{"id":18926,"date":"2021-11-23T15:16:39","date_gmt":"2021-11-23T15:16:39","guid":{"rendered":"https:\/\/bant.org.uk\/?page_id=18926"},"modified":"2025-11-10T12:07:22","modified_gmt":"2025-11-10T12:07:22","slug":"confidentiality-and-consent","status":"publish","type":"page","link":"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/","title":{"rendered":"CONFIDENTIALITY AND CONSENT"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; el_id=&#8221;top-section&#8221; z_index=&#8221;&#8221; css=&#8221;.vc_custom_1619337773730{padding-bottom: 45px !important;}&#8221;][vc_column][vc_raw_html]JTVCcHJpbnRmcmllbmRseSU1RA==[\/vc_raw_html][vc_column_text]Registered Nutritional Therapy Practitioners (NTs) must keep all information about their clients confidential and not disclose any information to a third party without consent unless certain exceptions apply. These guidelines explain the requirements for client confidentiality and consent, obtaining consent, a third person attending the consultation, information on clients who are unable to provide consent, clients in care homes, consultations without the client present and disclosing confidential information.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221; anchor=&#8221;main_anchor1&#8243;][vc_column]\n\n\t<a href=\"#keeping-a-client-s-confidentiality\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-with-shadow qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Keeping a Client\u2019s Confidentiality<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#obtaining-client-consent\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Obtaining Client Consent<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#client-ability-to-provide-consent\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Client Ability to Provide Consent<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#third-person-attending-the-consultation\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Third person attending the Consultation<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#clients-in-care-homes\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Clients in Care Homes<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#consultation-without-client-present\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Consultation without Client Present<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#disclosing-confidential-information\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">Disclosing Confidential Information<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;5&#8243; up=&#8221;2&#8243; down=&#8221;2&#8243;]\n\n\t<a href=\"#faqs\" target=\"_self\"  class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-icon anchor qode-btn-default-hover\"  >\n\t    <span class=\"qode-btn-text\">FAQs<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-arrow-circle-down qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;keeping-a-client-s-confidentiality&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397491357{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Keeping a Client\u2019s Confidentiality:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>Registered Nutritional Therapy Practitioners (NTs) must ensure they keep all information about their clients confidential, including their personal details, details of attendance, any records\/test results and consultation documentation. The right to confidentiality must continue to be observed following the death of a client. No confidential information can be disclosed to a third party (including a member of the client\u2019s family) without the written consent of the client or their legal representative, unless <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#disclosing-confidential-information\" target=\"_blank\" rel=\"noopener\">certain exceptions<\/a> apply.<\/p>\n<p>Procedures must be in place to protect client confidentiality and, if working with other practitioners, for example in a multi-disciplinary clinic, everyone who has access to client information must understand they have a duty to protect the client\u2019s confidentiality. A client needs to provide consent for their case notes to be shared with another practitioner and clinics may have their own consent form for clients to sign to provide this.<\/p>\n<p>Practitioners must ensure that their clients\u2019 confidential information is stored safely and securely to prevent any possible breach of confidentiality by following the guidelines in <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/general-data-protection-regulation-gdpr\/#information-security\">Information Security<\/a>. If practitioners are employed in a clinic and work alongside other practitioners, the clinic may be responsible for the confidential storage of the client files. If the practitioners are self-employed, they must decide who has responsibility for the files and their storage. If any client data is breached, practitioners must take the appropriate steps outlined in <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/general-data-protection-regulation-gdpr\/#data-breaches\">Data Breaches.<\/a><\/p>\n<p>To protect the client\u2019s confidentiality, consultations must be held in a private setting where they cannot be overheard. Consulting a consultation in any public place, including a discreet area within a public place, is not permitted and the privacy of any setting, whether in person or online, must always be assessed.<\/p>\n<p>If you are considering any online consultations, please see the guidelines for the recording of online consultations <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/online-working\/#guidelines-for-recording-online-consultations\">here<\/a>.