Question

A 54-year-old woman with HIV tells you she has recently tested positive for gonorrhoea and refuses to inform her sexual partner, who is also your patient. She has capacity and understands the risks. What is the most appropriate action regarding confidentiality?

Accepted Answer

Explain that while confidentiality is important, you may need to disclose information if there is a risk of serious harm to others, and seek her consent to disclose; if she refuses and risk remains significant, consider disclosure in line with GMC guidance.

Answer

Respect her decision and take no further action.

Answer

Breach confidentiality and inform the partner directly without discussion.

Answer

Immediately inform the police.

Answer

Discharge her from the practice for non-cooperation.

Practice question

A 54-year-old woman with HIV tells you she has recently tested positive for gonorrhoea and refuses to inform her sexual partner, who is also your patient. She has capacity and understands the risks. What is the most appropriate action regarding confidentiality?