tag:blogger.com,1999:blog-5701718131182937479.post7738790519410677020..comments2022-11-20T09:13:45.161+00:00Comments on Random mutterings of a Doctor Up North: NHS or RHS?GPforhirehttp://www.blogger.com/profile/08197237871424106188noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-5701718131182937479.post-2371247747121353992010-06-23T09:14:52.674+01:002010-06-23T09:14:52.674+01:00i would like to thanks the author for this great a...i would like to thanks the author for this great and informative post, because the article is full of inspiration and knowledge<br /><br /><a href="http://www.miramarlagunabeach.com" rel="nofollow">drug rehab</a>Drug Rehab Centerhttp://www.miramarlagunabeach.comnoreply@blogger.comtag:blogger.com,1999:blog-5701718131182937479.post-48913913629227431562010-05-27T10:34:19.460+01:002010-05-27T10:34:19.460+01:00Dear Doctor Up North,
Sorry for leaving a message...Dear Doctor Up North,<br /><br />Sorry for leaving a message here - I couldn't find an email address on your blog.<br /><br />We are about to publish a book called Sick Notes, by Pulse writer and fellow GP Dr Tony Copperfield, which I thought you might be interested in reading. <br />I wondered if there was an address where I could send you a copy for possible review on your blog.<br /><br />If you are interested my email address is samcollins@mondaybooks.com<br /><br />Best wishes <br /><br />Sam Collins<br />www.mondaybooks.comAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5701718131182937479.post-46205392226700834932010-04-26T13:42:49.946+01:002010-04-26T13:42:49.946+01:00Back in the early 90's I was involved with a t...Back in the early 90's I was involved with a team commissioning a computerised Maternity Information System. The aim was to allow the input of one set of information about the mother, pregnancy, birth, baby and postnatal follow-up. Details that are duplicated many times by hand with needless hours wasted on endless, repetitious form filling and searching for information by everyone involved. The need for it to encompass Auditing tools was an essential. It was plagued with developmental difficulties. Even back then the expectations by NHS staff were not only for accessible patient information but the need for a structure to share the information within the hospital, community and the NHS as a whole.<br /><br />So here we are, 20 years on and it still hasn't happened universally within the NHS. Millions upon millions have been spent and lost on systems not up to the challenge.<br /><br />If NICE can sort out effective clinical treatments there should be an equivalent and answerable central team who guide and endorse the way forward on the core needs of any such information system. If such a knowledgeable team does exist, something is wrong that after 20 years a universal system does not exist.<br /><br />One can't help but put it all down to money. It was at a time when the efficiency and possibilities of computers were seen by clinicians and NHS staff who wanted to use the technology to its limit. Companies were vying for contracts and the millions they could make from getting in through the door of any NHS Trust. It would be a virtual guarantee of being paid what they asked. Another aspect to this situation was the lack of computer science knowledge amongst NHS staff. The need of being dually qualified to understand the information technology implications as well as the needs of the patient in a clinical setting is needful and those qualified for these roles now exist.<br /><br />I agree wholeheartedly with your despair at the lack of a universal system both for information and patient management through the NHS, it can be abysmal at best with regional variations. At the end of the day it is the patient who is losing out and those caring for them who are left utterly frustrated.Anonymousnoreply@blogger.com