Guidelines for staff on how to comply with the University of Melbourne Privacy Policy
These Privacy Policy guidelines explain how you, as an employee or agent of the University, must deal with personal and health information to ensure that the University meets its obligations under relevant privacy laws.
Relevant legislation: Information Privacy Act 2000 (VIC) - effective from 1 September 2002 and Health Records Act 2001 (VIC) - effective from 1 July 2002.
In some instances the University may also be contractually bound to comply with Commonwealth privacy laws (Privacy Act 1988 (CTH)), for instance when information is received or collected under a contract between the University and a Commonwealth body or agency.
A reference in these Guidelines to "information" is a reference to personal & health information, except where otherwise indicated. (See Definitions)
The University has appointed a Privacy Officer and any queries or concerns you have should be directed to the Privacy Officer.
The University takes its privacy obligations very seriously. Any failure to comply with these Guidelines may have serious consequences for the University and for staff.
| COLLECTION OF INFORMATION |
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| USE & DISCLOSURE |
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| ACCURACY OF INFORMATION | We must take reasonable steps to ensure that information we hold and use is accurate, complete and up to date [further explanation and examples] |
| SECURITY OF INFORMATION | We must take reasonable steps to ensure that information is held securely and protected from unauthorised access, modification or disclosure. [further explanation and examples] |
| OPENNESS | We must make the University's Privacy Policy available to anyone who asks for it. [further explanation and examples] |
| ACCESS | Access to information is generally granted via Freedom of Information. We should comply with Freedom of Information laws when granting access to information. Requests for access to information should be re-directed to the University's FOI officer. [further explanation and examples] |
| IDENTIFIERS | We must not use an identifying number or code for an individual (like a tax file number) that has been assigned by another organisation for University purposes unless it is absolutely necessary. If in doubt, seek clarification from the Privacy Officer. [further explanation and examples] |
| ANONYMITY | If possible we must give individuals the option of dealing with the University on an anonymous basis. [further explanation and examples] |
| TRANSFER OF INFORMATION OUTSIDE VICTORIA |
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| TRANSFER OF INFORMATION TO ANOTHER HEALTH SERVICE PROVIDER | The University should transfer information to another health service provider if requested to do so by the individual concerned in writing. [further explanation and examples] |
'consent' means free and informed consent. An individual is incapable of giving consent, if he or she is unable to understand the nature & effect of giving consent by reason of age, injury, disease, senility, illness, disability, physical impairment or mental disorder.
'personal information'means information or an opinion (including information or an opinion forming part of a database), whether true or not, and whether recorded in a material form or not, about an individual whose identity is apparent, or can reasonably be ascertained, from the information or opinion, but does not include health information.
'sensitive information' means information or an opinion about an individual's:
- racial or ethnic origin;
- political opinions;
- membership of a political association;
- religious beliefs or affiliations;
- philosophical beliefs;
- membership of a professional or trade association;
- membership of a trade union;
- sexual preferences or practices; or
- criminal record.
that is also personal information i.e. capable of identifying an individual
'health information' means:
- information or an opinion about:
- an individual's disability or physical, mental or psychological health (at any time);
- an individual's expressed wishes about the future provision of health services to him or her; or
- a health service provided, or to be provided, to an individual, that is also personal information; or
- other personal information collected to provide, or in providing, a health service; or
- other personal information about an individual collected in connection with the donation, or intended donation, by the individual of his or her body parts, organs or body substances; or
- other personal information that is genetic information about an individual in a form which is or could be predictive of the health (at any time) of the individual or of any of his or her descendants,
but does not include health information that is exempt under the Health Records Act 2001 (VIC).
'information' means both personal information and health information, unless otherwise indicated.
'health service' means:
- an activity or service claimed or intended to
- assess, maintain or improve health;
- diagnose illness, injury or disability; or
- treat illness, injury or disability or suspected illness, injury or disability;
- a disability service, palliative care service or aged care service;
- the dispensing on prescription of a drug or medicinal preparation by a pharmacist; or
- a service, or a class of service, provided in conjunction with an activity or service referred to in paragraph (a), (b) or (c) that is prescribed as a health service.
The 'Privacy Officer' of the University, Dr Christopher Stewardson, can be contacted for privacy related issues.
| 1.1 | The University must not collect information unless the information is necessary for one or more of its functions or activities. | ||
| 1.2 | The University must collect information in a way that is fair and open and without being too intrusive.
