NHS record sharing opt-out

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CaptainMallard said:
oldbloke said:
How many different webserver architectures are there? Does my browser care? No.
Oh, for a modern browser based system! Most of our systems are client server. We even have some character based systems, which we access through a telnet client! We'd love to go out and buy a new system, but clinical systems are so specialised, there isn't a lot of competition. Software wears in rather than wearing out, so developers are loath to throw away a working application that took 10 years or more of incremental development, just to adopt the latest technology, that might turn out to be a fad. One of our (former) suppliers tried that, and got it wrong. Equally, why go J2EE for a total user base of less than 6 people, and no more than 2 concurrent users?

Our browser based systems give us a different problem. Most were designed for IE7 or earlier and the suppliers have not certified their apps against IE9 or Chrome, except for the ones who designed their apps for these browsers, and they won't certify on IE7. This makes PC roll outs a nightmare for the desktop team.

And now everyone wants to go mobile, and yet none of our apps work on Safari.

oldbloke said:
Obv it's nothing like as simple as I maybe made it sound, but I don't believe it need be insurmountably difficult.
"Anything is possible given enough time and resources". I've stopped believing this. We paid a developer to build a clinical system. We invited two senior consultants from the department to describe how the system should work, and they had very different, contradictory opinions. They argued and argued and were convinced their way was right and the other consultant was wrong. We were embarrassed to sit and watch them fight. Eventually, one got up and stormed out - so we built the system according to the remaining consultant. Egos; stubbornness and pride are very powerful opponents. And who has more pride than the gods who work life-saving miracles every day?

oldbloke said:
For one thing, continuing the "My GP is my primary link to health services" paradigm we've had so long, whoever treats you would send updates to the GP's computers.
We've been trying to put this in for years, so we could save a fortune on printing and postage. Most GP surgeries can't afford dedicated IT staff, but a few have banded together to form a consortium, pool their funds and buy a system in. I think we're paperless on fewer than 6 GP surgeries.


Healthcare IT isn't easy. I doubt the implementation team will get it right, so I've opted out.

THBF Admin, gimme a 'like' button so I don't have to quote this and say "Yeah man, right on"

Please :D ;)
 
Captain Mallard - some very good examples of the complexities of nhs it! I'm a technical architect in nhs it and we are constantly finding a balance of compatibility between many varying systems / browsers / OS etc. Add in budget constraints and trust politics and it all gets very interesting!!
 
Does the fact they have delayed this thing by 6 months mean we do not have to opt out as urgently? I would prefer not to have to make an appointment to see my GP purely to opt out of this thing, but will do so if needs be. Otherwise I'll wait until I have a real reason to go.
 
Algernon said:
Does the fact they have delayed this thing by 6 months mean we do not have to opt out as urgently? I would prefer not to have to make an appointment to see my GP purely to opt out of this thing, but will do so if needs be. Otherwise I'll wait until I have a real reason to go.

Google for faxyourgp, do it from your armchair
 
anthonyUK said:
For those who are not concerned about sharing your medical data, you can relax.
For those who are though start worrying - http://www.theguardian.com/society/2014 ... CMP=twt_gu

Eat my words, trust no-one :lol:

It's not necessarily the 'NHS' or the companies that legally access your data that might be a problem, it's the custodians of the data who happen to be commercial IT Services companies that just implement systems at lowest (read long-term highest) cost, loss of data it happens time after time because of incompetent management throughout government departments and the companies that serve those departments. Also remember that service contracts change on a regular basis between different companies, quality can suffer leading to more data breaches.
 

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