Tag: confidentiality

‘Vilified’ doctor cannot publish patient’s private information

Posted on | by Robin Hopkins
In the Matter of C (A Child) (Application by Dr X and Y) [2015] EWFC 79 involved, in the words of Munby J, an unusual and indeed unprecedented application. It pitted the right to defend one’s reputation against the privacy and confidentiality rights of others. In this case, the latter won.
Dr X had treated C and C’s mother; he had also been an expert witness in the family court care proceedings concerning C. C’s mother was unhappy about the treatment given by Dr X. She complained about him to the GMC, whose Fitness to Practise panel in due course found the allegations against Dr X to be unproven. C’s mother also criticised Dr X publicly in the media.
Dr X felt that his “otherwise unblemished reputation … has been cataclysmically damaged … through inaccurate reporting and internet postings” and that he has been “unfairly and unjustly pilloried by the mother and, through her, by the press” (his skeleton argument, cited at para 10 of Munby J’s judgment).
Dr X wanted to be able to put his side of the story, and to have the original source documents – from the family court proceedings and the Fitness to Practice proceedings – available, to quote from (while respecting anonymity) if his public statements were challenged. He sought disclosure of documents from those proceedings.
One difficulty he faced was that the law restricts the use to which documents from family proceedings could be put. The court had a discretion to allow disclosure, but generally subject to restrictions on the use to which documents could be put.
A further major difficulty was that he was bound by doctor-patient confidentiality, both as a matter of legal duty and professional confidentiality. That duty permits of exceptions – for example, to allow a doctor who is being unfairly vilified by a patient to defend himself – but even then any departure from confidentiality obligations must be proportionate.
The same applies to interference with patients’ privacy under Article 8 ECHR; privacy rights were particularly acute here, because what was sought (for disclosure, and for deployment in public statements) was “a mass of medical materials relating to the mother’s mental health” (Munby J at paragraph 42). Disclosure of those materials, even in redacted form, would have major implications for the privacy of the child, C.
Those difficulties were fatal to the application. Munby J said that “the remedy being sought by Dr X – permission to put the mother’s medical records and related documents into the public domain, at a time and in circumstances of his own choosing and without any of the safeguards usually imposed – is wholly disproportionate to anything which he can legitimately or reasonably demand”.
In relation to the documents filed in the Fitness to Practise proceedings but which were not part of the documentation filed in the care proceedings, the court had no jurisdiction to grant an application for disclosure. In any event, disclosure of the confidential material Dr X sought for deployment in the public domain would again be wholly disproportionate.
Heather Emmerson of 11KBW appeared for the GMC.​
Robin Hopkins @hopkinsrobin

Confidentiality of medical information after patient’s death: two new Upper Tribunal decisions

Posted on | by Robin Hopkins

The absolute exemption at section 41 extends to information obtained by the public authority the disclosure of which would give to an actionable breach of confidence. Does the obligation of confidence survive the death of the confider? If so, would a breach of that obligation be actionable, even if it is not clear exactly who could bring such an action? These issues arise most notably in the context of medical records. The Upper Tribunal has had something to say on this in two recent decisions.

In Webber v IC and Nottinghamshire Healthcare NHS Trust (GIA/4090/2012), the appellant had made a FOIA request for information (including hospital records) about the death of her son in 1999 when he was compulsorily resident at Rampton hospital. This was refused on section 41 grounds. The Commissioner upheld the refusal, as did the First-Tier Tribunal. In doing so, it somewhat unusually did not see the withheld information for itself, since it had not been asked to by anyone.

Mrs Webber’s appeal to the Upper Tribunal has also been dismissed. Judge Williams considered that the Tribunal could not be faulted for not differentiating between different categories of withheld information (which it obviously could not do, as it had not seen the information): “it is the task of the tribunal to decide the case before it unless it sees reason to investigate further” (paragraph 30).

He also confirmed the well-established principle that what matters under FOIA is information rather than documents: though the records were created by the NHS Trust, the information contained in those records came from the patient. In the section 41 context, “obtained” simply means “come to have”, which can be active or passive (paragraph 38).

