This answer in Hansard seems to suggest that medical records will continue to be uploaded to the NHS Spine unless one opts-out – which does not seem to be consistent with election campaign pledges. Opting out is not the best way to obtain consent, and the need for these records seems to be based in politically administrative reasons – notably, a subtle and malleable distinction only between health services and other governmental departments – rather than  clinical need.

I’m with Ross Anderson on this. Find out more on opting out here.