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Part of DAPB3051 Identity Verification and Authentication Standard for Health and Care, Authorisation Use Case: Proxy

1.2 Who this standard applies to

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1.3 What this standard does not cover

This standard applies to:  

  • health and care organisations in England that offer proxy access 

  • clinical professionals and staff within health and care organisations 

  • clinical systems that enable health and care organisations to offer digital services and proxy access 

Health and care organisations must only offer proxy access if they have the resources available to offer the service safely. If health and care organisations do offer proxy access, they must do so in line with this standard and associated implementation guidance. 

Responsibility for proxy access decisions lies with the responsible clinical professional at the health and care organisation, for example the patient's named accountable GP. 

In respect of those with disabilities, health and care organisations should consider their obligations under the Equality Act 2010, and specifically whether offering a proxy access service is a reasonable adjustment that should be provided in line with the requirements of this standard and associated implementation guidance. 

Organisations can use this standard and associated implementation guidance to determine whether they can feasibly offer proxy access safely. 

Last edited: 6 May 2026 1:54 pm

Previous Chapter

1.1 Purpose

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1.3 What this standard does not cover

Chapters

  1. DAPB3051 Identity Verification and Authentication Standard for Health and Care, Authorisation Use Case: Proxy
  2. Glossary
  3. Use of the terms "must" and "should" in this guidance
  4. 1.0 Overview
  5. 1.1 Purpose of this standard
  6. 1.2 Who this standard applies to
  7. 1.3 What this standard does not cover
  8. 1.4 Compatibility with other standards and guidelines
  9. 2.1 Types of proxy access: formal and informal proxy access
  10. 2.2 Types of proxy access: Records access by a clinical professional
  11. 3.0 Roles and responsibilities
  12. 4.0 Grant proxy access
  13. 4.1 Assess if access is appropriate
  14. 4.1.1 Establish whether access is necessary
  15. 4.1.2 Establish whether access is relevant
  16. 4.1.3 Establish whether access is safe
  17. 4.2 Establish a basis for access
  18. 4.3 Check evidence relevant to the basis for access
  19. 4.3.1 Verify the proxy and patient’s identity
  20. 4.3.2 Understand if the patient has the ability to consent
  21. 4.3.3 Obtain the patient’s informed consent to proxy access, if appropriate
  22. 4.3.4 Verify evidence of a basis for access if the patient cannot consent
  23. 4.4 Redact sensitive information based on what is being shared
  24. 4.5 Audit decisions about proxy access
  25. 4.6 Communicate the outcome of a decision to grant or deny proxy access
  26. 5.0 The scope of proxy access
  27. 6.0 System audit of proxy access
  28. 7.0 Managing proxy access
  29. 7.1 Ongoing reviews of proxy access
  30. 7.2 Age and development based reviews of access
  31. 7.3 Time-bound reviews of access
  32. 7.4 Wider events that materially affect proxy access
  33. Appendix A: Ways to evidence a basis for access if the patient is not capable of providing informed consent
  34. Appendix B: Driver diagram articulating the strategic aims of this information standard