Judge Williams confirmed a further touchstone of FOIA, namely that whatever the particular interests of the requester, this “remained an application to put the information into the public domain” (paragraph 37), that being the effect of disclosure under FOIA.

Disclosure would entail a breach of confidence which was actionable after the patient’s death, notwithstanding the argument that, in this case, the only person who could sue would be the personal representative (who was likely to have been the requester: thus it was submitted that she would in effect have been suing herself).

Judge Williams also found that there would not have been a public interest defence to the breach of confidence. Here he gave weight to the fact that some of the information sought would or could come into the public domain or be obtained in another way: a coroners’ inquest, or through an application under the Access to Health Records Act 1990 (now largely supplanted by FOIA, but not as regards deceased persons) which allows for requests for access to information to be made by (inter alia) patients’ personal representatives. Such an application was outside the Upper Tribunal’s jurisdiction but it was “relevant to note that it exists as a specific if limited remedy for some aspects of the application made for the appellant in this case” (see paragraphs 23-24).

In M v IC and Medicines and Health Products Regulatory Authority (GIA/3017/2010), Upper Tribunal Judge Lloyd-Davies allowed the requester’s appeal for information in a report held by the public information concerning a pharmaceutical trial of a drug developed by Pfizer. That information had again been withheld under section 41, with the Commissioner and First-Tier Tribunal agreeing – regardless of whether the participants in the trial were dead or alive at the time of the request.

The appeal was allowed because of a procedural error – the Tribunal had authorised more extensive redactions than were in fact being put to it.

The remitted hearing is to include questions of identifiability of patients in the context of anonymised drug trial data. The line of authorities on statistical information (Common Services Agency, Department of Health) will no doubt be considered.

The decision contained this obiter observation on actionable breaches of confidence in the case of deceased patients: “where the confidence arises in the context of a patient/healthcare professional relationship, I am minded to conclude that the obiter observations of Mr Justice Foskett in R (Lewis) v Secretary of State for Health [2008] EWHC 2196 (QB) are correct”.

I acted for the Commissioner in the M case; my colleague Joe Barrett acted for the appellant in Webber.

Robin Hopkins @hopkinsrobin

Two new Upper Tribunal decisions: commercial confidentiality, ministerial communications

Posted on | by Robin Hopkins

The Upper Tribunal has issued two decisions on information rights matters this week. Both are by Upper Tribunal Judge David Williams, and both include substantive treatments of some of the issues that arise most commonly in information rights litigation.

Natural Resources Wales and SI Green (UK) Ltd v Information Commissioner and Friends of the Earth Swansea [2013] UKUT 0473 (AAC) saw the Upper Tribunal overturn a First-Tier decision on commercial confidentiality under the Environmental Information Regulations 2004, concerning the operation of a landfill site near Swansea. I was not involved in the First-Tier Tribunal proceedings, but blogged on the decision here. The Upper Tribunal’s decision is here. It found that, contrary to the approach of the First-Tier Tribunal, regulation 12(5)(e) EIR (confidentiality of commercial or industrial information where such confidentiality is provided by law to protect a legitimate economic interest) is not the same as section 41(1) of FOIA (actionable breach of confidence).

In Judge Williams’ second judgment published this week, he upheld the First-Tier Tribunal’s decision in Cabinet Office v IC and Gavin Aitchison (EA/2011/0263). Anya blogged on the First-Tier Tribunal decision here. In essence, it concerned the takeover of Rowntree by Nestle in 1988 and what, if anything, ministers in the Thatcher government had said to each other about it. Questions also arose about the relevance of the reduction of the ‘Twenty-Year Rule’ for historical records to a ‘Ten-Year Rule’. The relevant exemptions were sections 35(1)(a) and (b) (formulation or development of government policy; Ministerial communications). The Tribunal found the public interest to favour disclosure (and, as regards one part of the request, confirming or denying whether any information was held relating to Cabinet discussions on the topic). The Upper Tribunal agreed. See here: Cab Off Aitchison GIA 4281 2012-00, and also the coverage by the requester (a journalist at the York newspaper The Press) here.

