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Crisis in the NHS
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Old 11-02-2019, 22:25   #556
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Re: Crisis in the NHS

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Originally Posted by Carth View Post
I thought computers were going to streamline everything, and make the NHS faster and more efficient.

I guess nobody factored in the cost of new and 'improved' systems every year
. . . and then there's a TV at every bedside, many of which don't get used.

Sometimes I swear the world is going backwards in the name of progress
TBF It's likely a nightmare to build a proper, built for purpose, IT system for the entire NHS. Which isn't helped by the 'everything must be done on the cheap' tender process. We really need a NHS-wide patient database that follows us everywhere.

There is also talk of mass collecting all these records, making them anonymous, and using all the data to better inform diagnoses and treatment procedures. The NHS is uniquely positioned to do this as well. No other country, at least anywhere near our size, does their medical system this way but given the leaps we might make with large data sets we could really benefit from it.
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Old 12-02-2019, 05:35   #557
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Re: Crisis in the NHS

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Originally Posted by Damien View Post
TBF It's likely a nightmare to build a proper, built for purpose, IT system for the entire NHS. Which isn't helped by the 'everything must be done on the cheap' tender process. We really need a NHS-wide patient database that follows us everywhere.

There is also talk of mass collecting all these records, making them anonymous, and using all the data to better inform diagnoses and treatment procedures. The NHS is uniquely positioned to do this as well. No other country, at least anywhere near our size, does their medical system this way but given the leaps we might make with large data sets we could really benefit from it.
If we go by the last NHS IT fiasco l doubt they will have another try in a hurry.

https://www.bbc.co.uk/news/uk-politics-24130684

https://www.computerweekly.com/opini...-for-IT-failed
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Old 12-02-2019, 08:17   #558
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Re: Crisis in the NHS

Well they will have to try again eventually. It doesn't have to be one monolithic system but there should be a NHS-wide patient database imo.
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Old 12-02-2019, 08:34   #559
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Re: Crisis in the NHS

l agree with everything you said but given the track record thus so far the chances of a decent enough NHS-wide database ever coming to fruition are not good.
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Old 12-02-2019, 09:52   #560
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Re: Crisis in the NHS

I used to write code for the NHS many years back and we had our own patient system, had ward terminals where staff needed to swipe a barcode on their badges to login in. It didn't store patient clinical data though we were working on that. This was all in the good old DOS days. It all worked. Each month we supplied data back to a central clearing house who passed back to the sourcing NHS districts.

Each year the government changed the format for new submissions, including extra information and each year in May we ran our export for April and submitted the new data and each year big NHS areas that had expensive turnkey systems would ask us for the old format which we couldn't do as our systems no longer had the old data.

Also there were some huge manuals that defined how data items should be stored, e.g. values for gender, date formats, codes for GP. It show what information was needed for a patient, inpatient episodes, outpatient occurrences etc. It always seems obvious to me that GP's, hospitals etc can choose what ever system they want but it has to talk "NHS speak" to the outside. So the NHS/government defines how queries are made, how incoming data is formatted, and how answers are to be formatted. The developers of the various platforms have to implement the "interface", how they do it is up to them, it's irrelevant.
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Old 12-02-2019, 17:56   #561
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Re: Crisis in the NHS

Quote:
Originally Posted by Carth View Post

I thought computers were going to streamline everything, and make the NHS faster and more efficient.

I guess nobody factored in the cost of new and 'improved' systems every year
. . . and then there's a TV at every bedside, many of which don't get used.

Sometimes I swear the world is going backwards in the name of progress
Well, if they were capable of specifying and procuring suitable systems to operate in the NHS, computers would make a tremendous difference.

The problem is, of course, that there is a lack of good computer experts in the NHS and every new system they introduce tends to be a disaster.
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