watched for it, got Domino's menu but not
the leaflet.
I'm one of the doctors who thought some aspects of the idea and its implementation were suboptimal.
502 publicly visible posts • joined 19 Jun 2009
I didn't get a leaflet.
I'm opted out.
I'm rather keen on IT in medicine and healthcare.
But not this instance of this class of scheme operated this way.
NHS England is quite ... new.
Similar schemes were pushed in 1990-2002 IIRC and we rejected them.
At that time the idea of effective end to end encryption was resisted - successfully - for reasons unclear to us then.
This is presented as the first effort and only way to achieve various goods.
It is neither.
Some years ago the NHS declined to fund GP IT any more via Practices, but made a set of deals with suppliers on our behalf, and set up area IT teams to supply and maintain hardware and operating systems, etc.
They were really keen to do that and declared it would be better and cheaper.
NHS England is a bit new, and actually doesn't know a lot about how things are running or have run or why or what went wrong last time idea X was tried. In their role that sort of knowledge may seem a handicap, it being far more fun to start as if from scratch.
XP alas. All the Practice's own stuff hangs off a Debian box in a rack, but the NHS stuff is scattered Windroids.
with your argument.
The point you make is that even when one has the source code (including the source code for the compiler) one cannot absolutely trust the resulting binary.
You argue that therefore one should trust binaries for which source code us concealed. This is not logical.
Better to argue that the concealment of the source code is an easy marker for something to distrust, and if possible eschew, but that even those programs where source is provided are not absolutely to be trusted only because of that.
That'd be "the state's procurement..."
A wonderful place to visit. I suspect that asking people to decide what they have earned and draw that against an eventual reconciliation would have been cheaper, more accurate, and made people happier, but that may be too much radical anarchism.
But it was store and forward as it needs to be. The US VA separately has it working in their many hospitals and the WorldVista project has been making a product with support of an open source version of it for some years
In the UK VistA is well known by enough people to put in a Free system known to work over a population in millions.
I suspect something else had been sold though.
The general mucking about with utility bills and passports for financial things could have been eased by the state declaring it had checked identities and it was illegal to demand any other form of identification if presented with a matching ID card.
Bingo, a useful device and service to the citizen.
To some degree. Outsourced production and running of closed licenced software provides opportunities for barrel straddles.
Alas, the common expectation of NHS software is failure and managers may prefer to have that outsourced rather than in-house.