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;obtaining-client-consent&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397491357{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Obtaining Client Consent:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>At the start of the nutritional therapy process, NTs are advised to obtain written consent from their clients to do the following:<\/p>\n<ul>\n<li><a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/gps-and-other-healthcare-practitioners\/#reasons-to-contact-a-clients-gp\" target=\"_blank\" rel=\"noopener\">contact the client\u2019s GP<\/a><\/li>\n<li>share the client\u2019s personal data with other healthcare providers (e.g., testing laboratories)<\/li>\n<li>send the client marketing material\/newsletters<\/li>\n<li>share the client\u2019s personal data for case histories for educational purposes<\/li>\n<li>for a <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/students\/#student-observations\">student to observe a consultation<\/a> (if applicable)<\/li>\n<\/ul>\n<p>These consents can be obtained on the <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/forms-and-templates\/#terms-of-engagement-agreements\">Terms of Engagement Agreement<\/a> or by using the separate UK <a href=\"https:\/\/bant.org.uk\/bant\/content\/member\/pdf\/professionalPractice\/GDPR_ConsentsTemplate.docx\">GDPR Consent form<\/a><u>.<\/u> Further information can be found in UK <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/general-data-protection-regulation-gdpr\/#consent\" target=\"_blank\" rel=\"noopener\">GDPR Consent<\/a><u>.<\/u>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;client-ability-to-provide-consent&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Client Ability to Provide Consent:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>From the age of 16, children are presumed by law to be <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/children\/#consent-and-parental-responsibility\">competent to provide consent for themselves<\/a> for healthcare, therefore a client aged 16 or above needs to consent to their case being discussed with a relative or third party. However, unlike with adults, the consent refusal of a competent person aged 16 to 17 <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/138296\/dh_103653__1_.pdf\" target=\"_blank\" rel=\"noopener\">may in certain circumstances be overridden<\/a> by either <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/children\/#consent-and-parental-responsibility\">a person with parental responsibility<\/a> or a court.<\/p>\n<p>Ability to provide consent is based on a person\u2019s capacity to understand, not their age. A client suffering from a mental incapacity may not be capable of giving consent as outlined in the <a href=\"https:\/\/www.legislation.gov.uk\/ukpga\/2005\/9\/contents\" target=\"_blank\" rel=\"noopener\">Mental Capacity Act 2005<\/a>, which applies in England and Wales.<\/p>\n<p>In Scotland, the <a href=\"https:\/\/www.legislation.gov.uk\/asp\/2000\/4\/contents\" target=\"_blank\" rel=\"noopener\">Adults with Incapacity (Scotland) Act 2000<\/a> provides ways to help safeguard the welfare of people aged 16 and over, who lack the capacity to take some or all decisions relating to themselves because of a mental disorder or inability to communicate.<\/p>\n<p>Services in Northern Ireland are set out in the <a href=\"https:\/\/www.health-ni.gov.uk\/sites\/default\/files\/publications\/dhssps\/legal-issue-comprehensive-framework.pdf\" target=\"_blank\" rel=\"noopener\">Comprehensive Legal Framework for Mental Health and Learning Disability<\/a>, an easy read summary is available <a href=\"https:\/\/www.health-ni.gov.uk\/articles\/bamford-review-mental-health-and-learning-disability\" target=\"_blank\" rel=\"noopener\">here<\/a>.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;third-person-attending-the-consultation&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Third person attending the Consultation:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>If a client aged 16 or over wishes to bring a person along to the consultation for support (i.e., a friend or family member), this is acceptable, and there is no requirement for this client-suggested companion to sign any consultation documentation. The client is responsible for ensuring their companion respects their confidentiality. See additional information about <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/children\/#consent-and-parental-responsibility\" target=\"_blank\" rel=\"noopener\">Consent and Parental Responsibility<\/a> when consulting with children, both age 16-17 years old and under the age of 16 years.<\/p>\n<p>Sometimes it might be essential for a third party to attend a consultation, or the NT or client may wish for a third party to attend, examples include:<\/p>\n<ul>\n<li>Elderly clients<\/li>\n<li>Clients with communication difficulties such as deafness, learning disabilities<\/li>\n<li>Clients requiring a translator<\/li>\n<li><a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#clients-in-care-homes\" target=\"_blank\" rel=\"noopener\">Clients in care homes<\/a><\/li>\n<li><a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#client-ability-to-provide-consent\" target=\"_blank\" rel=\"noopener\">Vulnerable clients or those who may be \u2018at risk\u2019<\/a><\/li>\n<li>Another healthcare professional (e.g., a health coach, medical herbalist)<\/li>\n<\/ul>\n<p>An NT has the right to decide whether it is in the best interests of themselves and their client for another person to attend the consultation, even if the client has not requested this. The client needs to provide written consent for any third party to attend the consultation and the third party needs to sign a <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/forms-and-templates\/#confidentiality-agreement\" target=\"_blank\" rel=\"noopener\">Confidentiality Agreement<\/a>, agreeing to keep sensitive or private information disclosed at the consultation confidential.