190 posts • joined 25 Jan 2011
Well, it's a bit more complicated for 111 and 101. Depending where you are in the country (which can be down to which London Borough you are currently in, only a few square miles) the 111 call needs to be routed to a different provider (111 is technically commissioned locally by CCGs for some reason, it's only 'national' in Scotland).
In this case, they activated a (version of) the backup plan, slammed all 111 calls through to the Scottish service, where a recorded message told you (in a scottish accent) to call the national backup number operated by the HSCIC at 0300 020 0155.
Luckily, the 999 system is much more resilient, and (as of this year) Vodafone (the ex Cable and Wireless bit) are no longer providing the Operator Assistance Centres that handle and route the calls.
Re: We can breathe easy then
Believe it or not digitization of records has actually helped auditability. When I worked in a hospital, I could go to the records library and pull any record at any time; all I needed to do was trace it out somewhere. With digital records every time someone looks at a record, an audit trail is recorded. Not just "where the paper record should physically be".
It can be quite hard sometimes to avoid seeing records for someone you know. Chances are you know someone who is diabetic, so if you work in the local diabetes service at some point you are going to be looking at a letter and think "hang about, I recognise this guy". Likewise, if you work in a hospital and are referred in, if you know anyone in the appointments team they are going to be handling your referral. There is not much you can do about this type of "correct" access; locking records down is only done exceptionally (the fact that someone is diabetic is relevant if they see an eye surgeon about a cataract for example). So, everyone from the clerk upwards gets training to act in a professional manner, and you make a silent audit trail of every access and change so that if someone does act incorrectly, you can discipline them for it after the fact; as well as a fine you are almost certainly going to lose your job in cases like this, and if you are a professional, possibly your licence to practice.
But when will someone (especially not IBM) actually let you buy an OpenPOWER system?
One of the points was to make it cheaper to get POWER systems actually into your datacentre, especially on a large scale. There is still no announcement about actually getting some lower cost POWER boxes from anyone.
I can see why you would simply patch the VM
When the alternative (switching to PV) involves reinstalling and reconfiguring the guest OSs, loses you access to the CPUs virtualisation acceleration circuitry and stops you being able to use Windows.
But I thought Xen had live migration (like vMotion)? If so why is everyone terminating their guest OSs?
Yeah. It's gonna be pricy.
If you were going to spec a brand new database system tomorrow it's quite hard to justify Oracle (or IBM for that matter) with their pricing.
Not impossible mind, but if they keep it up it may well be unless you are in the Fortune 100.
Not a bad idea actually
I've noticed the same thing; rediculous RAM usage on desktop systems and have had another look at Firefox as a result.
Firefox seems to have improved from a few years ago, and most of the same add ons as in Chrome seem to be readily avaliable as well if you are after them.
In terms of this article though, Mozilla currently only release a 64 bit version on Linux, though someone has forked Windoes Firefox and compiled it for 64 bit, with pretty decent results (as long as you are using an Intel processor) https://www.waterfoxproject.org/.
Yup. And then go use someone like TNT Post or one of the other 11 large postal operators, now that we live with a fully deregulated postal market.
If you are too small for you to be worth their while, Hybrid Mail and couriers like CollectPlus and MyHermes for the parcels are worth looking into.
And if you go for something like EnterpriseDB's version of PostGres, you really do get the large clustering performance and the like. If you don't get Oracle's education or non-profit discounts it can blow them out of the water on overall price.
" "Red" data, which is for front line emergency care (i.e. if you're having a major op in a Bupa hospital or something)."
Bupa will not get a damn thing that falls under "Red" data, even if you go into cardiac arrest in one of their hospitals; care.data is not for front line care at all.
Read http://www.england.nhs.uk/2014/01/15/geraint-lewis/ or ring 0300 456 3531 and ask specific questions (like "will the police get my data"; wait for the stunned silence when they can't quite decide if you are being serious or not).
Of course you can get a free one and then change broadband providers; you just have to remember that pesky minimum term contract termination fee for your broadband...
Re: Junk Mail
This is where it gets difficult; many providers of NHS care are in fact private companies, or the NHS uses private companies or charities to perform research; Dr Foster are a great example of this.
You can stop information leaving the Health and Social Care Information Centre, which is closest to what you mean. This means that information related to you or your care should not get passed outside the organisation responsible for NHS statistics and information; regardless of whether it goes to an NHS organisation or not. You do this by asking for the following code to be placed on your record at your GP:
‘Dissent from disclosure of personal conﬁdential data by Health and Social Care Information Centre’.
code: Read v2: 9Nu4 or CTV3: XaaVL depending on which system your GP uses.
As I mentioned above, if you want to stop yourself being included in hospital returns (which are nothing new) you also need to ask the relevant NHS Trust(s) or other relevant provider to exclude you as necessary.
