Campaigns

New report proposes extending NHS safety investigation secrecy

A new parliamentary report has been criticised by the Campaign for Freedom of Information and News Media Association for endorsing a proposal that will prevent a new NHS patient safety body from disclosing safety information under the Freedom of Information Act.

A draft government bill to establish the Health Service Investigations Body would also prevent it from disclosing information it holds in connection with any patient safety investigation. The parliamentary committee recommends extending this restriction to any information provided in order to promote patient safety, regardless of whether it relates to an investigation.
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Submission on NHS secrecy to Joint Committee

A Joint Committee of MPs and peers has been set up to consider the Draft Health Service Safety Investigations Bill. The bill establishes a new body called the Health Service Safety Investigations Body (HSSIB) to carry out investigations into safety concerns. It also makes provision for the HSSIB to accredit local NHS trusts to carry out their own investigations.

The Campaign is concerned by a prohibition on disclosure included in the draft bill. As it stands, the HSSIB and accredited NHS trusts would publish reports on their investigations into serious patient safety incidents. But they would be prohibited from making public any other information held in connection with the investigations. The prohibition would override the right of access under the Freedom of Information Act and – it is suggested – the subject access right under the Data Protection Act.

In a submission to the Committee, the Campaign says the reform would deprive the public of two important rights they have enjoyed for years.
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Andy Slaughter MP’s 2nd reading speech

The Freedom of Information (Extension) Bill was due to have its second reading on June 15 2018. The Bill, which was drafted with the assistance of the Campaign for Freedom of Information, was unfortunately not reached. A prolonged debate on the preceding bill consumed all the available Parliamentary time.

This is the speech that Andy Slaughter MP the bill’s promoter would have given had time permitted.
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Parliament to debate bill to bring contractors, housing associations and others under FOI

Information about public services provided by contractors and fire risks at housing associations would be made subject the Freedom of Information (FOI) Act under a private member’s bill introduced by Andy Slaughter the Hammersmith MP. His Freedom of Information (Extension) Bill is to be due for second reading debate in the Commons this Friday, June 15 2018.

At present, information held by contractors delivering public services is only available under FOI if the contract entitles the public authority concerned to that information from the contractor. If the contract is silent, the public has no right to it.

The bill, drafted by the Campaign for Freedom of Information, would bring all contractor-held information about the performance of the contract within the Act’s scope. It could be obtained by a request to the public authority, subject to the Act’s exemptions.
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Private nursing misconduct hearings part of a move that would conceal NHS safety problems

Proposals to avoid public misconduct hearings for nurses and midwives are part of a “pattern of moves to limit the public’s right to know about NHS safety problems”, says the Campaign for Freedom of Information.

The Campaign says that a new proposal by the Nursing and Midwifery Council (NMC) to do away with most public fitness to practise hearings echoes government proposals to keep evidence about safety incidents secret.

Under the NMC proposals, where a nurse or midwife admits to having made an error, the matter will be dealt with in private without the public hearing that now takes place [1]. Reasons for any decision will be published, but there will apparently be no published transcript. “The risk is that failings at a hospital – or by the NMC itself – will be obscured, undermining public confidence in the NHS” the Campaign says.

The same philosophy underpins Department of Health proposals for a new body to investigate significant NHS safety incidents [2]. The Health Service Safety Investigation Body would report on its investigations but be prohibited from revealing unpublished information in response to freedom of information (FOI) requests. The Department says this would allow staff to speak freely to investigators without fear of being unfairly blamed. But the Campaign’s director Maurice Frankel said: “the secrecy would not be limited to information provided by staff involved in safety incidents. It would apply to any information from any source obtained during an investigation, including information from the NHS trust itself, independent experts or a drug or medical device manufacturer. Even test results on equipment or anonymised accounts of previous incidents would be kept secret indefinitely.”

Only limited disclosures would be allowed, for example, to the police, regulatory bodies or other NHS bodies. Journalists or campaign groups would have to persuade the High Court to order disclosure of information which is currently available under FOI.

