Paperless patient records are a necessity, but a new, US–made system at Addenbrooke’s in Cambridge is a chronic misreading of patient needs.
When you walk into my GP’s surgery, the first thing you see is a screen on the receptionist’s counter....
Mike McNamara's insight:
When will governments stop wasting so much of our taxpayers money?
So many Patient Records Systems have come and gone, each failing the 'real' needs of it's users. One trust even considered buying a system from a vendor that only had one customer; an overseas hospital that had yet to open!!!
Having worked in the past for many years implementing 'real' & complex records/data management systems for large commercial companies, a patient records system is no more complex than some of the systems I worked on. It's unfathomable to me (and I am sure to may others) as to why it has taken so long and so much money to achieve so little.
Perhaps that fact that it is taxpayers money that makes everyone involved so ambivalent to the final outcome. The money wasted so far would have been far better spent on other NHS requirements.
Almost two thirds of nursing staff who have experienced a “red flag” event while working on an acute adult inpatient ward have failed to see nurse numbers immediately increased to deal with the situation, according to a major survey of NHS staffing...
Due to a shortage of beds, mental health patients from Manchester have been transferred to private clinics, many of which are outside the city, over 670 times since 2013.
Figures obtained by the Manchester Evening News through freedom of information requests, show that Manchester Mental Health & Social Care Trust has placed patients with private providers 628 times since 2013.
Greater Manchester West Mental Health NHS Foundation Trust told the paper it had transferred patients to private clinics 29 times.
The NHS should provide a trusted repository for patients’ personal data – but, sadly, this is not always the case. The last few years have seen numerous examples of NHS organisations losing data, sending it to the wrong place and otherwise treating it in a less than secure way.
The problems extend across the UK’s public healthcare services, which are run by the Department of Health in England and the devolved governments in Scotland, Wales and Northern Ireland. February saw North Tees and Hartlepool NHS Foundation Trust in north-east England ticked off by data protection regulator the Information Commissioner’s Office (ICO) for a number of incidents, mainly involving paper records.
T“One incident involved the discovery of a folder containing highly sensitive personal data at a bus stop by a member of the public, while most of the other cases related to letters, notes and reports containing patient data being sent to the wrong recipients,” said the ICO in an enforcement notice that requires the trust to review its policies and put an action plan in place.
The care.data programme currently being piloted in a few hundred GP practices before a planned national rollout expands NHS England's collection of medical data for analytical use. Since 1989 information on hospital stays has been collected for analysis and the new programme will extend this to cover data resulting from patients' visits to their GPs. Evidence from studying such data can be invaluable for medical research, including epidemiology and screening for cancer, and to monitor key information, such as how many patients a doctor has seen.
The rollout, which began last year, is widely considered a badly botched operation because of the high-handed way that it was communicated, in that that patient consent was taken for granted, and for a lack of transparency and clarity about what the programme aims to achieve. Its cause was not helped when it was revealed that NHS hospital data has been sold to insurance firms, despite assurances during the care.data rollout that patient data is not for sale. Put simply, the public is not convinced, and neither are many GPs.
Mike McNamara's insight:
A very good in-depth look at what's going wrong with another NHS project. When we learn????
Chancellor George Osborne’s announcement that the entire £6bn health and care budget for Greater Manchester is to be handed over to local control has repercussions for the whole NHS. It opens up a new front in national and local moves to overhaul the funding system, regulate systems instead of organisations, make services locally accountable and to breach the wall between social care and health.
While many people in the NHS dislike the idea of direct local government control, local politics has always been a powerful influence on reconfiguration debates. The NHS compares poorly with councils when it comes to making tough decisions about services, and many politicians and council managers are angered by the way NHS trusts run up uncontrolled deficits – something that is not tolerated in town halls. Perhaps local government will have the courage to take decisions that seem so difficult for the health service.
A shortfall of 1,000 GPs in England is revealed in figures published on Sunday, with the NHS being forced to advertise in Australia for British doctors on career breaks to come home and plug the gaps.
Staffing levels have failed to keep pace with the increase in population, according to an analysis commissioned by the Labour party. If the number of people per GP had remained at the 2009 level, there would be an extra 1,063 GPs, which Ed Miliband’s party claims would bring huge relief to the system.
British GPs working in Australia have been targeted through an advertisement in two medical magazines urging them to return home and practise in the UK. The advert promises a “fully funded induction and returner scheme” if they return, and emphasises that practices taking part in the scheme are “looking to recruit permanent GPs”.
The advert, placed by NHS England’s Shropshire and Staffordshire area team and Health Education Midlands, ran in November and December.
Unison, which represents health workers, said a survey of members had revealed worrying high levels of anxiety with many workers warning they were on the verge of quitting.
South Western Ambulance Service NHS Foundation Trust (SWAST), which provides 999 responses across the region, said it takes the welfare of staff extremely seriously and provides a number of services, including counselling.
However, Unison South West spokeswoman Tanya Palmer said that recent cuts to the NHS has put a further burden on ambulance staff and action must be taken.
Health secretary Jeremy Hunt faces allegations of a politically motivated cover-up after the Tory head of the health select committee said his department’s refusal to publish a damning report on NHS management before the general election was not acceptable.
Sarah Wollaston, a former GP who took over the chairmanship of the committee last year, said it was not reasonable or right that a report by former Marks & Spencer boss and Tory peer Stuart Rose, which was commissioned by Hunt a year ago and completed in December, was being kept from the public.
Senior government officials have made it known that Rose’s report is strongly critical of management systems in the NHS – findings that are potentially damaging for the Tories before an election in which the NHS is centre stage.
There are also suggestions that the report implies that the government’s own NHS reforms, steered through by Hunt’s predecessor Andrew Lansley, may have made matters worse.
Prof Sir Bruce Keogh says the NHS cannot improve the safety of services for patients who fall ill at weekends unless it reduces 'premium' pay deals which means some staff get twice as much to work on Sundays
Health watchdogs set up to protect NHS patients when things go wrong face damning criticism in a report into the scandal of dozens of mothers and babies who died at a hospital following a catalogue of poor care.
As many as 30 mothers and babies died at University Hospitals of Morecambe Bay NHS Foundation Trust as a result of substandard care made worse by professional rivalries, the independent inquiry is expected to conclude this week.
Six midwives face disciplinary hearings in front of the Nursing and Midwifery Council later this year, but to date no nurses, midwives or doctors have been permanently struck off.
The investigation has heard how midwives neglected to alert doctors about patient complications in time because of a 'turf war’ between the two professions.
More than £300 million is to be spent by the Government on research into dementia while all NHS staff will have to undergo training in the condition, Prime Minister David Cameron has announced.
Outlining new plans to tackle what he described as "one of the greatest challenges of our lifetime", he said an international dementia institute will be established in England over the next five years in a bid to make the UK a world leader for research and medical trials.
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