In your case, you should probably read the detail at http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Documents/Patient%20FAQs%202014.pdf.
Re: How about
To opt out of the GP Extraction Service (GPES) you ask your surgery to put the opt out code on your medical record. When GPES comes across a record with that code it skips it and nothing gets pulled out in the first place.
Hospitals (broadly all NHS providers who are not your GP) have been submitting information to this systems forerunner (The Hospital Episode Statistics) for 25 years or so; this is where stats in the news about death rates and waiting times come from. If you want to stop a hospital including you in their returns you need to contact them; the medico-legal department or Customer Care team are a good place to try.
If you are having difficulty ring the helpline on 0300 456 3531.
You find this in a heck of a lot of contracts with suppliers to the NHS. Everything is measured in 'working days' or 'business days', so nothing happens at all over weekends, bank holidays, Christmas etc. Even the emergency response times measured in hours seem to stop on a Friday evening.
Official response also made on, err, Reddit:
Re: Do I see a potential glut of Debian devs in future?
Becoming a full Debian member is hard. The full details are at https://wiki.debian.org/DebianDeveloper, but include (amongst other things) a test of if your philosophical views on free software are up to scratch and compatible with theirs, sponsorship by a current member, agreeing to a social contract, at least six months of significant contributions, and a ton of free time to jump though hoops.
There is a reason that Debian Developers are a bit cliquey.
Have a read of http://www.moneysavingexpert.com/phones/directory-enquiries-free.
118 390 costs 33p per call.
0800 118 3733 is a free version run by the 118 188 people
195 is still totally free if you have a disability or can't use the phone book
If you have a really old mobile phone, wap.thephonebook.com is still running!
Re: The whole industry is ripe for investigation
If you really want some sort of surgical refractive visions correction, whether that be from a laser or from swapping your lens out with a plastic one (see warnings above) then at the very least look at the private wings of NHS eye hospitals - they tend to be more 'open' about what they are doing and why, and have a much greater level of Clinical Governance overseeing everything.
Re: More details
Not quite... see http://www.hscic.gov.uk/media/12604/Diabetic-Retinopathy-Screening---Customer-Requirement-Summary/pdf/GP2DRS_-_Customer_Requirement_Summary_-_August_2013_(NIC-154590-YG6QH).pdf for the full details of the Diabetic Eye Screening extraction though GPES (part of care.data); specifically you want Appendix C onwards (page 28) for details of all the consent read codes and data extracted.
If you are interested in the specific Information Governance, Confidentiality and Consent details for the specific example, they can be found at http://www.hscic.gov.uk/media/12606/Diabetic-Retinopathy-Screening---Information-Governance-Assessment/pdf/GP2DRS_-_HSCIC_Information_Governance_Assessment_-_August_2013_(NIC-154590-YG6QH).pdf (but note that it is 12 pages long...)
To be perfectly clear to people who know the specifics, the Diabetic Eye Screening programme is a non-mandatory request made under section 255, so opt out is possible if a GP practice records certain opt-out codes.
To be honest, one of the biggest issues with opt-out that no-one seems to have noticed is that if anyone changes GP surgeries, they may have to opt-out all over again, as even today the automated transfer of records through the GP2GP (part of the old NPfIT) does not cover anywhere near all GP re-registrations - many still require posting printouts around the country. Whilst a dissent code should hold across GP registrations, there are a number of cases where this may not happen and the patient would have no idea.
If anyone is interested, the official details are at http://www.nhs.uk/caredata with a copy of the leaflet at http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Documents/NHS_Door_drop_26-11-13.pdf.
Details specifically about confidentiality are at http://www.hscic.gov.uk/patientconf.
Or you can ring 0300 456 3531.
Watch out though as if the GP puts all the opt-out read codes on your record some NHS services may start to miss you, like screening programmes, as some are moving to identifying which patients they should be screening though this system. (As an example, the Diabetic Eye Screening programme only screens Diabetics, so needs to know if you have a diabetes code on your record, and if so, your demographic details so they can send you an invitation. If you refuse to let this data make it to them you may miss out on screening - see http://www.hscic.gov.uk/article/3514/Diabetic-retinopathy).
Re: BeiDou needed?
Also, BeiDou is fully operational over Chinese soil, all they are doing now is expanding it to cover the rest of the world all the time.
I would actually like to know more
Whilst everyone else is going mental about how useless NATS are, I would honestly like to know about what happened, why, what systems are in place to deal with things like this and what changes will be made. Incident response on large critical systems like this always makes for a very interesting case study to improve your own professional practice.
On somewhat of a side note from the article...
Creating a custom word processor for specialist tasks (as mentioned in the article) is easier than you think.
