AreWeThereYet
^The problem with digital technology which is supposed to transform our lives for the better^
... is that it requires skilled IT staff to set it up, and to understand how it will be used and link it all together.
Then it requires trained nursing/admin staff to understand it and use it properly. I think that's the bit where it all falls down - lack of time for training and promoting it's use.
There used to be a saying 'The job isn't finished till the paperwork is done'. I don't think a lot of people realise that putting data in the IT system so that it can be accessed by others is the equivalent of getting the paperwork done.
Sadly I think NHS computerised systems fall under the heading of 'good enough for Government work' as in 'well we've delivered a system, it's not our fault if you didn't provide a good specification and if you want it to work you'll have to pay us more'.
... is that it requires skilled IT staff to set it up, and to understand how it will be used and link it all together.
Then it requires trained nursing/admin staff to understand it and use it properly. I think that's the bit where it all falls down - lack of time for training and promoting it's use.
- and if those two requirements were fulfilled, the glitches / anomalies, etc, experienced by both staff and end-users could be ironed out.
My OH, with complex medical issues, has 6-monthly check-ups for them. Each appointment letter requests he brings an up-to date list of all his regular medications. I duly cut-and-paste from 'SystmOnline Patient Online Service' and print-off the copy.
On two occasions, the NHS lost the list during the appointment - lost as in one person had it but hadn't passed it on to the other medic involved. Both times, the department involved called me and asked me to log-in to my OH's account to reel off the meds he was currently taking (I have POA). For one medic, I had to spell the name of a drug which he'd not heard of - and he asked me why it'd been prescribed.
Wouldn't it waste less time if the patient's GP records were available for the various hospital departments? Or is this a data-protection issue?
On another occasion, a hospital-prescribed drug needed to be taken over by the GP to prescribe. The hospital duly informed the GP, but the GP couldn't locate the request. He called me and asked me to ask the hospital department how they had sent this request - by post, email or some other electronic system. So for a week I was acting as a go-between - between the GP surgery and the hospital department. One would ask a question which I then had to relay to the other, and do the same with the reply.
Then, finally when the GP found the request, I had to ask for the drug specifically from him, and give my rationale for asking for it, via ANIMA. I pointed out that it was a consultant who had prescribed the drug for a specific reason which he had, presumably, explained to the GP. In desperation I called the consultant's secretary and asked her to ask him why he'd prescribed the drug. She told me that he would have already done that and, sensing my (by this time) despair told me not to worry she would get the consultant to call the GP.
I heard nothing. Me, piggy-in-the-middle, was left out of the loop, until the drug just appeared a week later via the local pharmacy delivery system.
Utterly absurd!