"Medical confidentiality and the magic curtain."

About: Derriford Hospital / Accident and emergency Derriford Hospital / Cardiology Derriford Hospital / General medicine

(as a service user),

I just had a stay first in A&E, via MAU to Cardiology at Derriford Hospital. When not in hospital I am a researcher who has to jump through multiple hoops just to confidentially ask people innocuous questions in questionnaires or interviews.

Yet in the clinical world of the ward, I have found confidentiality to be a joke. Ah yes, pull round the ‘magic curtain’ that does not stop sound and all will be well. Nurses ask patients for their name and date of birth every time they dispense medication – even though patients are also wearing a band on their arm that identifies them. In my ward I could tell you the name and date of birth of every other patient, I could look them up on an internet search and find everything about them, to which of course I could add much of their current medical history including their everyday bowel movements. 

Given that all patients are wearing a name band, could some level of anonymity not be adopted by using that rather than have the whole ward know full name and date of birth every time? That would be one small step. Having better sound insulation would be a more significant change – but staff remembering that the magic curtain may stop vision but does not stop sound, would also help.

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Responses

Response from Alison Stanton, Complaints and PALS Manager, University Hospitals Plymouth NHS Trust 11 months ago
Alison Stanton
Complaints and PALS Manager,
University Hospitals Plymouth NHS Trust
Submitted on 14/04/2024 at 17:16
Published on Care Opinion at 17:16


picture of Alison Stanton

Thank you for your comments and suggestions around confidentiality while you were a patient with us.

We do acknowledge that confidentiality is very important.

Although a patient does indeed wear a patient wristband with identifying information, we do need to confirm with individual patients some specific information about them, especially when doing risky procedures and needing to check mental capacity.

Therefore, it is good practice, and common in all hospitals and healthcare environments for staff to ask a patient their name and date of birth prior to performing a procedure or administering medication.

This is primarily to maintain patient safety and prevent things going wrong. However, we do understand that in some areas, such as wards, it can be difficult.

We have reminded our staff and wards areas about the volume of discussions when interacting with patients. Thank you for your comments.

Many thanks.

Ben Goodwin MBA, BSc Specialist Practitioner (DN), RN

Deputy Chief Nurse

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