011/26

Information Governance of Use of Health-Related Data in Medical Research in Scotland: Current Practices and Future Scenarios Graeme Laurie and Nayha Sethi Professor of Medical Jurisprudence and Research Fellow [email protected]

This text may be downloaded for personal research purposes only. Any additional reproduction for other purposes, whether in hard copy or electronically, requires the consent of the author(s). If cited or quoted, reference should be made to the name(s) of the author(s), the title, the number, and the working paper series © 2011 Graeme Laurie & Nayha Sethi Edinburgh School of Law Working Paper Series University of Edinburgh

Abstract This paper has been prepared as part of the governance work stream of the Scottish Health Informatics Programme (SHIP). It is intended as a platform for discussion and further elaboration with colleagues and those interested in issues surrounding the governance of secondary uses of health data for research. The main aims of the paper are two-fold. First, to offer an ethical, legal and social account of the current regulatory framework governing the use of person identifiable information (PII) for medical research in Scotland. It does so by both mapping out the legislation and key actors involved in governance, as well as illustrating how the framework is perceived to work in practice. A second aim of the report is to suggest a template to be used in the assessment of good governance. This template can be used both to evaluate current practices and to test any proposals for change in approaches to governance in Scotland and elsewhere with respect to uses of patient data for research purposes. It is anticipated that this template will be developed and refined with input from SHIP colleagues (particularly those at Information and Statistics Division (ISD) of NHS Scotland and those involved in the SHIP Systematic Review) as well as other stakeholders. This is the first in a series of papers in the governance stream of the SHIP programme, funded by the Wellcome Trust. Future papers will address the design challenges of a new system of information governance for health-related medical research in Scotland.

Keywords Information governance : governance: personal data; patient identifiable information; secondary uses of data; research; SHIP; health informatics; regulatory landscape

University of Edinburgh School of Law Working Paper No 2011/26

!

"

#

$

&

%&

"%

! %

$

$

'

'%

'% (

#

Page 1 of 101

University of Edinburgh School of Law Working Paper No 2011/26

)*+

,+*-./0+1-,

2++1,3 +42 502,26 5-01)7 ),. 2+410)7

0-,51.2*)+1-,56 ),. -8920+1:25 -; +42 5+*2)< 4)=+2*

,+*-./0+1-, 42 )1

=

>

>

8

= ?

"

1

"

# #

( / #$ (

#%

8

#@

&

(

#

"

'

#A

#

# $ =

#$

%0$

23)7 )0?3*-/,.

> >

,- % % $

BB:

-

BBD#

,

#

C

%

4

-C #

"

#

' 0

#

;

1

: # < =!

%% &

$

#

!;

& 6

& # ! -77>! ? .! %

& @ 57

Page 5 of 101

%

% % '

6

$ & &

BBD#

University of Edinburgh School of Law Working Paper No 2011/26

#

#

%

0

#

+

#

# 0 #

"

#

#

#

#

# E

#



2


A9 !; &

' C = 3-7

4 57354

University of Edinburgh School of Law Working Paper No 2011/26

! 035 = $>

#

&

# "

+

#

#

# 37

# +

#3:

#

# 3?

$

3E

#

4

/ 4

H

&

#

+

#

"

#

$

% $ 3D = $>

& (

3B

,

'

#)

*

#

-5 -0

% ' &

#

$ 3-7704 8

% %

>.0 .A1 -/ ( ( +*! 8 -1 () 8 -7 -A & 3-7704 -> + +

&

& (

# $

.A1 !