One of the best examples, created in house cheaply, is ALMA (Automated Letter Management) from Lancashire Teaching Hospitals NHS Foundation Trust. It manages all the clinical correspondence from the doctors, even automatically injecting them into the right part of the electronic notes, and has an additional spell checker covering medical terminology.
Take a look at http://alma.io/ for an example of IT Done Right for Once.
Re: Enterprise drives are NOT designed to be more reliable
With a better warranty and returns process as well. Also, you are going to struggle finding many consumer SAS drives if you want something that isn't going to flood crap onto your your control plane when it dies, taking your NAS / SAN node down with it (as the SATA protocol is designed to do).
FYI the link to Action Fraud is wrong, it should be http://www.actionfraud.police.uk/. It's run by the City of London Police who have overall responsibility for fraud and internet crime and pass (mostly statistics) on to people like the National Fraud Intelligence Bureau, other police forces, the NCA and the National Intelligence Machinery. Action Fraud are worth contacting if you have been the victim of any fraud, even if it's just someone making an unauthorised charge on your credit card.
OpenVZ is another container style solution to have a look at if you have time to read a few wikipedia articles.
Re: I want to play with VMs
And a Hyper-V is built into Windows 8 Pro if you have it: http://windows.microsoft.com/en-gb/windows-8/hyper-v-run-virtual-machines. If you want some free basic certifications take a look at http://www.microsoft.com/click/services/Redirect2.ashx?CR_CC=200331171 (if you get it done soon you can take the in person exam for free) or http://www.joshodgers.com/2013/10/06/vmware-certified-associate-data-center-virtualization-cloud-and-workforce-mobility/ for VMWare.
Re: How else is the NHS supposed to do this?
Again, to use an example from the article. In Farnham Virgin Healthcare are the provider of Diabetic Eye Screening. In East Anglia it's Health Intelligence ltd.. Oh dear, it looks like private companies may already be getting some data. Likewise, companies like Ramsey Healthcare (own lots of private hospitals) and Specsavers (hearing aids and glasses) do a lot of NHS work.
If the issue is private company involvement in the NHS, it should be taken up as the issue of private companies being allowed to bid for NHS contracts, not used as a complaint to dismantle any kind of data transfer or data sharing programmes.
How else is the NHS supposed to do this?
It should be pointed out that a lot of 'data sharing' has gone on for many years within the NHS, and is required for it to function.
A couple of examples:
Diabetic Eye Screening. This is referenced in the article. For any screening programme to function it has to know who they should be screening, and where they live so they can send a letter out telling the patient to turn up. Currently that means every GP in the country posting or faxing a form to their local screening programme every time they get a new diabetic patient, the patient moves house, changes their name, dies etc. This is ridiculous, how exactly would anyone suggest that this information gets from the GP to the screening programme if not through automated data transfer? Shall we stick with the faxing of handwritten forms?
The HES, or Hospital Episode Statistics. Hospitals are paid based on their results from treating patients. For example, if a patient is discharged following surgery, and is then readmitted within 28 days, it is assumed that the discharging hospital sent them home too early. The hospital that performed the surgery and discharged them has to pay for the new admission, even if the patient is admitted to another hospital. How exactly is anyone supposed to notice that a patient is readmitted soon after discharge so the first hospital can be penalised without automated data transfer? If we stop this, hospitals can go back to discharging patients too early without worrying about losing money, or it being noticed by the regulator. People will only start to notice when many patients die. The data has to be recorded and checked to keep hospital managers honest.
Just two examples there of problems that cannot be solved by going back to paper records locked in filing cabinets. Does anyone have any idea how to solve them without any sort of data sharing?
Re: Flash on Android
And Flash was never very well supported on Android anyway - I think it was only ARMv7 chips that they bothered to compile it for.
Re: Two things to consider
You normally get another file everywhere called <FILENAME> (PC NAME'S CONFLICTED COPY YYYY-MM-DD HH-MM-SS).extension or something similar.
Unfortunately, it's not technically possible without a lot of faff. You can 'spoof' the CLID with little effort, or simply provide no CLID for a start, so blocking based on a CLID beginning with 00 is no real use. Likewise with modern IP based systems many domestic calls may well be routed through a cable that is outside of the UK's borders, so basing it in what route a call comes from is useless.
Re: Hmmm, no website
Yup. I am in the North West near Manchester, Liverpool and Blackpool (if you are desperate) airports. Travelling BA or one of the other big boys quite often means either getting to a London airport by public transport, or a connecting flight somewhere (even if it is just Manchester to Heathrow), so I end up travelling with whoever is cheap and will get me there is a reasonable time from home. Farting around getting to Gatwick, Luton (or even Heathrow) by train from north of London will take most of a day.
This means when going to Canada I can only fly Air Transat, as they are the only airline that offers direct flights from non London airports to Canada; everyone else takes 14 hours to get me to Toronto.