<\/p>\n<p>If another healthcare professional is attending, full details of the other practitioner (name, occupation, practice details etc) must be recorded, along with information about the relationships and why the other practitioner is attending. The other practitioner must sign the <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/forms-and-templates\/#terms-of-engagement-agreements\">Terms of Engagement Agreement.<\/a> The NT must ensure the other practitioner is UK GDPR compliant and if they will be recording or storing any of the client\u2019s information, the client needs to see and agree to the other practitioner\u2019s <a href=\"https:\/\/bant.org.uk\/bant\/content\/member\/pdf\/professionalPractice\/GDPR_PrivacyNotice_NTBusiness.docx\" target=\"_blank\" rel=\"noopener\">Privacy Notice<\/a>.<\/p>\n<p>A record of the people who attended the consultation must always be made in the consultation notes and all written consents stored with the other consultation documentation.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;clients-in-care-homes&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Clients in Care Homes:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>When working with clients in care homes, the NT must have permission to do so from the client\u2019s parent\/guardian or next of kin. Documentation can be requested to prove legal guardianship, if required. This person is advised to attend the consultation where possible and provide their consent for the careworker to also attend and for the NT to liaise directly with the careworker if necessary.<\/p>\n<p>Care homes may require a <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/setting-up-in-practice\/#criminal-record-checks\">Criminal Record Check<\/a> and it is the NT\u2019s responsibility to check if this applies.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;consultation-without-client-present&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Consultation without Client Present:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>NTs must consult with a client directly and not through a third party (e.g., a friend or relative) as a formal client relationship needs to exist to provide any personalised diet and lifestyle advice. In some circumstances, it may not be reasonable or practical for a client to attend an entire consultation, for example, when working with clients with severe learning difficulties, communication issues or mental incapacities. In these situations, the consultation will predominantly be with the third party, however, it is important that the client attends at least part of the initial consultation whether in-person or online. This helps to ensure that the information provided on the intake questionnaire is accurate if the third party has completed this on the client\u2019s behalf. It also enables the NT to visually assess the client\u2019s health. If it is not possible for a client to attend subsequent consultations (even for a short duration online), they can occur with the third party without the client present, however, this is limited to maximum 3 follow-up consultations.<\/p>\n<p>When working with children, it may not be reasonable or practical for the child to attend an entire consultation and this may occur predominantly with the child\u2019s parent(s) or legal guardian as outlined in <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/children\/#consultations-without-child-present\">Consultations without Child Present.<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;disclosing-confidential-information&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>Disclosing Confidential Information:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p>NTs can disclose confidential information about a client without their consent if doing so is deemed to be in the public interest and the duty to society overrides the duty to the client, for example, risk of infection, violence, suicide or serious criminal act.<\/p>\n<p>A client\u2019s information can also be shared without their consent if this is deemed in the best interest of the client and their health. Examples include:<\/p>\n<ul>\n<li>a client is <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/confidentiality-and-consent\/#client-ability-to-provide-consent\" target=\"_blank\" rel=\"noopener\">incapable of providing consent<\/a> e.g., through learning difficulties, a disability, a mental health issue<\/li>\n<li>the refusal to provide consent is undesirable on medical or other grounds<\/li>\n<li>a third party or relative has power of attorney<\/li>\n<\/ul>\n<p>If an NT is asked to disclose information about a client to an appropriate authority or by court order, this is permitted without client consent using the <a href=\"https:\/\/bant.org.uk\/bant-professional-practice-handbook\/general-data-protection-regulation-gdpr\/#processing-data\">legal basis of vital interest.<\/a> The NT must record the date, the reasons for the disclosure, who the information was disclosed to, what was disclosed and the way it was disclosed (e.g., written, oral). Only the specific information requested should be released and it is recommended that the practitioner seek legal advice before sharing any information.