Supporting Caldicott Guardians across the UK


The Caldicott Guardian's role

A Caldicott Guardian is a senior person within a health or social care organisation who makes sure that the personal information about those who use its services is used legally, ethically and appropriately, and that confidentiality is maintained. Caldicott Guardians should be able to provide leadership and informed guidance on complex matters involving confidentiality and information sharing.

The Caldicott Guardian should play a key role in ensuring that their organisation satisfies the highest practical standards for handling person-identifiable information. Their main concern is information relating to patients, service users and their care, but the need for confidentiality extends to other individuals, including their relatives, staff and others. Organisations typically store, manage and share personal information relating to staff, and the same standards should be applied to this as to the confidentiality of patient information.

Caldicott Guardians should apply the seven principles wisely, using common sense and an understanding of the law. They should also be compassionate, recognising that their decisions will affect real people—some of whom they may never meet. The importance of the Caldicott Guardian acting as “the conscience of the organisation” remains central to trusting the impartiality and independence of their advice.

In all but the smallest organisations the Caldicott Guardian should work as part of a broader Information Governance (IG) function, with support staff contributing to the work required. A key relationship is with the Senior Information Risk Officer (SIRO).

The Caldicott Guardian also has a strategic role that it is less appropriate to delegate. This involves representing and championing information governance requirements and issues at senior management team and board level and, where appropriate, throughout the organisation’s overall governance framework, including the governance of information management and technology (IM&T). This aspect of the Caldicott Guardian’s role is particularly important in relation to the implementation of the digital and paperless agendas.

Material in this section may be useful in defining job descriptions for Caldicott Guardians and others responsible for carrying out the Caldicott function.