&

8

3-7704 82% /1

& $C

@ 6 & *

&

3/04 .A/@ +

& &

+

5 #

Page 15 of 101

/ "

'

University of Edinburgh School of Law Working Paper No 2011/26

)

*

1

#

3B

3

4

#

H

#

(

$= +

#

+

# 0

+

1

+

0

;1

#

+

# $

#

#

# # 4

,-,@ +

..>

#

*

Page 16 of 101

0'

University of Edinburgh School of Law Working Paper No 2011/26

05

0 # $=

4

+

1

/8710 )++1+/.25 ),. */5+

# 1 ( #

2 1

#

1

1

' 53

0

0#

$

8

0

#

#

' 055 = $>

+

& 0 +

5

0 57

8+% !

77H # # % & 5&@ @ 3-77.4 8 ,, ' @ ' , &I 8 % % # 8 3-7714 > * % 2 3-77>4 8* % # % ,, ' % '& ' 6, , 3-77>4 8 8 # 8 ,, ' & ' ' 6, , , 55 + # 3-7714 8 ' 8 3-7714 1. % 50 $C !( ( '8 ,,

% 8* + % ,7.@[email protected] J 1>5I 9

8 @

% @

, /A01>A, % & ' ' 6, ' E 3-7754 5A! 8 ' ' ' ' 6,

@ @ @ 6@&

@

#8 9

,-77>,7>71-/9

Page 17 of 101

&

3-77 4 ":

@ & F, ,

#' @# & ,

-77595A'

@

CI @ @

B

&8

@

,

' '

1'

University of Edinburgh School of Law Working Paper No 2011/26

,

5:

&

G

&

L

8

#

=

>

>

'

8

=>'8

3 G

4

4 )

*

5?

5

( $

8

'

=

8'=

0J K # # 0

#

5E

/ 0M # 1 05D

5/

)

C

!

( ,,

= +

'

3-7754 5A ; ' ' ' 6,

( ,

!

, ;

B 6 #

%

-77595A' & #K = #

;*

= C

& =

&

' 3 ,,

4 '

'

'

@ 51

+

%

,,

'

' &, &

! ,,

5A

,, 5>

%

%

@

' 6,

& # ' '& ' 6, % 2 3-77A4 8: & * 8! ' 6 '

,>01' $

&

#*

# ,-771,7>, 1 /- 5-,7 % + ,

C'

E

F

%

Page 18 of 101

9

# 3$* 4 %

" G

6F

2 G F 0.>G

FAA

University of Edinburgh School of Law Working Paper No 2011/26

$ G 2

#

4 5B

#


@ 7A3-77.4 * ,, ' '& ' 6, ,*

% 8 ;* ,

%

Page 19 of 101

%

%# =

,

9 7.5 7

University of Edinburgh School of Law Working Paper No 2011/26

4

# , 1

4

# 1

, 5/4 ; # ( &

*

(

*

4< 6 &

8 & #

% &

8

/

% 0A

0>

0#

#=

& %

C (+ %

Page 25 of 101

#

# & & # 0

' C C 777 1A'

University of Edinburgh School of Law Working Paper No 2011/26

(



# # #7B :9

G

/+4-*15)+1-, $=

+ )

&

#

*

$=

&

&

>

&'

&

= :

' &

=

> ;

;

G

>

G

&

=

$=

#

#

&

%

&'

$=

! &

$ =

4

,

O(

=

, &

G

>

3: !3:3

=

+$

>

=

$>

&

$ 399?

:3

=8< =

8




University of Edinburgh School of Law Working Paper No 2011/26

/

;

(

# +

#

# 4

*-5 (



$=

# #

%

$= :5 •

$



$

+

!

4



;

-,5 $



:7

$=



8

#

/5

% &

/0

+

#

$=

( &

( ,( 1.!

%

&'

6

# '

-/

Page 27 of 101

D

&'

University of Edinburgh School of Law Working Paper No 2011/26

• 4



>

4)+ .-25 -=+1

//

& ,, /1

,,

3-77.4! 8 # ' '& ' 6, % * 8 2 ' '& ' 6, 9 &

#

%

*

%

#

8' ,-77.,7>, 3-77.4 ! 8 # , 9

* + 9&

Page 30 of 101

,

9

8! %

% 6'

6@ C

%

University of Edinburgh School of Law Working Paper No 2011/26

# ;

&E

4)+ :2++1,3 ),. +*)1,1,3 4

A

Page 35 of 101

University of Edinburgh School of Law Working Paper No 2011/26

(

# #

1 4

!>

!

