The global situation......
Google has been accused
of breaking promises to patients, after the company announced it would be
moving a healthcare-focused subsidiary, DeepMind Health,
into the main arm of the organisation.
The restructure, critics
argue, breaks a pledge
DeepMind made when it started working with the NHS that “data will
never be connected to Google accounts or services”. The change has also
resulted in the dismantling of an independent review board, created to oversee
the company’s work with the healthcare sector, with Google arguing that the
board was too focused on Britain to provide effective oversight for a newly
global body.
Google says the
restructure is necessary to allow DeepMind’s flagship health app, Streams, to
scale up globally. The app, which was created to help doctors and nurses
monitor patients for AKI, a severe form of kidney injury, has since grown to
offer a full digital dashboard for patient records.
“Our vision is for
Streams to now become an AI-powered assistant for nurses and doctors everywhere
– combining the best algorithms with intuitive design, all backed up by
rigorous evidence,” DeepMind said, announcing the
transfer. “The team working within Google, alongside brilliant colleagues
from across the organisation, will help make this vision a reality.”
DeepMind Health was
previously part of the AI-focused research group DeepMind, which is officially
a sibling to Google, with both divisions being owned by the organisation’s
holding company Alphabet.
But the transfer and
vision for Streams looks hard to reconcile with DeepMind’s previous comments
about the app. In July 2016, following criticism that the company’s
data-sharing agreement with the NHS was overly broad, co-founder Mustafa
Suleyman wrote:
“We’ve been clear from the outset that at no stage will patient data ever be
linked or associated with Google accounts, products or services.”
Now that Streams is a
Google product itself, that promise appears to have been broken, says privacy
researcher Julia Powles: “Making this about semantics is a sleight of hand.
DeepMind said it would never connect Streams with Google. The whole Streams app
is now a Google product. That is an atrocious breach of trust, for an already
beleaguered product.”......
Here in Australia......
The chairman of the
agency responsible for the bungled My Health Record rollout
has been privately advising a global healthcare outsourcing company. Fairfax
Media discovered the relationship between the UK-based company Serco and the
Australian Digital Health Agency (ADHA) chairman Jim Birch after
obtaining a number of internal documents.
The revelation comes
as Health Minister Greg Hunt was forced to extend the My Health Record opt-
out period after a compromise deal with the Senate crossbench and a last-minute
meltdown of the website left thousands of Australians struggling to meet the
original deadline.
Since April 2016, Mr Birch has been ADHA chairman with
oversight of My HealthRecord, the online summary of key health information
of millions of Australians. Documents from the ADHA, released under freedom of
information laws, show Mr Birch registered his work for Serco in November 2017,
but the relationship was never publicly declared.
After Fairfax Media
submitted questions last week on whether the relationship posed a conflict of
interest, Mr Birch quit the advisory role.
Serco has won a number
of multibillion-dollar government contracts to privately run - and in some
cases deliver healthcare in - some of Australia's prisons, hospitals and
detention centres.
The ability of Serco to
navigate the controversial area of digital health records would
be invaluable to any future expansion plans.
A spokeswoman for
federal Health Minister Greg Hunt said all board members had declared
their interests.
"Board members do
not have access to system operations, and board members cannot be present while
a matter is being considered at a board meeting in which the member has an
interest," she said.
Lisa Parker, a
public health ethics expert at University of Sydney, said the public
had been asked to trust the agency is acting in its best interests. She said
they should make public any information relevant to that trust…..
The register also shows
Mr Birch knows the chief executive of start-up Personify Care, Ken Saman, and
has been giving him advice since August last year. The software company
recently released "Personify Connect", a product that provides
hospitals with "seamless integration" of its original patient monitoring
platform with My Health Record.
Despite being scheduled
to speak at a "Personify Care breakfast seminar" later this year, Mr
Birch has never publicly declared this interest. Mr Birch is also chairman of
another start-up called Clevertar that allows businesses to create
"virtual agents" and offer "personalised healthcare support,
delivered at scale". This relationship is on the public record.
Public sector ethics expert Richard Mulgan, from Australian National
University, said the chairman should submit to a higher standard than ordinary
board members and distance himself from anything suggesting a conflict of
interest.
He said perception was
just as important as reality and the public, not the people involved, was the
best judge of whether there was a problem.
"The personal
interests register must be published," he said.
"The fact they
haven't can only lead to the perception there are conflicts of which they are
ashamed."
Mr Birch, Personify Care
and Clevertar did not respond to Fairfax Media's questions.
A Serco spokesman
confirmed the company met with Mr Birch "occasionally ... over the past 12
months regarding business management", but did not answer whether it paid
him.......
Your dietitian, dentist,
podiatrist, occupational therapist or optometrist will be able to see if have a
sexually transmitted disease or an addiction unless you set access controls
to My Health Record.
Major new privacy
concerns emerged after the Federal Government was yesterday forced into an
embarrassing call to delay the rollout.
People trying to access
the controversial My Health Record hotline and computer
portal experienced major delays during a rush to opt out before the system was
rolled out tomorrow.
Health Minister
Greg Hunt was forced to delay the opt out period until January 31 after
pressure from health groups and crossbench senators.
The Australian Medical
Association was the only major health group not calling for a delay.
The vast majority of
groups were concerned the record would come into effect before key
privacy and security upgrades had been passed by Parliament. AMA president Dr
Tony Bartone denied its position was related to his need to keep the Health Minister
onside while he negotiated key reforms to general practice care.