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Whilst I concur with the caveat of appropriate use of PCD data I take acception that NHS number and other material record fields to support commissioning are deemed to be not necessary in planning and managing patient services.

Modern technology enables roll access security to ensure only appropriate staff view only relevant PCD data.

How can you modernise a service and enagage clinical leadership behind a cloak of outdated data constrictions? The trust Fiona advocates should extend to CCGs to empower them to deliver what is needed by allowing them to locally manage their patient IG.

Re-appoint Caldicott guardians within the CCGs to ensure appropriate use on the case by case basis and trust CCGs to manage what is in the best interest of their patients. Afterall that is what the legislation was intended to do wasn't it?