2.5 Explain how to balance the tension between confidentiality and openness in records and reports

Qualification: Level 4 Diploma in Adult Care
Unit: Develop, maintain and use records and reports
Learning outcome: Be able to prepare professional records and reports that meet legal requirements, and agreed ways of working
Assessment criteria: 2.5 Explain how to balance the tension between confidentiality and openness in records and reports

  • Records and reports should only be shared on a need-to-know basis
  • Confidentiality of personal information should be respected at all times – family members do not have a right to know everything about a service user if the service user does not want them to
  • Other service users should not be named in reports relating to a different service user
  • Consent from an individual should be obtained before sharing their information
  • In extenuating circumstances, information may need to be shared without consent, however the individual should be informed of this
  • Extenuating circumstances include disclosures of abuse or there is the likelihood of someone coming to harm if information is not shared

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