Social media, messaging and emotional boundaries

Digital boundaries matter because messages, screenshots and social media posts travel quickly. A casual online comment can reveal confidential information, damage trust or draw staff into patient contact outside approved systems.
Emotional boundaries matter too. Frontline staff frequently hear distressing stories, anger, bereavement, fear or loneliness. Caring does not mean becoming a patient’s private support route or carrying their problems alone.
Social engineering: Keep I.T. Confidential cyber security campaign | NHS England
Keep boundaries clear
- Do not discuss patients or practice incidents on personal social media.
- Do not accept private health requests through personal accounts.
- Do not share screenshots, photos or work messages outside approved systems.
- Use debrief and support after distressing contacts.
- Escalate repeated personal contact from a patient.
- Record and report boundary concerns through local policy.
Professional boundaries continue outside the building: confidentiality, fairness and approved communication routes still apply.

