Policy paper

Using data in reflective practice to support safe care

NDG statement on accessing confidential patient information for reflective practice, including safeguards, limits, and links to staff guidance.

Applies to England

Documents

Details

Reflective practice is an important part of professional standards in health and social care. It helps staff to learn from their work and directly improves the safety and quality of care.

The National Data Guardian has published a position statement that explains when regulated health and social care professionals may access confidential patient information as part of reflective practice. The statement sets out:

  • why reflective practice is vital for safe, high-quality care
  • how it relates to the definition of direct care in the Information Governance Review
  • the safeguards and limits that apply when confidential information is accessed
  • how the Caldicott Principles apply to reflective practice

The NDG’s position gives clarity to staff, employers and regulators. It underpins guidance developed by NHS England and published on 27 November 2025.

Updates to this page

Published 27 November 2025

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