SJT: Sharing Patient Data Legally & Ethically (passthemsra.com) - Free MSRA revision

This episode breaks down one of the most complex MSRA SJT topics: when to share patient information, how much to share, and exactly which legal frameworks you must satisfy. You’ll learn how GMC confidentiality, the Caldicott Principles, common law, and UK GDPR work together — and how to make safe, justified decisions under real clinical pressure. A clear, structured walkthrough of minimal disclosure, lawful bases, proportionality, and the PRIVY and CalM8 frameworks. 0:00 The classic confidentiality dilemma00:22 Safety vs confidentiality — the real conflict00:55 Why this topic is high-stakes01:18 GMC’s core requirements01:55 Caldicott principles: minimum & no-surprises rules02:40 When the duty to share overrides objections03:10 CalM8 memory aid explained03:40 Legal layer 1: Common law duty of confidentiality04:07 Legal layer 2: UK GDPR & Data Protection Act04:40 Special category data & lawful bases05:20 External/non-direct care requests05:55 Police request scenario06:22 Why “everything” is always wrong06:50 Verification & secure channels07:20 PRIVY framework for rapid decisions07:55 Consent vs public interest08:25 What to say when patients request full secrecy08:55 Proportionality in real cases09:20 Red-flag pitfalls09:50 Final synthesis & takeaways• Confidentiality = justified purpose + control + transparency• Minimum necessary rule → never share full notes unless required• Duty to share may override objections when safety is threatened• Common law governs disclosure; GDPR governs processing• Every decision needs a lawful basis AND a justified purpose• Always verify identity + use secure channels• Never promise absolute secrecy where serious harm is possible• Document who, what, why, and under which legal justificationCalM8 mnemonic:C – Clarify purposeA – Apply minimum necessaryL – Limit accessM – Meet the law8 – Keep in mind the eight GMC principles of confidentialityPRIVY mnemonic:P – Purpose firstR – Reduce to minimumI – Identity & securityV – Valid legal basisY – Your record (document everything)Links:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #MedEd #passthemsra #freemsra #msraio #Confidentiality #GDPR #Caldicott Principles