Given my involvement in both cases, I don’t offer any analysis on Panopticon today. Instead, I offer them as weekend reading for enthusiasts. You’re welcome.

Robin Hopkins

Board minutes of a public/private joint venture confidential and commercially sensitive

Posted on | by Robin Hopkins

Joint ventures between the public and private sectors are increasingly common. They are often a focus for vigorous political debate over issues such as the costs involved, the savings to the public purse, the profit to the private sector partner, and allegations of conflicts of interest. While those are political arguments on which Tribunals take no view, they do point to the significant public interests that are engaged when considering access to information. So said the Tribunal in David Orr v IC and Avon and Somerset Police Authority (EA/2012/0077), a recent decision notable for grappling with access to information about such a public/private joint venture.

South West One Limited (“SW1”) is a company formed in 2007 as a joint venture by three West country public authorities (together owning 25% of the company) and IBM (75%) to create for their own use and promote and sell to other authorities IT support systems of various kinds. Given its membership of the board of SW1, the second respondent police authority held minutes of its board meetings. The requester asked for that information. The police authority refused, relying on ss. 41 (actionable breach of confidence) and 43(2) (prejudice to commercial interests) of FOIA. An important feature here was that the joint venture agreement contained confidentiality clauses, including one providing that “each of the parties… shall hold in confidence… any financial or other information in respect of the company or the business”. The Commissioner upheld the refusal, finding no evidence that the agreements were being used to circumvent FOIA improperly.

The Tribunal agreed. It rejected the requester’s argument that SW1 should be treated as a public authority for FOIA and EIR purposes. It also upheld reliance on s. 41. It found that redactions would not suffice to remove confidentiality:

“… removal of the name of the targeted purchaser might not conceal its identity from well – informed readers. More fundamentally, board minutes are, by their nature, confidential information. They record disagreements and minority opinions. They should frankly describe the inner workings of the company, whenever significant issues are discussed. It is important in the shareholders` interests, that board minutes fully reflect what has been transacted.”

As to the prospects of success for a public interest defence to an action for breach of confidence, the Tribunal noted the police authority’s sympathy with the requester’s position: “any loss of transparency or “democratic deficit” arising from the creation of SW1 was an inevitable consequence of joint ventures involving public and private sector entities working together through a limited company.”

The Tribunal approached the public interest defence as follows (paragraph 32):

“We have regard, on the one hand, to what is already in the public domain and, on the other, to the undoubted importance of transparency in the operation of joint ventures, in so far as that is consistent with the proper commercial interests of the company thereby created, here SW1. If a joint venture company has been formed for the specific purpose of frustrating the duties of disclosure enacted in FOIA; if public funds are being needlessly squandered in a badly – managed business; if serious conflicts of interest are or may be distorting the company`s operations, then there may be a strong case for disclosing information which reveals such facts.”

None of those concerns arose here, and an action for breach of confidence would not be defeated.

Similar considerations meant that reliance on s. 43(2) would also succeed here. On this issue, the Tribunal observed (paragraph 37) that even where a joint ventures is between public authorities alone (i.e. without the involvement of a private sector partner), the case for reliance on s. 43(2) may be equally strong.

For further analysis of this case, see the Local Government Lawyer.

Anya Proops represented the police authority.

