Rusty Nails
Country Member
So you are unable or unwilling to tell us what good rioting will achieve?
Much more than bad rioting.
So you are unable or unwilling to tell us what good rioting will achieve?
So you are unable or unwilling to tell us what good rioting will achieve?
As you say, a heartwarming story of sensible management and good use of resources, if only it were commonplace.
Mrs @BoldonLad is currently having treatment in a nearby Dermatology Department. We have had to travel to it, because it is in a neighbouring NHS trust. The Consultant suggested she obtain copies of some medical photographs, taken as part of her diagnosis/treatment. The process to do this is unbelievably complicated and bureaucratic, and, no doubt implying several people, perhaps a whole department. All of this apparently because these particular records are in the possession of a different NHS Trust, to the one covering our local area. Silly me, I thought the "N" in NHS stood for National.
And there in lies the nub of the problem. We no longer have a National Heath Service it has been divided up into fiefdoms to the determent of all.
This is often trotted out. It didn't come to nothing, but the problems got all the headlines. It didn't work well (at all?) for hospitals but it did work very well for Community and Mental Health Trusts, established a national patient demographic record and a national summary care record with data flowing from GPs.Very true. Worryingly, the fragmentation (of IT) began after the Blair Government embarked on an ambitious IT project, which, surprise, surprise, came to nothing.
This is often trotted out. It didn't come to nothing, but the problems got all the headlines. It didn't work well (at all?) for hospitals but it did work very well for Community and Mental Health Trusts, established a national patient demographic record and a national summary care record with data flowing from GPs.
It was overshadowed by the fragmented bidding process and the lack of cooperation between software vendors and infrastructure providers, as well as a number of software companies (e.g. Fujitsu) being remarkably crap and making software unfit for use.
At the end of NPFiT, there was a huge backward step as each Trust had to then individually procure infrastructure and software contracts which cost a huge amount of cash and resulted in loss of very useful clinical functionality.
In the interim, Hospital Trusts have spend vast amounts of cash on US based patient record systems (EPIC) to move onto electronic patient record systems.