2@ 723157)+1-, F+42 .-0/

#

" & "

%

Page 40 of 101

&

#

University of Edinburgh School of Law Working Paper No 2011/26

=

& ?B

& $

#0 +

1 0

#

#

+

#

4 ,+

; •

E9

4 &

+

$

+ 8$A



#

$

,+

;



!

$

&

!

/N

N

D9S



G

.

#

,

1.

A7

*2 ,,

#( * ' '& ' 6, " ! @

% 9 &

, %

9

9&

#

+

,,

'

, #9 # + 3 ++4

% &

'

Page 41 of 101

,

' C ..1 J # &

%

University of Edinburgh School of Law Working Paper No 2011/26

% $

%=#

0

0

0 0 3

'

1

0

5

$

#

0

3

# 1

0

0

&

3

?

!

0 # + 1 1 5

0

4 I

+ )

*# #

#

#

+

E

2 "

#

)

) #

* E3#

# *

)+) *-+20+1-,

A

5# D 3

2@

+

..>

Page 44 of 101

N ,-7 7,

N 1.9

'

University of Edinburgh School of Law Working Paper No 2011/26

+

55 0 1

# 0

55

1

4

4

+

+

#

1

% $

#E

4)+ 15 +42 *-72 -; 0-,52,+6 ),-,@

%# ( ,,

A.

'

;

'

' 6, 3

$ 3 ...4 . *

, ...9 .'

% % #

;

'

C

'

,% P

O& &

@

%

% '= K = ..A!

Page 45 of 101

& 4 ! 0'0'5 3

.4

#@ % *

*

!

University of Edinburgh School of Law Working Paper No 2011/26

P P

! !

P P

E

4- 15 *25=-,51872 =

E

>

?9

4)+ ;-*H

"

=

E

4)+ )*2 +42 =2,)7+125 # ;

!E

4)+ )*2 +42 ;72A18171+125 =

#E

>

4

?9

4)+ 15 +42 *-72 -; 0-,52,+6 ),-,@

=> ;

42 0-8=

D3

4- 15 *25=-,51872

$

E -* B4)+ 8

E

4)+ )*2 +42 =2,)7+125

% $#

> +

>8=

>7

+

>

C

&3

*

8 2

>-

** 6' &,&

# ,

9&

# 3-77-4 3-77.4 ,

#4 51

%

'

@ #9

,, '

Page 47 of 101

'&

@

#

University of Edinburgh School of Law Working Paper No 2011/26

!E

4)+ )*2 +42 ;72A18171+125 # 0

0

0

0

#E

4)+ 15 +42 *-72 -; 0-,52,+6 ),-,@ >

42

0+

,

&

#

3:

&

$

399?D7

4 1

#

D:

"

#

,== ,

=

=

D?

$

>

$>#

;

>5 >0

) >/
1

;

# #

,==

4

! "# 17 3-77.4 8 % ' ' 6,

,, ' , C7//117' $** * 4 B #

&

$ *

@8

* ,&

% & + -77 %

,

,S ( D 3( ( D3

Page 48 of 101

! Q-77-R LD 0-0 *+ @ #9

& ,

, D

'-/ (

+ -7714'

%9

University of Edinburgh School of Law Working Paper No 2011/26

1 $

=

4

3: #

#

& #

$=

4 3 1 $= + 1

#

$=

#

#

2@

?

)

$

*

&

$ ..

M * 3-7754! 8

#8 30

$ '4!

,

&

!

