Concepts
Ethics, law & frameworks/Confidentiality & disclosure · When you MUST break it

Statutory & mandatory disclosure

What it means

The law sometimes REQUIRES disclosure regardless of consent: notifiable infectious diseases (to public health), FGM in an under-18 (mandatory reporting to police), suspected terrorism, certain court orders, and providing information to regulators/coroner. Road Traffic Act: you must give identifying details of a driver to police on request (but not clinical details). These override the default duty.

Worked example

A confirmed case of a notifiable disease (e.g. measles, TB, meningococcal) must be reported to public health whether or not the patient agrees.

In the exam

A doctor diagnoses a notifiable infectious disease; reporting it to public health is legally required even without the patient's consent.

What settles it

Mandatory (statutory) disclosure = you MUST; public-interest disclosure = you MAY (discretionary). Know the mandatory list (notifiable disease, FGM under-18, terrorism, court order).

Classically confused with

Public-interest disclosure

Source: Public Health legislation; FGM Act 2003; RTA