Quote:
Originally Posted by tweetiepooh
Most systems are setup to protect the system whether that is private or public. Those running in ensure that they are looked after first.
So whatever and however it's funded the admin layers are protected and the front end both patient and practitioner are looked after only as it helps the admin layer.
I used to work in NHS IT at a specialist hospital. Was always annoyed that we updated our platforms to meet new requirement and others with big, paid for systems couldn't. Then we hear about how it's so hard to build a NHS network and me thinks that some of the issues need a firm hand rather than technical waffle. The NHS should specify the interface and suppliers/unit comply with that interface e.g. a query looks like this and you provide the answer like this - how you do that is then irrelevant.
The problems in other areas are similar, too much interference in the minutia. The NHS supplies standards/targets, units work to those however they want to. Being ridiculous, a national target to deal with farm incidents isn't needed for an inner city hospital but (if not careful) would still be a target needing budget set aside.
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I worked in NHS IT many many moons ago when The Spine , Choose and Book and ETP were trying to be implemented.
I used to see the clinical systems trainers coming back from training primary care (GP's) on C&B they would be distraught as many GP's surgeries would just completely ignore what they were being told to do or actively refuse to do it. and that was only IF they could get past the practice manager (who generally were incredibly obnoxious individuals who took every opportunity to block progress)
There was and to a degree still is a considerable disconnect between primary and secondary care services within the NHS.