! '

5.1 * -. *2 *

+

77

$ ,,

%

'

'& ' 6, %

@ < 6 & & 9 '

,, ' ' # 3-7 4 2 $ ')

,B

%# 9 /,-7

C

Page 54 of 101

< 6 & # % , B, #, 6 && & *2!

,

C9 #

K

'

University of Edinburgh School of Law Working Paper No 2011/26

=


#

#

=>

> >

=>

$

#>

/+4-*151,3 8-.125 # '

,

$

2@ •

7.

(

',= #

=

$=

255)325 $

$ ,,

=

'

. 3 ...4 * ' '

' 6,

%

,

C'

! E

F->>0

Page 58 of 101

# #

#

University of Edinburgh School of Law Working Paper No 2011/26

C



4

! H( 1

H

• +

E

4)+ 3-:2*,),02 *-72 .- +42@ =7)@ # 0

',=

#

#

!

&

9

0

(

1

1

#

#

#

1

E @ B4)+ )/+4-*1+@ .- +42@ =7)@ +415 *-72 %

# #)

1 ',=

#

4

4

0

* 0

# !

+

#

&

#

0

>8=

',=

;

3

,37),. ! =

& & >G #

>

,

=

G 5

=

?

7

(

,, : # % 5 D

( '

' %%

$ ' ' 6, % 3-77>4

!8 , %

%

!

@

,

$* 8 @ @

,==

#

!

% ,

#

Page 59 of 101

#

%#

+

#

University of Edinburgh School of Law Working Paper No 2011/26

"

#

3:

&

$

399?#

,==

4

3: 7

E

4)+ 5),0+1-,5 )==7@

0&

',=
G

,==

$

#

#

4

+

,== & >G

3: #

#

3: #

& >G +

# "

#

E

0 /

D M !* 1 ( 3-7714 + A % & # *

C & & % & $ 3-77A48 ! 80 $ -/ 3-43 4 & %@ 3 4 $**! $ * & ! #+ # 3 *+ 4 2 ( ,, '8 ( D! 8 % & %@& 8

Page 60 of 101

&

!

8 # + ' &%'

%# # ' 6,

,

&

University of Edinburgh School of Law Working Paper No 2011/26

0-+7),. F *1:)0@ .:15-*@ -#

1

$=

+

G %

42 2,2*)7 E

$=

2.10)7 -/,017 F

>

&' 6

E

4)+ 3-:2*,),02 *-72 .-25 1+ =7)@

$

#

>8= 2

# >8=

0J K

# 0

"

B

#

# 0 /

#

#

.

*! 8*

#

8 2 -77.

Page 62 of 101

#

4

University of Edinburgh School of Law Working Paper No 2011/26

"

#

&

20

# #

#

#

=

>

+

# #

0

39

E @ B4)+ )/+4-*1+@ .-25 1+ =7)@ +415 *-72 >8=

8

$ 8

399?

%

D:D $

4

BD5

399:;5?;,=

3

4

E

4)+ 5),0+1-,5 )==7@

$

'

#

>8=

# #

+#

!

#

!E -B 2;;20+1:2 )*2 +42@ )5 .)+) 3)+2 ?22=2*5 >8=

! !

#

42 ,;-* %

#

#

+#

4

# %

+

#

#


%

&

&

%

#

#

4 $

--

+&

#4 3 -5 ( ( !

% 42

%# -77> ! 82 2 &

!

#

(

3)

*

-3B4' 8

,,

Page 64 of 101

'

' &,

,55/-'

University of Edinburgh School of Law Working Paper No 2011/26

%

2

!E -B 2;;20+1:2 )*2 +42@ )5 .)+) 3)+2 ?22=2*5 $

&

8'

#

%

!' '

%

!

!>

,;-*4 ; & & @ # ( & + # 8 3-7714

& #

% &

#= !8

#

& %

(+ % # % &

Page 66 of 101

&

& # C C 0 777 1A'

University of Edinburgh School of Law Working Paper No 2011/26

4

$= #

+

# & 3E

'

,

$

4

$=!

