Health Secretary Wes Streeting has unveiled plans to revolutionize the NHS by introducing portable digital medical records for every patient.
The plan, which includes a “patient passport” system, aims to store and access all patient health data digitally, simplifying the process for General Practitioners (GPs), hospitals, and ambulance services. However, despite the potential benefits, concerns about privacy and security are mounting.
The new initiative forms part of the government’s broader vision to transition the NHS from its “analog to digital” model over the next decade. New legislation expected on Wednesday, October 23, will be central to these efforts, mandating that all NHS trusts in England make patient health records accessible across the system.
This could reduce duplicated medical tests, accelerate patient care, and minimize medication errors. Streeting believes this is a key step toward modernizing the NHS, stating that it will combine all health records into a single digital file accessible through the NHS app.
The plan, however, has prompted immediate concern over the potential for breaching privacy. With patient data accessible across the NHS, some worry about who will access this information and whether it will be adequately protected. Streeting sought to reassure the public, stressing that records would be “protected and anonymized” and denying claims of a “big brother” system.
Tech Partnerships Raise Eyebrows
As part of the NHS’s modernization, Streeting revealed that the government plans to collaborate with major tech and pharmaceutical companies to develop cutting-edge treatments for patients.
He reassured the public that he is committed to securing the “best possible deal” for the NHS. “The NHS can work hand in hand with the life sciences sector, offering access to our large and diverse set of data,” Streeting said.
He emphasized that the government is mindful of public concerns about privacy and the commercialization of health data. “People are up for helping save the NHS, but understandably have concerns about ‘big brother,’” Streeting admitted. The ongoing consultation will explore how best to safeguard patient data while making the NHS more efficient.
Streeting further stated that the collaboration would aim to deliver benefits like “cut-price deals for the latest medicines or priority access” to innovative treatments, ensuring all NHS patients can access the latest healthcare advancements.

Privacy Advocates Sound the Alarm
Despite these reassurances, patient privacy campaigners remain skeptical. medConfidential, a group advocating for patient data privacy, argues that creating a large, centralized database containing health records could open the door to significant risks. The group expressed concern over who could access the data and how it might be shared.
Sam Smith, a spokesperson for medConfidential, warned that the plan could lead to a “big brother” situation where politicians rather than doctors control patient information. He raised concerns about NHS employees potentially misusing the system, stating, “The proposals are a gift to stalkers and creeps.”
Smith also suggested that the new “mega datastores” could become prime targets for hackers, posing a constant risk to the privacy of NHS patients.
Public Skepticism Looms
Public trust in the NHS to manage sensitive health data securely is already shaky. A recent consultation conducted by the previous government found that 21% of respondents distrusted the NHS’s ability to safeguard their records.
Additionally, two-thirds of those surveyed stated they did not want anyone who wasn’t directly involved in their care to have access to their medical data.
Rosa Curling, co-executive director of Foxglove, a technology justice campaign group, voiced concerns over the potential commercialization of NHS data. “Opening up NHS data to profit-making companies is a fundamental shift in the critical relationship between patient and doctor, which is based above all on confidentiality and trust,” Curling warned.
As such, Streeting’s ambitious digital health plan could improve care, but the public remains wary of the potential risks.
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