Robin Hopkins

PROTECTING CONFIDENTIAL INFORMATION UNDER FOIA – NEW FTT DECISION

Posted on | by Anya Proops KC

The FTT has recently handed down a decision which considers in some detail the operation of s. 41(2) FOIA (exemption in respect of confidential information): Moss v IC & Home Office (EA/2011/0081). In Moss, a request was made for disclosure of a particular report prepared by IBM and provided to the Home Office. The report was compiled in circumstances where IBM was seeking to tender for provision to the Identity and Passport Service (IPS) of a biometric recognition system and was, as part of this process, considering which biometric software provider to partner with. The report sought to test the suitability of various biometric software providers and their products with a view to establishing which provider should be treated as the preferred provider in the context of the tender. IBM decided to provide the report to the IPS in order to build confidence in the solution that it was offering to the IPS as part of the tender process. The report was provided to the IPS in circumstances where there were various agreements in place which, whilst recognising the IPS’ obligations under FOIA, effectively obliged the IPS to treat the information it received from tenderers as confidential. Mr Moss submitted a request to the Home Office for disclosure of the report. The Home Office refused to disclose the report, relying on a number of exemptions including s. 41(2). The Commissioner concluded that the refusal was lawful on an application of s. 41(2). On appeal to the tribunal, Mr Moss sought to argue that the Commissioner had misapplied s. 41(2). In a lengthy judgment, a majority of the tribunal upheld the Commissioner’s decision. However, the minority held that the report ought to have been disclosed, subject to redactions to protect in particular the commercial interests of the software providers. The majority judgment is notable not least because of its emphatic approval of the test for breach of confidence adopted by Megarry J in Coco v Clark [1968] FSR 415. Other aspects of the majority judgment which are worthy of note include the majority’s conclusion that the public interest defence will not be available in respect of a potential claim for breach of confidence merely because the public has an interest in seeing the information in question (see in particular paras. 84 et seq).

Interestingly, both the majority and the minority touched on issues relating to the application of Article 10 in their respective judgments. The majority alluded to Article 10 in the context of highlighting the ways in which the Article 10 right to freedom of expression may bolster a prospective public interest defence against a claim for breach of confidence. (The existence of such a defence is relevant to the question whether, for the purposes of s. 41(2), disclosure of confidential information would give rise to an ‘actionable breach of confidence’). The minority, by way of contrast, alluded to the Article 10 right to receive information, which had recently been considered in the Sugar and Kennedy cases (in the Supreme Court and Court of Appeal respectively). The minority queried whether and to what extent the recent jurisprudence on the Article 10 right to receive information ought to be shaping the analysis of the public interest defence under s. 41(2). See further my earlier post on the Kennedy judgment here.

Anya Proops

DATABASE RIGHTS AND BREACH OF CONFIDENCE

Posted on | by Rachel Kamm

The Chancery Division has considered the scope of the database rights in the Copyright, Designs and Patent Act 1998  in Forensic Telecommunications Services Ltd v Chief Constable of West Yorkshire [2011] EWHC 2892 (Ch).

The Claimant was a forensic services company, which recovered digital evidence from mobile phones for criminal investigations. It had a list of the permanent memory absolute addresses for different types of phone (known as PM Abs addresses) and it created software from this list. The Claimant had granted the security service a licence to use the software, but this did not extent to law enforcement agencies. A police officer (who was the Second Defendant to the claim) received several PM Abs addresses from a security operative and he posted them on the internet. Other law enforcement officers added to the list. The police officer created a list which contained 32 of the Claimant’s 33 PM Abs addresses. The police officer used this list to create software that was similar to the Claimant’s software.

The Claimant issued a claim against the police officer’s force (the Chief Constable of West Yorkshire) and the police officer personally, alleging infringement of its copyright and database rights.

The Court found that no copyright subsisted in the individual PM Abs addresses because the skill, judgement and labour expended in ascertaining the addresses was not of the right kind to attract copyright protection. The PM Abs list was however a database because the addresses were systematically arranged and individually accessible (meeting the test in section 3A of the Copyright, Designs and Patents Act 1988) and therefore it was not protected by copyright. The Claimant had made a substantial investment in obtaining and verifying the data on the list and therefore a database right subsisted in the list. The police officer had extracted and re-utilised a substantial part of the database and thereby infringed the Claimant’s database right. The police force was vicariously liable for this act of infringement.

The Claimant also succeeded in a claim for breach of confidence against both Defendants. The PM Abs list had the necessary quality of confidence, since it was valuable information collated by  the Claimant through the exercise of skill, judgement and labour which was not in the public domain. The police officer had misused this confidential information by posting the list on the website forum and making copies of it for his own use. The police force was again vicariously liable for the police officer’s actions.