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| 1.3 | At or before the time (or, if that is not practical, as soon as possible after) the University collects information from an individual, the University must take reasonable steps to ensure that the individual is aware of:
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| 1.4 | If possible, the University must collect information about an individual only from that individual. | ||
| 1.5 | If the University does collect information about an individual from someone else, it must still take reasonable steps to ensure that the individual is or has been made aware of the matters listed in 1.3 above. |
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| Sensitive or Health Information |
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| 1.6 | The University must not collect sensitive or health information about an individual unless the individual has consented; or
View the provisions of the University's Privacy Policy dealing with the collection of information. It is effectively a summarised version of the above. |
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There are however, limited additional circumstances where the University may collect sensitive or health information. The Privacy Officer must be consulted in each instance to ensure that information is not collected in breach of Privacy laws. The Privacy Officer may authorise collection of information in the followings circumstances:
For sensitive information:
- Where the collection is necessary for the establishment, exercise or defence of a legal claim; or
- Where the collection is required under law;
- Where the collection is necessary to prevent or lessen a serious and imminent threat to the life or health of any individual, where the individual whom the information concerns is physically or legally incapable of giving consent to the collection
- Where the collection:
- is necessary for research, or the compilation or analysis of statistics, relevant to government funded targeted welfare or educational services; or
- is of information relating to an individual's racial or ethnic origin and is collected for the purpose of providing government funded targeted welfare or educational services; and
- there is no reasonably practical alternative to collecting the information for that purpose; and
- it is impractical for the University to seek the individual's consent to the collection.
Example: If the University is being sued and hires an investigator to collect sensitive information on its behalf, the collection would be necessary for the defence of a claim..
For health information:
- Where the collection is necessary for the establishment, exercise or defence of a legal claim; or
- Where the collection is required, authorised or permitted by or under law; or
- Where the information is collected from an organisation who is disclosing the information to the University for a purpose that the individual would reasonably expect; or
- Where the information is collected from an organisation who is disclosing the information to the University for the purpose of:
- funding, management, planning, monitoring, improvement or evaluation of health services; or
- training provided by a health service provider to employees or persons working with the University,
- Where the information is collected from an organisation who is disclosing the information on suspicion that unlawful activity has been engaged in.
- Where the collection is on behalf of a law enforcement agency and the University reasonably believes that the collection is necessary for a law enforcement function;
- Where the information is necessary to provide a health service to the individual and the individual is incapable of giving consent and:
- it is not practical to obtain the consent of an authorised representative of the individual; or
- the individual does not have such an authorised representative;
- Where the collection is necessary to prevent or lessen a serious and imminent threat to life, health, safety or welfare.
- Where the collection is necessary for research, or the compilation or analysis of statistics, in the public interest and:
- that purpose cannot be served by the collection of information that does not identify the individual or from which the individual's identity cannot reasonably be ascertained; and
- it is impractical for the University to seek the individual's consent to the collection;
| 2.1 | The University must not use or disclose information about an individual for a purpose (the secondary purpose) other than the main purpose of collection unless:
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There are limited additional circumstances where the University may use or disclose personal information. The Privacy Officer must be consulted in relation to release or use of information contrary to the above guidelines.
[for detailed guidelines about the limited additional circumstances where information may be released or used]
View the provisions of the University's Privacy Policy dealing with the use and disclosure of information. It is effectively a summarised version of the above.
LIMITED ADDITIONAL CIRCUMSTANCES FOR USE & DISCLOSURE OF INFORMATION
There are limited additional circumstances where the University may use or disclose information. The Privacy Officer must be consulted in each instance to ensure that information is not used or disclosed in breach of Privacy laws. The Privacy Officer may authorise use or disclosure of information in the followings circumstances:
For both personal and health information:
- If the use or disclosure is necessary for research, or the compilation or analysis of statistics, in the public interest, other than for publication in a form that identifies any particular individual and:
- it is impractical for the University to seek the individual's consent before the use or disclosure; and
- in the case of disclosure, the University reasonably believes that the recipient of the information will not disclose the information; and
- in the case of health information, the purpose cannot be served by the use or disclosure of information that does not identify the individual;
- If the University believes that the use or disclosure is necessary to lessen or prevent a threat to life, health, safety or welfare
- If the University has reason to suspect that unlawful activity has been, is being or may be engaged in, and uses or discloses the personal information to investigate the matter or in reporting its concerns to relevant persons or authorities, in which case the Privacy Officer must make a written note of the use or disclosure
- If the University believes that the use or disclosure is necessary for a law enforcement function by or on behalf of a law enforcement agency in which case the Privacy Officer must make a written note of the use or disclosure.