The Campaign says “the NMC proposals reflect the same disturbing philosophy: that patient safety is best served by addressing problems in private.”

Notes:

[1] The new NMC strategy is set out in a draft consultation paper to be discussed by the NMC board on 28 March 2018
https://www.nmc.org.uk/globalassets/sitedocuments/councilpapersanddocuments/council-2018/council-papers-march-2018.pdf

[2] ‘Draft Health Service Safety Investigations Bill’ published by the Department of Health in September 2017
https://www.gov.uk/government/publications/health-service-safety-investigations-bill

Bring housing associations and public service contractors under FOI

The Campaign for Freedom of Information has drafted a bill which would bring both housing associations and private contractors providing public services under the Freedom of Information Act.

Housing associations

Housing associations are not subject to the FOI Act and can refuse to answer requests about fire risks, safety problems, eviction policies, waiting lists and other matters.
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Queen’s Speech proposals will lead to “unnecessary increase in NHS secrecy”

A draft Bill set out in today’s Queen’s Speech will lead to an unnecessary layer of secrecy about investigations into patient deaths and injuries, says the Campaign for Freedom of Information.

The draft Patient Safety Bill will put the work of the newly formed Healthcare Safety Investigation Branch (HSIB), which investigates selected NHS safety incidents, on a statutory basis. The HSIB will be required to publish reports of its investigations, but will be prohibited by law from revealing any other information obtained during its investigations. FOI requests for such information will automatically be refused.
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Whistleblowers and journalists face prison for revealing information that could be obtained under FOI

 

 

 

 

 

New proposals by the Law Commission to reform the 1989 Official Secrets Act (OSA) could lead to the imprisonment of civil servants and journalists for disclosing information that would be available to anyone asking for it under the Freedom of Information Act, say the Campaign for Freedom of Information (CFOI) and ARTICLE 19.

The Law Commission is proposing to make it easier to secure convictions under the 1989 OSA by weakening the test for proving an offence. But the proposed weaker test would catch information that would have to be disclosed under the Freedom of Information (FOI) Act, say the CFOI and ARTICLE 19.

In a joint response to the Law Commission proposals, ARTICLE 19 and the CFOI are concerned that:

  • Whistleblowers and journalists could be convicted for revealing information about defence, international relations or law enforcement that is unlikely to cause harm
  • Leaking information that anyone could obtain by making an FOI request could be an offence
  • It would not be a defence to show that the information had already lawfully been made public under the FOI Act or otherwise – unless the information had also been ‘widely disseminated’
  • Someone revealing danger to the public, abuse of power or serious misconduct would not be able to argue that they acted in the public interest
  • Maximum prison sentences on conviction, currently 2 years, would be increased.

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Abolition of right of appeal to First-tier Tribunal

The Government has just stated that it is “carefully considering” a recommendation made by the Commission on Freedom of Information in March 2016 that the right to appeal to the First-tier Tribunal (FTT) against the Information Commissioner’s decisions should be abolished. When the Commission’s report was published the Government gave an assurance there would be “no legal changes” to the FOI Act. Abolishing the FTT would require such legislative changes. The FTT is a vital safeguard against poor decisions from the Information Commissioner. In 2014, some 20% of requester appeals to the FTT were wholly or partly successful. The Campaign believes that depriving requesters of this right of appeal would seriously weaken the public’s right to know.
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FOI implications of the Justice Committee’s report on Courts and Tribunals Fees

The Justice Committee’s report on Courts and Tribunal Fees has endorsed the proposal, made by the Independent Commission on Freedom of Information that the right of appeal to the First-tier Tribunal (FTT) under the Freedom of Information Act should be abolished. The Committee does not appear to have examined the case for this change itself. It simply reported that it saw no reason to disagree with the Commission’s view. The Campaign believes that if the proposal went ahead, it would significantly undermine the operation of the Act.
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