Anyone know how this has ended up? Sure shows how government should move slowly when throwing money at unproven, expensive HIT schemes...
Nearly two-thirds of family physicians in England plan to boycott the government's attempt to create a database of 50 million National Health Service patients' electronic health records, according to a poll by Medix, a health online research organization, the Guardian Unlimited reports.The poll of more than 1,000 physicians found that:
Al Borges, M.D.
● Oncologist in a Small Group Practice in Virginia
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The reason for this data-security concern is a catalog of several very serious data-loss episodes in the UK.
There are many more equally incompetent cases of lost or missing data in the UK but we're not alone. The Register reports on J.C.Penny, T.J.Maxx, Marshalls estimating that 650,000 customer's data is leaked with these cases alone.
There is also some general mistrust of government by the GP -- (General Practictioner is a Family Physician)
Their trade body the British Medical Association last year negotiated a (brilliant & lucrative) new GP contract which sees most doctors earning about £100,000.00 per year, many earning much more.
Just two examples: GPs get a bonus to meet a target for patients to get an appointment within 48 hours. Note that virtually all GPs meet this target. When you then try to book an advance appointment for something really not serious, but to suit your own schedule -- you're told to call back "within" 48-hours of when you want the appointment. Brilliant. Cunning, but brilliant. 9 out of 10 Doctors gave up out-of-hours care shifting this burden back to the local health authority to employ private firms who wanted to specialize in this area. The GP gave up 6% of their income in exchange of no out-of-hours service. In practice more patients call ER rather than trying to call and then wait for an out-of-hours Doctor. We therefore have minor ailments competing with trauma-cases in the ER alongside the drunken detritus of society brought in by the Police or Emergency Services following street-fights or domestic disputes. An aside: My last GP appointment was over 1-hour late. I was seriously unimpressed and made clear my views on their p__-poor standard of customer care.
Just two examples: GPs get a bonus to meet a target for patients to get an appointment within 48 hours. Note that virtually all GPs meet this target. When you then try to book an advance appointment for something really not serious, but to suit your own schedule -- you're told to call back "within" 48-hours of when you want the appointment. Brilliant. Cunning, but brilliant.
9 out of 10 Doctors gave up out-of-hours care shifting this burden back to the local health authority to employ private firms who wanted to specialize in this area. The GP gave up 6% of their income in exchange of no out-of-hours service. In practice more patients call ER rather than trying to call and then wait for an out-of-hours Doctor. We therefore have minor ailments competing with trauma-cases in the ER alongside the drunken detritus of society brought in by the Police or Emergency Services following street-fights or domestic disputes.
An aside: My last GP appointment was over 1-hour late. I was seriously unimpressed and made clear my views on their p__-poor standard of customer care.
So.
Just my $0.02 as a infrequent consumer of (free) GP services in the UK.
Nick
Nick Harrington email me or Skype: nickharrington emrupdate.comIf I have seen further it is by standing on the shoulders of Giants" Sir Isaac Newton 1676
Just a bit of extra info that may or may not be of interest, 56% of primary care givers in England and Wales use the same EMR, in 2007 more than 45 million health records were available to the users of that EMR.
I have many articles posted to the blog relative to the NHS and their record issues...you can read more here if you like, inlcuding the story about the loss of the CDs, which was totally a human error and someone not wanting to spend a few dimes...
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bigbadwolf: Just a bit of extra info that may or may not be of interest, 56% of primary care givers in England and Wales use the same EMR, in 2007 more than 45 million health records were available to the users of that EMR.
Which one is it ?
Is it free ?
Made by the .gov ?
I don’t really want to give any EMR here a free advertisement, I’m sure a little digging around on the UK NHS site lead to the list of approved suppliers for England and Wales. As I know Dr M you’re not afraid to do a bit of searching, the same EMR vendor is also involved in the NHS Connecting for Health (CfH) Common User Interface (CUI) programme, I hope that give you a clue to this particular vendor, I think that narrows the choice down to two.