REPORT ON ACCESS TO MEDICAL RECORDS 
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      GOVERNMENT SENATORS' MINORITY STATEMENT
      As a Government Senator I recognise and acknowledge a generally wide 
        held feeling in the community about access to one's own medical records. 
      
      I cannot however totally endorse the thrust of the majority report as 
        it does not take into consideration a number of factors such as: 
      
        - The ramifications of the Commonwealth's limited constitutional powers 
          to legislate in this area cannot simply be acknowledged and then pushed 
          aside before proceeding with legislation; 
 
        - The need for extensive consultation and discussions with the Commonwealth/ 
          State and Territory governments, the medical profession, other providers 
          such as private hospitals and, of course, consumers PRIOR to further 
          action; 
 
        - The need to develop an effective and practical code of practice, whether 
          or not that code is enshrined in legislation; 
 
        - Noting that the submission from the Department of Health and Family 
          Services reported that the Department, at the direction of the Minister 
          for Health and Family Services, is finalising the terms of reference 
          and composition of a working party, comprising representatives of health 
          care providers and consumers to examine the issue of access to medical 
          records and a voluntary code of practice. 
 
      
      I believe that the majority report is an over simplified, and prescriptive 
        approach to what are very complex issues. To suggest, as the majority 
        report does, that the solution is simply for the Commonwealth to impose 
        a legislative code of practice is wishful at best and seems to overlook 
        many of the realities of medical practice, especially general practice. 
        No such code could ever successfully be introduced without the full cooperation 
        of State and Territory governments. 
      I acknowledge and agree with the proposition put forward that there needs 
        to be an assurance that consumer and provider interests are adequately 
        protected by guaranteeing that any code of practice does not act retrospectively. 
      
      The initiative of the Minister for Health and Family Services should 
        be supported and encouraged to arrive at a workable solution whereby practical 
        patient access to medical records becomes a reality. He has outlined a 
        sensible approach to finding common ground between the various constituencies 
        in the health sector, including consumers, so as to bring about a workable 
        code of practice. I therefore believe that the Minister's approach should 
        be given time to work. Notwithstanding the other comments I have made, 
        I note that the majority report recommendations, if implemented, would 
        not allow that time. 
      Senator Sue Knowles, Deputy Chairman 
      (LP, Western Australia) 
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