Appendix 2: Designated individuals

It is proposed that, wherever possible, a registered health professional should sign requests for the cancer registration information. We recognise that people with other training are appointed to some of these posts; for example, Directors of Public Health for some Primary Care Trusts and Local Health Boards (LHB) in Wales, where they could reasonably be expected to sign ex officio.

Possible signatories for the different organisations requesting different types of data are listed below, but their inclusion does not necessarily mean that anyone or only one of them can sign for a given request. Depending on the purpose of the request, Cancer Registry Directors should use their discretion as to who should sign, and for some requests, several signatories may be needed. For some purposes, signatories may be specified in Service Level Agreements between registries and particular organisations.

 

NHS
Trust

 

Data
type

Possible
signatories

 

Clinician's
own data/data re patients of predecessor

Clinician
(needs to sign stating taken over care of patients from predecessor) 

Caldicott
Guardian for patients not now managed by any clinician in trust

Medical
Director for patients not now managed by any clinician in trust

 

Cancer
site-specific data

• Lead
Cancer Clinician

• Lead
Tumour Site-Specific Clinician

 • Lead Clinician for Audit (if stated
for audit)

• Caldicott
Guardian

• Medical
Director

 

Data for
the whole Trust /Local Health Board

• Lead
Cancer Clinician

• Lead
Clinician for Audit (if stated for audit)

• Caldicott
Guardian

• Medical
Director

 

Data for Split Site
Trusts/Cancer Centres/ Local Health Boards

• Lead Cancer Clinician from
each unit
• Lead Clinician for Audit from each unit

(if stated for audit)
• Caldicott Guardian from each unit
• Medical Director from each unit

Private Hospital

 

Data type

Possible
signatories

 

Clinician's own data

• Clinician

 

All hospital

• Signatures of all Clinicians
of patients involved
• Medical Director

 

NHS Pathology
Laboratory

 

Data type

Possible
signatories

 

All NHS Trusts/ Local Health Boards they serve for
pathology cases only

• Senior Pathologist/ Clinical
Head of Pathology Service
• Caldicott Guardian from each of the Trusts /Local Health Boards
• Medical Directors from each of the Trusts /Local Health Boards

 

Private Pathology
Laboratory

 

Data type

Possible
signatories

 

Own pathology patients only

• Head of Pathology Services

Medical Director

 

 

 

Hospice

 

Data type

Possible
signatories

 

Own patients – complete records

All data for hospice

• Clinician

Signatures of all Clinicians
• Medical Director

 

General
Practitioners

 

Data type

Possible
signatories

 

Own patients – either at
diagnosis or registered at time of request

All data for practice

• GP with whom the patient is
registered

• Signatures of all GPs
• Head of Practice

• Caldicott Guardian of
relevant PCT /Local Health Board

 

Cancer Network

 

Data type

Possible
signatories

 

All network – either patients
diagnosed or treated in the network or for cases resident in the network
geographical boundaries

• Network Lead Cancer Clinician

• Lead Clinician for Audit (if stated for audit)

 

Multi-Disciplinary Team –
either patients diagnosed or treated in the network or for cases resident in
the network geographical boundaries

• Network Lead Cancer Clinician
• Network Lead Tumour Site-Specific Clinician
• Lead Clinician for Audit (if stated for audit)
• Signatures of all Clinicians in the MDT
• Lead Clinician for the MDT

 

Cancer tumour site-specific
data – either patients diagnosed or treated in the Network or for cases
resident in the Network geographical boundaries

• Network Lead Cancer Clinician
• Network Lead tumour Site-Specific Clinician
• Lead Clinician for Audit (if stated for audit)

 

 

Quality Assurance
Reference Centres

Data type

Possible
signatories

Relevant patients (normally
within the screening target age band but extended to older age groups for the
purposes of screening status determination)

Regional Directors of Breast,
Cervical and Bowel Cancer Screening Quality Assurance,  Director of Screening Services for
Wales

A Service Level Agreement
covering routine data flows between the QARC and cancer registry will be
signed by the QA Director and Registry Director.

 

Ad hoc data flows (e.g. data
required as part of the investigation of an incident) will require the QA
Director to complete the identifiable data release form.

 

Primary Care Trusts

Data type

Possible
signatories

Own Patients – by general
practice register or geographical boundaries (i.e. registered or responsible
GP populations)

• Director of Public Health
(DPH)
• Caldicott Guardian

Consortium analysis
arrangements where one PCT/ Local Health Board is doing some work on behalf
of others (say in an area previously covered by a single HA)

• Signatures of all DsPH of the
participating PCTs
• Caldicott Guardians of the participating PCTs

Release of date and cause of death information

It is proposed that where possible a registered health professional signs requests for the death information, as this information forms part of the complete cancer registration record.
For audit data: the signatory should be the Lead Clinician for Audit.
For clinical trials data: the signatory should be the principal investigator for the trial(the signatory is actually signing that the patient had given informed consent to take part in the trial and to be followed-up, as part of the research trial).

For Medical Records data: the signatory should be the Lead Cancer Clinician.