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Confidentiality — DOccMed MCQ

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HardOH Ethics and ProfessionalismConfidentialityDOccMed

An employer asks occupational health for the diagnosis and full counselling notes of an employee assessed after depression-related absence. The employee consented to a fitness-for-work report but not to disclosure of clinical notes. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BProvide functional advice within consent and decline disclosure of clinical notes

Occupational health reports should address the referral questions using relevant functional information. Consent for a report is not consent to release clinical notes or unrelated personal information. The clinician should remain impartial, respect confidentiality and explain the limits of disclosure to both parties.

Reference: FOM Ethics Guidance; GMC Confidentiality Guidance