Example: A researcher at another University is conducting research in the public interest and requires details of all students who have graduated from a particular course, over a certain number of years. In this case, the University could disclose the information if the researcher signs an agreement that the information will not be disclosed and it is impracticable for the University to obtain the students’ consent. You should obtain advice from the Privacy Office before responding to any request. Example: Police wish to verify if an individual is enrolled at the University and whether they were in attendance at a particular tutorial. In this case the University can only disclose the information if the request is accompanied by a warrant or official police form or letter quoting the specific section of an Act that entitles them to request the information or by a letter from someone of suitable authority (to be determined by the Privacy Officer) stating that the information is reasonably necessary for the investigation of an offence (in which case the matter should be referred to the Privacy Officer). A note should be made of the circumstances of the disclosure by the Privacy Officer
For personal information only:
- If disclosure is made to an officer or employee of the Australian Security Intelligence Organisation (ASIO) or the Australian Secret Intelligence Service (ASIS) and the officer or employee is authorised in writing by the Director-General of ASIO or ASIS to:
- receive the disclosure; and
- certify that the disclosure would be connected with the performance by ASIO or ASIS of its functions.
- If all of the following apply--
- the University is a health service provider providing a health service to the individual; and
- the use or disclosure for the secondary purpose is reasonably necessary for the provision of the health service; and
- the individual is incapable of giving consent and--
- it is not reasonably practical to obtain the consent of an authorised representative of the individual; or
- the individual does not have such an authorised representative
- If all of the following apply--
- the organisation is a health service provider providing a health service to the individual; and
- the use is for the purpose of the provision of further health services to the individual by the organisation; and
- the organisation reasonably believes that the use is necessary to ensure that the further health services are provided safely and effectively;
- If the use or disclosure is for the purpose of:
- funding, management, planning, monitoring, improvement or evaluation of health services; or
- training provided by a health service provider to employees or persons working with the University, and:
- that purpose cannot be served by the use or disclosure of information that does not identify the individual or from which the individual's identity cannot reasonably be ascertained and it is impractical for the University to seek the individual's consent to the use or disclosure; or
- reasonable steps are taken to de-identify the information, and:
- if the information is in a form that could reasonably be expected to identify individuals, the information is not published in a generally available publication; and
- Where the University is a health service provider to an individual, the University may disclose health information about an individual to an immediate family member of the individual if--
- either--
- the disclosure is necessary to provide appropriate health services to or care of the individual; or
- the disclosure is made for compassionate reasons; and
- the disclosure is limited to the extent reasonable and necessary for the purposes mentioned in paragraph (i); and
- the individual is incapable of giving consent to the disclosure; and
- the disclosure is not contrary to any wish--
- expressed by the individual before the individual became incapable of giving consent and not changed or withdrawn by the individual before then; and
- of which the organisation is aware or could be made aware by taking reasonable steps; and
- in the case of an immediate family member who is under the age of 18 years, considering the circumstances of the disclosure, the immediate family member has sufficient maturity to receive the information.
- either--
- The University may use or disclose health information about an individual where--
- it is known or suspected that the individual is dead; or
- it is known or suspected that the individual is missing; or
- the individual has been involved in an accident or other misadventure and is incapable of consenting to the use or disclosure--
and the use or disclosure is to the extent reasonably necessary--
- to identify the individual; or
- to ascertain the identity and location of an immediate family member or other relative of the individual for the purpose of--
- enabling a member of the police force, a coroner or other prescribed organisation to contact the immediate family member or other relative for compassionate reasons; or
- to assist in the identification of the individual--
and, in the circumstances referred to in paragraph (b) or (c)--
- the use or disclosure is not contrary to any wish--
- expressed by the individual before he or she went missing or became incapable of consenting and not withdrawn by the individual; and
- of which the organisation is aware or could have become aware by taking reasonable steps;
Staff should consult the Privacy Officer when requested to use or disclose information for the additional limited circumstances listed above.
| 3.1 | The University must take reasonable steps to make sure that the personal and health information it collects, uses or discloses is accurate, complete and up to date, having regard for the purposes for which the information is to be used. | |
| 3.2 | If you become aware or are notified that information is not accurate you should correct the situation as soon as possible.