=

# 0

0

3D

"

# 1

0

3B

',=

0

#

1

#

#&

# ',=

&

'O% '

#

',=

%

#

4 (

;

#

;

"

% $ BBD#

#

#

0

0

$

#

8 4

#

; 59

-A

(

->

: # -. % 57

%% +

# 8 3-7714

3-77>4

3) -

*

+&

#43

!8

%

Page 67 of 101

&

&

42

-77>

University of Edinburgh School of Law Working Paper No 2011/26

$

#

# 5

+

0%

'

'

0

53#

#

( !

%

& & # '

%&

( )

#

0 0

#

55

6

'

# 0>

8

0# 0

+ 0

-C

"

0

0

57

+

#(

F

5

&% * * 3* +& # Q-77>R < //74 5! < ! 3-77>4 & % ,, 'B '& ' 6, , , @ &@ @ ' 133 Richard Thomas (the former UK Information Commissioner) has been replaced with a new Commissioner (Christopher Graham) who has a particular vision for data protection regulation with a focus on enforcement and compliance. Sir Mark Walport is Director of the Wellcome Trust, responsible for finding many medical research projects in the UK and abroad. 50 ! &# * -77>K7.8 8'

*

Page 68 of 101

University of Edinburgh School of Law Working Paper No 2011/26

R

5:

#

@

#

G

+

#

%

8

$

G8$ #

# # 6

8

G8$

=

# (

#

# /

(

3: & $ $

399? ,==2 3 0 02

)=

5 0

%

=

%

399:*#

+

0

5?

$ '

'

0

$

''$

#

#

0

8

0

>

0

-C 0

0#

#0&

+

# !

0

#

0

#

''$

0

> -C 5E

G

39

#

%

%

39 3#

5/ 51 5A

% D + 3-7 4 #! ,, ' @

8 D #'& ' 6,-7 %

&

# ! & 9&

'

3

8 6 !8 & >4

Page 69 of 101

83

-7

4

University of Edinburgh School of Law Working Paper No 2011/26

, 5/ # !

#>

-B B277 .-25 +42 0/**2,+ =*-02./*2 *25=-,. +- 3-:2*,),02 *2D/1*2 # 4

4 #

%

#

* +

, #

#

-./

/,.1,3 8-.125 (

# $=

00

N 0/

+

-. N
,

% *

# ,L, & ,>

%

/

# : # /5 *2! ,,

* %%

/-

'

3-77>4 ! '& ' 6,

3-77.4 -7 ,

,

,-7 7,

Page 83 of 101

9&

9 -7

7'

&

University of Edinburgh School of Law Working Paper No 2011/26

#

#

$=

77-0)+1,3

-* )

71?2 8-.@ B1+4 5+)+/+-*@ =-B2*5

*-5 •

$

&

$=0

G

#

#

4

$=#



,

$= $=



$ $=!

-,5 •

$

# $=

+

#

4

',=

,

#

4 4 +





$

4

$=0 #

=

0 •

$ $=! 4

?3

!

12*)*04125 -; .)+) 71,?)32

1,+*)

71,?)32 )5 B277 )5

2A+2*,)7 =/8710 =*1:)+2 71,?)32 12> +42 2+410)7 =*-5 ),. 0-,5 -; 0-G & & !

/1

% /A + *

(

*

%

&# 8

6 & 8 ,,

'

'& '

,

,

9

Page 85 of 101

'

* F/15

University of Edinburgh School of Law Working Paper No 2011/26

!



0 #

+

#

#

#

4

#

#

#

4

#



# 1

0 %

:D

!

-+2,+1)7 =*-872@ >/

& %

University of Edinburgh School of Law Working Paper No 2011/26

(

# !

=

+ ;

#

Page 87 of 101

.

University of Edinburgh School of Law Working Paper No 2011/26

)*+ !

