my NHS Information Strategy notes - what did you think?

[Carl Reynolds]

recognizes world digital and nhs not causes frustration
wants to improve things for patients
"Using digital and online services can simplify the more routine
aspects of care, such as booking appointments, requesting repeat
prescriptions, or self-assessment for social care."

and docs
Paper records get lost. The Accident
and Emergency doctor does not always have the information needed, such
as details of
important allergies or information about vulnerable children at risk,
to be able to treat the
sick person in front of them safely. On discharge to a care home, the
busy care worker
has inconsistent paper medication records to interpret

10 year framework

attempts to be high level and needs focussed

-better use of information to deliver health and about services
-better access for patients (culture + tech, no decision about
without)
-single point data capture back from 2002 "Information recorded once,
at our first contact with professional staff, and shared
securely between those providing our care "
-ehrs
-interoperability - national standards


chap 1 - information can be useful
chap 2 - ehr contents and access by 2015
chap 3 - national standards and standardized entry.... and clinical
portals, record linkage and anonymisation (problematic)
chap 4 - single comp gov health portal
chap 5 - leadershop to promote better information use and anonymised
information again
chap 6 - overall view

Good:
-recognizes there's a problem
-renal patient view and VistA mention :-)
-acknowledges web based tools

Bad
-I have specific concerns re intellect-DH partnership (incumbants)
-little detail on how will actually achieve interoperability through
standards, no mention of open source
-standards and list of compliant vendors mentioned inc for apps,
partner with industry to deliver
-little detail on dissmenination of best tech
-Microsoft’s HealthVault platform :-(
-'neutral' with respect to value for money in case studies, no mention
of open source
-General Practice Extraction Service (GPES) and pharma and research
-evidence based but no evidence of peer review
-little on information capture (to address junk in junk out prob)