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View the provisions of the University's Privacy Policy dealing with accuracy of information. It is effectively a summarised version of the above.
| 4.1 | The University must take reasonable steps to protect the personal information it holds from misuse and loss and from unauthorised access, modification or disclosure. |
| 4.2 | The University should do everything within its power to prevent unauthorised use or disclosure of information that is transferred to an organisation in connection with the provision of services to the University. |
| 4.3 | The University must take reasonable steps to destroy or permanently de-identify personal information if it is no longer needed for any purpose, except as described below. Note however, that the University may have obligations under the Public Records Act 1973 (VIC) to retain certain information. Please refer to the University’s Records Management Policy and Procedures Manual for more information |
| 4.4 | If the University is providing health services to an individual, the University must not delete health information relating to the individual, even if it is later found or claimed to be inaccurate, unless--
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| 4.5 | If health information is deleted in the above circumstances, the Privacy Officer should make a written note of the name of the individual to whom the health information relates, the period covered by it and the date on which it was deleted. |
| 4.6 | If the University is a health service provider who transfers health information to another individual or organisation and does not continue to hold a record of that information it must make a written note of the name and address of the individual or organisation to whom it was transferred. |
| 4.7 | Staff are referred to the Information Security Policy and the Information Technology Security Policy which set out guidelines for the management & security of information. |
Note: : All contracts that the University enters into whereby information will be transferred to a third party should contain extensive 'Privacy Clauses' requiring compliance with this policy to protect the information from misuse or loss. All such agreements and clauses should be reviewed and approved by the University's legal department. Note: Sensitive or health information should not be left in unlocked filing cabinets or unattended on desks Note: Information should only be accessed by those employees who need to access it to perform their duties and databases should be password protected where appropriate. Example: Under the Copyright Act there is a requirement that the University retains a record of photocopy requests. While such records are no longer needed by the University for its own purpose, the University would not be required to delete the records as the requirement of the Copyright Act is considered a legitimate 'purpose' under the Privacy Act.
View the provisions of the University's Privacy Policy dealing with security of information. It is effectively a summarised version of the above.
| 5.1 | The University must set out in a document clearly expressed policies on its management of personal information (i.e. the University’s Privacy Policy is such a document). The University must make the document available to anyone who asks for it. | |
| 5.2 | On request by a person, the University must take reasonable steps to let the person know, generally, what sort of personal information it holds about them, for what purposes, how it collects, holds, uses and discloses that information and how individuals can get access to the information.
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| 6.1 | The University is required to provide individuals with access to and correction of the personal information it holds about them in accordance with the Freedom of Information Act 1982 (Vic). |
| 6.2 | In the case of personal information, where an individual is able to establish that the information about them is not accurate, complete and up to date, the University must take reasonable steps to correct that information so that it is accurate, complete and up to date. |
| 6.3 | If the University is providing health services to an individual, the University must not delete health information relating to an individual, even if it is later found or claimed to be inaccurate, unless--
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| 6.4 | If health information is deleted in the above circumstances, the Privacy Officer should make a written note of the name of the individual to whom the health information relates, the period covered by it and the date on which it was deleted. |
| 6.5 | If in the case of health information, the University chooses not to correct the health information in accordance with a request by the individual and the individual has provided the University with a written statement concerning that request, the University must take reasonable steps note this on the individual’s file |
View the provisions of the University's Privacy Policy dealing with access to information . It is effectively a summarised version of the above.
| 7.1 | The University must not adopt as its own unique identifier of an individual a unique identifier that has been assigned by another organisation unless:
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| 7.2 | The University must not use or disclose a unique identifier assigned to an individual by another organisation unless:
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| 7.3 | The University must not require an individual to provide a unique identifier in order to obtain a service unless the provision of the unique identifier is required or authorised by law or the provision is in connection with the purposes for which the unique identifier was assigned.
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| 8.1 | Wherever it is lawful and practical, individuals must have the option of not identifying themselves when entering transactions with the University.
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9. TRANSFER OF INFORMATION OUTSIDE VICTORIA
| 9.1 | The University may transfer personal information about an individual to someone (other than the University or the individual) who is outside Victoria only if:
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View the provisions of the University's Privacy Policy dealing with the transfer of information outside Victoria. It is effectively a summarised version of the above.
10. TRANSFER OF INFORMATION TO ANOTHER HEALTH SERVICE PROVIDER
| 10.1 | If the University is a health service provider to an individual and the individual--
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| 10.2 | The University must comply with these requirements as soon as practical. |