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MPs have described as dangerous an NHS England decision to grant Palantir and other contractors access to identifiable patient data before pseudonymisation. The move forms part of a £330m contract awarded to the US technology company to build an integrated data platform using AI.
The GuardianMPs have warned that an NHS England decision to grant Palantir access to identifiable patient information is dangerous and will fuel public fears that data privacy is not being prioritised. The health service allowed staff from the US tech firm and other contractors to access patient data before it has been pseudonymised.
This occurred despite internal concerns about a risk of loss of public confidence, according to reports. NHS England made the decision in recent weeks. It will allow unlimited access to non-NHS England staff to part of the federated data platform, which holds identifiable patient information.
The platform is intended to integrate scattered health datasets and improve medical treatment efficiencies using AI systems. Palantir was awarded a £330m contract to help build the federated data platform. The company said it acts as a data processor rather than a data controller.
Its software can only process data according to customer instructions, and using it for any other purpose would be illegal and technically impossible due to granular access controls overseen by the NHS.
The Patients Association said it was concerned that patients were not consulted on the significant change to who has unlimited access to patient data. Rachel Power, its chief executive, said patients wanted transparency, clear boundaries around access to their data, and to be consulted when changes to those agreements are proposed.
An internal NHS England briefing acknowledged considerable public interest and concern about how much access to patient data Palantir staff have. In 2023, shortly after the contract was agreed, NHS England said it would ensure personal data remains protected and within the NHS at all times.
The health service has stated that external consultants requiring data access must have government security clearance and that it has strict policies for managing access to patient data.
Maskell, a former NHS worker and MP, said the development opens NHS data to greater private interest. She called for the government to address the project. Martin Wrigley, a Liberal Democrat member of the Commons technology select committee, said the move demonstrated a cavalier attitude to data security and showed the project does not have security by design at its heart.
Polling last week showed more than two-thirds of the UK public are concerned at Palantir’s growing number of public contracts. Forty percent distrust it to not access NHS patient data. Tom Hegarty, the head of communications at Foxglove, a tech equity campaign group, said NHS patients never consented to have their data accessed by the company.
NHS England has been approached for comment. It told the Financial Times that it monitored the work of engineers and that anyone external requiring access must have government security clearance and be approved by a member of NHS England staff at director level or above.
Instances when identifiable patient data is seen while working on the system’s pipelines are logged, and contractors do not have permission to remove the data from the NHS.
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