During the pandemic there has been a significant increase in the number of parties seeking quick access to patient data from the NHS, academia and the private sector. NHS Digital usually receives around 60 applications per month, but in April this jumped to nearly 200.

When addressing a public health emergency, assessments as to the appropriateness, necessity and proportionality of proposed new uses of data must be made quickly, but with no reduction in rigour. In all circumstances, patients must be able to trust the way in which data usage decisions are made and the parties who make those decisions. Trust is tested more acutely when judgements are more complex.

During this pandemic NHS Digital has, again and again, achieved the nirvana of data disseminations which are both fast and safe.

This acceleration has been facilitated by two key changes, in addition to the blood, sweat and tears of dedicated information governance staff across the health and care system. Firstly, the legislative frameworks that govern the processing of confidential patient information frameworks are more permissive when we are dealing with communicable diseases and other threats to public health. Second, there has been no tolerance for inefficient administrative processes and all parties have worked intensely hard to increase performance.

Data consumers have also upped their game: The urgency of the situation has encouraged much clearer articulation of need, of intended usage and of provisions for secure data management. Conversations between parties about data dissemination and usage are more precise, more rigorous and more efficient than ever before.

The impact of flowing health data faster for appropriate uses can be extraordinary. NHS data is internationally unique in its breadth and depth and, used responsibly, it can save lives. Extraordinary research breakthroughs have been possible thanks to NHS data, such as the identification of the impact of dexamethasone in COVID-19 treatment. This was a finding of the RECOVERY Trial, led by Oxford University, supported by NHS Digital, and ultimately enabled by patients, families, clinicians and researchers across the country.