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; anchor=&#8221;faqs&#8221; el_class=&#8221;anchordiv&#8221;][vc_column_inner el_class=&#8221;anchor_col&#8221; css=&#8221;.vc_custom_1618397548620{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text]<\/p>\n<h3>FAQs:<a id=\"\" class=\"hanbooktotop\" href=\"#top-section\"><i class=\"qode_icon_font_awesome fa fa-arrow-circle-up\"><\/i><span class=\"hanbooktotopspan\"> Top<\/span><\/a><\/h3>\n<p><strong>1. Am I able to discuss a child client\u2019s case with both parents separately if they are divorced?\u00a0<\/strong><\/p>\n<p>If the mother and the child come to see the NT initially, they are the clients and they have the right to confidentiality. If the father then wishes to discuss the case with the NT, since he is not the client, the NT should explain to him the importance of maintaining and respecting client confidentiality, to provide clear boundaries. However, if the parents have joint legal custody of the child and make major decisions about the child together, this also includes the child\u2019s health. The NT should request written permission from one parent to have an appointment with the other (with the child present if possible), so that the child\u2019s health can be discussed. If this permission is not given, then this is a legal issue for the parents to resolve.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>2. A previous client of mine would like me to work with her mother who has severe dementia. She is unable to provide her own consent or attend the consultations. Can I consult with the daughter alone?<\/strong><\/p>\n<p>If a client is incapable of providing consent, then this is not required for their case to be discussed with her daughter\/ next of kin\/ legal representative. Details of who attends the consultation should be recorded in the client notes and all consultation documentation should be completed and signed by the daughter\/third party\/legal representative.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>3. I want to include a previous client\u2019s case study on a social media post. If I remove all of their identifiable information, am I able to post this without obtaining their consent?<\/strong><\/p>\n<p>Consent must be obtained before posting a client\u2019s case or testimonial on social media, and this is required even if removing the client&#8217;s personal information such as name, address and contact details.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>4. I am negotiating a contract with a clinic to work with them as a self-employed NT. They will be sourcing the clients and referring them to me. In the contract they are stating that they will own and retain records for the required time period, but should I be the one responsible for these?\u00a0<\/strong><\/p>\n<p>As a self-employed NT you are required to retain\/have access to client records for 8 years following the last appointment. Furthermore, you are required under the ICO Legitimate Interest obligation to retain\/have access to client records for a minimum of 7 years after the last appointment. This is stipulated by your professional liability insurance.<\/p>\n<p>Make sure your contract with the clinic ensures the above access and both the clinic and the NT have included this information in their privacy policies to inform the client how the data will be processed and stored. Written consent is needed from each client to agree to the terms of engagement, which include the privacy policy.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Registered Nutritional Therapy Practitioners (NTs) must keep all information about their clients confidential and not disclose any information to a third party without consent unless certain exceptions apply. These guidelines explain the requirements for client confidentiality and consent, obtaining consent, a third person attending the consultation, information on clients who are unable to provide consent, clients in care homes, consultations without the client present and disclosing confidential information.<\/p>\n<p><span style=\"color: #ff0000; font-size: 80%\"><b>(LAST UPDATED &#8211; 20 AUGUST 2024)<\/b><\/span><\/p>\n","protected":false},"author":12,"featured_media":18927,"parent":4059,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"page-handbook-child.php","meta":{"footnotes":""},"tags":[918,919,920,921,922,923,422,924,642,925,926,927,928,425,929,930,931,932,933,934,935,936,937,650,774,938,939,940,941,942,943,944,945,366,946,947,635,948,949,950,389],"class_list":["post-18926","page","type-page","status-publish","has-post-thumbnail","hentry","tag-ability","tag-attendees","tag-breach","tag-capacity","tag-care-home","tag-care-worker","tag-case-histories","tag-case-history","tag-chaperone","tag-communication-difficulties","tag-confidential","tag-confidentiality","tag-confidentiality-agreement","tag-consent","tag-consultation-without-client","tag-criminal-record-check","tag-data","tag-deafness","tag-disabilities","tag-disclose","tag-disclosure","tag-discreet","tag-elderly","tag-learning-difficulties","tag-marketing","tag-mental-incapacity","tag-multi-disciplinary-clinic","tag-newsletter","tag-next-of-kin","tag-obtaining-consent","tag-overheard","tag-participants","tag-power-of-attorney","tag-privacy","tag-private-setting","tag-public-place","tag-suicidal","tag-suicide","tag-third-party","tag-third-person","tag-translator"],"rankMath":{"parentDomain":"bant.org.uk","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"The 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