20-4! 9 9

9 '

Page 88 of 101

@ ,

9

9&

,

0

University of Edinburgh School of Law Working Paper No 2011/26

%>

=+1

/;;

$

;9B!93!

!

" $

0

0

; "

0

-C >

. = 3995 #

,

7

399

0 8

39

!

3993 ! $

;39

V

0 /;; ;

;

;

;

97

=%

399D 0$ (

>8=

>

8

=

=

> /;;

!

;

;

/

#

399B

!

($ 0#

V

$

;

V

/;; ; DBD9:E5

Page 94 of 101

8 %/

DBD9:E5 ;

University of Edinburgh School of Law Working Paper No 2011/26

= 399D

0

3993 =

)'

7# 0%

%&$ !

%

*

/;;

>

7/

T

;

;

999 ?E

;

V V 6

$

BBD0

&

6

%

# >

+

+


8

;

! 59

&

6

+

$

>

/


>

39

V

57E!:?

>

(

$

=

%

. ' 399B 0 (

H

=

;

$

; ;

= 5

;

* 39

&

@

399?

&

'

6

H

V U759

&

# ># ))'

G

;

3993#

-

6

0

/$= !

=

/

!

V 6

$

0# ,

6' &

559!557

=

# )=

>

*

!

/;; 6

"

G8T

0

399

0J

K

399 8

;

E/

3

& /;;

1

;

;

;

;

;53D;E77E; 93B

Page 96 of 101

0= 0

/

;

University of Edinburgh School of Law Working Paper No 2011/26

O = /;;

&

;

H

UED5O

&

'

U5

5;

U

E7

,

0

# ',= 0#

/;;

&

(

(

;

;

!

;

! !

;

/;; E

&

%

;

;? 3

X (

&

399: 0&

>

& >G# 0%

0 ;

;

!

0

!

/;;

8

/;;

;

;

;

; >V

V" &$6V33 3399:

&

#

6

#

0% &

%6

3995

5E )

0 399D &

=

T

8

* /;;

;

;

/;;

; %63995V5E

&

8,6

B

;

;

BBB

=

>

+H U7DO




3993

# /;;

&

%U:?5

"

;

U $=!

'

399B 08

,

8

%

!

, -

Page 97 of 101

0

% 8

University of Edinburgh School of Law Working Paper No 2011/26

,

0C

$

#
,+ 399?

,

= !

% 0'

>

/;;

"

;

;399?;9D; ? :3 53;9

=

=

0#

/;;

;

;' >

;"

;'>",

= >

>

3997

0

>

>

,+ %

# &

0 %6 3995 5E# 0

/;;

; ;

;

V

& 0 /;;

;

# ' ;

(

%

# 8 399D '

'

3995V5E /;; >

#

;

=

;

!

!

;

!

399B

/;;

;

;399B;9D; ;L;

1

(

399?

0-

=

;D

/


0

0

= /

G8T 399? T

553 E:57 / 59I 5 8

Page 98 of 101

3 2

University of Edinburgh School of Law Working Paper No 2011/26

(

399B

0

'

!

;

;

=

! 0 /;; ;

;W ;

;

V

;

V

+9::??9

(

/;; ;

;$ ;

! ;

!

;

! ;

+

Page 99 of 101

University of Edinburgh School of Law Working Paper No 2011/26

(

( G8$

G

=>

=

=

=

+

=

+$

=

$>

8

$ >

=8


=

%=

%

%

%

% $

%

,==

,

=

,= '

,

=

>

< $ $

=

$

BBD = ' '

,%

,

%

,,$

,

,

"< $

"

"< $

>

"

"

>8=

>

>

>

$ 3999 $ 3993 & 8

''$

'

'$

'

=


& ' $

=

$

$

$>

$

&

>

&

',=

'

>

,

=

>

!'

'

= 8'

G

= 8

'

Page 101 of 101