NHS patients can't opt out of Palantir's data platform – but their hospital can

Patients in England cannot stop their data being processed by the Palantir-built NHS Federated Data Platform (FDP), but individual NHS trusts can choose not to use it, health minister Preet Kaur Gill has told MPs. The minister, who was appointed last month to cover health innovation and safety, told fellow Labour MP Neil Duncan-Jordan that patients can only opt out of secondary uses of data such as planning and research. On the main opt-out mechanism, she said: "The National Data Opt-Out does not currently apply to products used in the NHS FDP. In most cases, this is because data is being used for the purpose of direct care." Last month, NHS England confirmed it had changed policy so some Palantir staff can access identifiable patient data through a new "admin" role. A briefing document seen by The Financial Times and confirmed by The Register warned that granting access could create a "risk of loss of public confidence" in NHS England's assurances about safeguarding patient data. Answering a separate question from Labour MP Rachael Maskell, Gill confirmed that NHS trusts running hospitals, mental health and other services can opt out. "Where NHS organizations would like to use alternative solutions, they retain the ability to procure locally, provided solutions meet applicable standards and support the delivery of national priorities," she said. According to NHS England statistics, 168 of 214 NHS trusts have signed up to use the FDP, with 123 live and 80 reporting benefits. All but one of England's 42 integrated care boards, Greater Manchester, have also joined. Palantir's role in the FDP, which followed similar pandemic-era work for NHS England, has become increasingly contentious. Last week, Parliament's Science, Innovation and Technology Committee said the NHS should end Palantir's involvement, and MPs have tabled 40 written questions about the supplier, which also works for intelligence agencies and US Immigration and Customs Enforcement (ICE), in the last month. Responding to a question from Labour MP Mark Sewards, Gill said the government will decide this year whether to extend Palantir's current FDP contract beyond its February 2027 expiry. She noted the program was among just 14 percent of major government projects to get a green rating from the National Infrastructure and Service Transformation Authority, "indicating that the NHS FDP is on track." In a further answer to Neil Duncan-Jordan, Gill said the contract includes an exit management process covering intellectual property rights. "In addition, the contract includes controls to support transition and continuity of services in the event of termination, ensuring that operational delivery and patient services are protected," she said. "In principle, another supplier could provide equivalent functionality in the future," Gill added, signaling that even if Palantir's contract is not renewed, the government wants to retain the FDP. "It would take planning, time, and resources to run a compliant procurement and then move services and data across safely." ®