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    Hi guys,
    I just want to check so basically if an organisation e.g. occupational health wanted a medical report for a particular patient and the patient said that they didn't want information about his/her alcohol problem to go on the medical report is it something that i would have to disclose despite what the patient said about not wanting the information on there? Is having an alcohol problem something that occupational health need to know, as a GP do I have to disclose the information by law?
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    (Original post by groovyangel2008)
    I just want to check so basically if an organisation e.g. occupational health wanted a medical report for a particular patient and the patient said that they didn't want information about his/her alcohol problem to go on the medical report is it something that i would have to disclose despite what the patient said about not wanting the information on there? Is having an alcohol problem something that occupational health need to know, as a GP do I have to disclose the information by law?
    What do you think?

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    You could clarify whether it's a 'report' - i.e. private service that you could decline to do/refer back to OccHealth to commission elsewhere or whether it's confirmation/rubberstamping a questionaire that a patient has completed - although that could also be a private service that you could decline to do.

    You would not (unless you're a complete fool) complete a report omitting information/approving a patient self-reporting something if you believed it to be relevant or untrue.

    Some reports can be prefixed by a disclaimer that information has been omitted because the patient has not given consent for their full medical history to be shared - then occupational health/management can choose to proceed as they wish...

    You could read up on the GMC guidance on Confidentialty & Duties of a Doctor etc.

    You could speak to your peers in the practise +/- your defence organization for advice.

    Whether you 'have' to disclose in the absence of patient consent, as ever depends upon risk of harm to patient/others. So in this scenario may depend on the impact of the alcohol problem, level of patient insight and the nature of the job etc.
 
 
 
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