Posts by Yet Another Anonymous coward 26130 publicly visible posts • joined 31 Dec 2009
>Ideally the IT systems should be built in house by NHS employees
That's the clever bit, there is no "N"HS, there are 1000s of regional authorities and hospital trusts - all refusing to cooperate with each other. So none would pay another for a national solution
Odd really that decades of governments, all deeply committed to the NHS as a beacon of Britain, should have arranged for it to be so ideally divided up as if for privatisation?
That's not entirely fair.
He also put $300m into pizza making robots and paid $Bn for exclusive rights to give away free iPhones in Japan and make the money on cheap PAYG sims.
However he did get lucky by being in the process of buying a UK company just as the UK decided to crash the value of its currency because a bus told them to.
>But I once found - after a network outage - a hub underneath a listed-building's parquet flooring. Literally just sitting under floorboards.
So in summary, there was an installed solution which had worked fine with no intervention for possibly decades.
And you broke it
= tell me you're a network admin without telling me you're a network admin !
Or in reality drag the patient over to the single bar code scanner that is attached by RS232 to a single computer at the nurses station
The scanner costs >10K because it is 'medical grade' and is only supported on Windows7
No you can't use the camera on your iPad because it's not ISO13485 and apple won't tell you the sensor manufacturer
The joys of IT megaprojects and creaping featurism
We need an NHS computer system to replace faxes.
Ok, sounds like email, go on
And it needs to be secure with physical access keys for doctors, but the keys have to be bypassed in an emergency by paramedica etc
The data has to be held locally for data protection but has to be instantly available everywhere in the country in case of an accident
It has to support attached medical data for everything from a blood pressure cuff to a 5d functional MRI. It needs to handle that remaining 1970s CT scanner in Stevenage that only uses 8" floppies. (Yes it would be cheaper to replace it, but that's a different budget)
The contract has to get to an approved supplier = IBM, Crapita, CapGemina.
And it has to demonstrate cost savings
The nice thing is that paper can go with the patient
Online records means that everyone in contact with the patient has to look up their records on 'the system'
So continually asking an elderly/confused/in-pain/unconscious patient their name+DOB+how do you spell that, to confirm who they are everytime anyone has to work on them
(Bonus points for a records system which doesn't flag current patients in ER so they have to search through a million Singhs or Wangs in the region)
It might be helped if a cheap tablet or ebook reader was given to each patient, or they had an id number QR code tattooed to their forehead
The original steam locomotives were developed by barely literate Geordies
The current government is simply investing in a long term plan to reinvigorate industry by reducing the educational standards in the North
Step 1, Poverty
Step 2, Rickets and flat caps
Step 3, Britain becomes once more the industrial workshop of the world