Well, lets see what Oracle's cloud prices turn out to be compared to everyone else under the sun. Unless they are offering something special I don't see many people jumping to their IaaS at standard Oracle prices.
Re: How to make a big company pay their debts on time
A follow on from above. The Late Payment of Commercial Debts (Interest) Act 1998, Late Payment of Commercial Debts Regulations 2002 (SI 2002 No 1674) and now the Late Payment of Commercial Debts Regulations 2013 means you can apply interest and penalty payments for late payments, regardless of what you have written in your contract (you cannot 'agree' that these laws do not apply to you).
These laws mean (amongst other things) you can charge interest at 8% over base rate and an additional fixed penalty charge of £40, £70 or £100 (depending on the size of the debt) as well as the 8% over base rate of interest. Note that these laws specifically apply to business to business contracts.
Go read the information here as well. Even if you don't use it, you should know about it to at least protect yourself from other people using it on you if you pay late.
Re: Magnetic Tape vs Magentic Platter
Or, more to the point, how much would this solution cost compared to doing the same thing with LTO-6? Even if you need more tapes and drives, if Oracle go crazy with the pricing it might not be worth it.
Re: All day and then some for backup
Also, 68 exabytes in one library? Why would you? You are not going to be able to restore most of that in any reasonable time, and if the room sets on fire you've just lost 68 exabytes in one go.
But my word, 8.5 terabytes on one drive in one night is pretty good going.
Re: Bandwidth != LAtency
I wonder if the compiler / kernel will be able to attempt to 'intelligently' allocate or shift threads to cores where the other threads that need to 'talk' to the first one are a small number of hops away.
i.e. thread A keeps shoving stuff at thread B, so move A to a core one hop from B.
Whilst very complicated, I wonder if it would be worth the effort.
Has anyone done any Serious Work with Google's new cloud offerings? I would love to know if Google Compute Engine is generally 'better' / easier / more reliable etc than AWS (excluding the higher cost) now that they have both bedded in a bit.
Re: One region? What's the big deal?
One of the issues with EBS in certain failures is that the breaking doesn't always work. Sometimes you just get a 100x slowdown one disk, without any 'breaking', until you detect and route around the slowdown. Other times Amazon reports that a disk transaction has been committed, but if you try and read it back you get corrupted data every time you try; indicating a corrupted write in the first place (this is rare, but anyone who has spent much time with any hefty EBS instances will have seen this). So you can end up with corrupted data on both master and slave copies before any of Amazon's stuff actually reports that anything might be wrong, whilst what you have left runs like a drain.
This does not make reliability engineering very easy.
Basically, it's not that EBS fails (you should plan for that as has been mentioned) it's that it sometimes fails in completely unexpected ways that go against the documentation on how it should fail, and you don't necessarily notice that it's gone off on an acid trip until it is too late.
It also doesn't help when multiple availability zones break at the same time, or when the failover takes forever because everyone else is failing over with you.
I should point out that I haven't touched AWS recently, so Amazon may have miraculously fixed all of this, and this latest issue is some unrelated problem.
Any one with more up to date knowledge of AWS care to weigh in?
Re: This is just getting ....
Follow the procedure at https://www.gov.uk/government/organisations/department-for-work-pensions/about/complaints-procedure or http://www.hmrc.gov.uk/complaints-appeals/how-to-complain/index.htm in writing. Keep escalating along that procedure, keep to the timescales.
The squeakiest wheel gets the grease
You can FOI the Post Office - it's a public corporation. See http://www.postoffice.co.uk/our-publication-scheme and https://www.whatdotheyknow.com/body/post_office
Could be interesting.
This, with the new 12c database and the Sparc cluster announced last week do look like a very interesting proposition, both from a business and sysadmin perspective.
But I dread to think what the price would be; I have a feeling that Oracle won't want to offer big discounts even if you buy all three with 'premier' support.
Speaking of Oracle support, I understand that the support offered by the Oracle compatible EnterpriseDB version of PostGres is a breath of fresh air; they actually do something to help.
Re: GreyWolf AC: This wasn't a hardware flaw. This wasn't a mainframe flaw.
There is a fair point about whether a full rip and replace would have been warranted.
Whilst there does come a point at which a system becomes so unwieldy the only option is to bin it, RBS do not feel that the time has come to put themselves through that pain.
Anybody think that moving to SAP would be a better bet for RBS? It seems more like simply swapping to a different kind of masochism to me...
Re: Blame us customers.
Yup! Though some up-start vendors are at least beginning to tackle this. Nexenta are a pretty good example - although they are the software people, they have a list of people who sell fully 'certified' solutions where you have one number to ring for support and a very detailed 26 page list of supported hardware components if you want to do it yourself.
Even with that though there is still a way to go generally in the market before most people would be willing to actually buy one. Would you trust your storage to one of these?
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