* Posts by rhi

3 posts • joined 7 Feb 2008

Doctors rally for right to call UK.gov quangonista a 'sh*t'

rhi

Comment moderation

The comment was indeed moderated within a few hours. But those who suspended the doctor did not report the comment to the forum moderators, using a hyperlink that's obviously placed after every post.

Seven per cent of doctors are mad: Official

rhi
Pirate

I'm a GP too

There is no medical benefit whatsoever in having your whole health record online. If you have an odd illness, an alert bracelet will work just fine, and be far more reliable, even if they do look a bit naff.

But the bottom line is that the spine is the biggest Trojan in the history of computing. Doctors know there are minimal health benefits. Put simply, most of the time we don't need the full notes. What we need is a précis.

In Wales, already we have a cheap effective system, where key, non-confidential medical problems, and current medication for each patient is summarised, uploaded nightly, and accessible only by other doctors via a secure NHS only network. It's all that's needed for healthcare, and all I as a GP would need when treating a patient I don't know.

The Spine is about giving your full medical record away to private providers, to allow private companies to operate within the NHS, and to allow other agencies (social services certainly, police probably) to also have basic data on the UK population.

And on top of that, would you want your full medical record, available for anybody with an NHS connection to read. Because you know full well that in an organisation as massive as the NHS, there are bound to be at least a planeload of hapless idiots who hasn't got a clue how to secure their PC.

As for the anonymous coward. If your wife was a secretary in the NHS and you'd caught a dose of something suspicious needing a discrete clinic visit, or if you were running away from an abusive family, would you still be happy for your record to be on the spine? It's easy for the healthy and smug to say we have nothing to hide. You don't have anything to hide. But real life isn't like that.

As for paper notes and the Bahamas - you plainly have no clue about how modern General Practice works, and I find your suggestion that we'd breach our patient's confidentiality with a non healthcare professional crass and insulting. Perhaps you should pop over to Wales to see how a simple straightforward, integrated IT system works to quickly benefit patients. And any of the IT experts here would tell you that what the NHS needs is a series of databases that have a standard system of communicating securely with each other, and not one big, ridiculously expensive database that anybody with any knowledge of the history of government IT, knows full well is not going to work.

All the spine should be would be a protocol for existing IT software to intercommunicate.

The fact that it doesn't do this, and that the filesize is a lot biger than you'd expect confirms it's a Trojan.

rhi

p.s.

p.s. re logmein and Gp's hosting their records on LSP - yep those GP's are mad too.

Some so called PCT IT experts have told GP's that using logmein is fine. The consensus of the GP community at large is that it's madness. I guess perhaps a cross NHS bulletin to inform of the risks is in order.

Re the data security of paper records - finding the right set of notes you want to read from a mountain of poorly organised boxes would lead in you being caught. And the patient would need to be registered in the practice with the poor security, and that pile would have to relate to that particular date......A box of notes, despite being daft, is more secure than it seems.....

But the security of all of my patients (if I was an English GP) would only be as secure as the most idiotic secretary in the most bungling hospital.

But I do like the idea of sacking anybody more than 10m away from their card. We could nick the cards of the legion who strut around clinics, pretending they are qualified doctors but don't tell patients they aren't. We could get rid of them all in one fell swoop.

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