Archive for January 31st, 2007

Comments are now allowed

Wednesday, January 31st, 2007

Akismet has been doing a good job & I finally feel able to open up comments here.

It might be interesting to see what comes of this.

Universal healthcare - an idea whose time has come?

Wednesday, January 31st, 2007

In the US of A that is.

The 2008 presidential season is already in full swing & the big names are looking for their USP, especially since most of the prospective Democratic challengers are on the same side of the Iraq debate. Obama got there a few days ago, Bush’s State of the Union gets a positive recommendation from the Economist (though it is a case of too little, too late & under duress), Hillary still has the scars on her back from 1992 and John Edwards etc have more to say on the subject.

It is interesting watching this discussion from the other side of the pond & I regret that we are taking steps, small but true in the other direction.

Something for you to ponder while we wait. Also a comparison of various national EPR experiences.

Deja vu

Wednesday, January 31st, 2007

To throw in a pop culture reference, “All of this has happened before. All of this will happen again.” (from Battlestar Galactica, arguably one of the better shows on TV today).

People in busy environments will bypass any obstacles. well meaning or otherwise put in their way. Due to the poor design of the software in use, login times can take quite long and when you consider that you are supposed to log out & back in whenever you step away from the computer, you end up spending a considerable proportion of the working day just waiting for the system to let you do your work.

In practice shared logins are a fact of life in most hospitals and South Warwickshire has done the sensible thing in ignoring the asinine policies recommended by CfH. This is however hardly a great advertisement for the security & performance of the system. Add to this the toothlessness of the Caldicott Guardian & you have a recipe for massive abuse.

At what point does repeating “I told you so” become embarrassing? (Ref Launch of the Care Record Guarantee in London. 2005 & numerous times prior and since.) Are you guys listening, Richard Granger et al?

E-Health Insider follows up the story.


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