There's been talk of moving to Snomed CT for at least a year before I retired, but the main computer system (Emis Web) was certainly running on the old Read codes when I looked at it last Tuesday.
107 posts • joined 12 Jun 2007
In 30 years as a GP, I found that the big users of the NHS fell into a number of groups, the elderly being one of the biggest groups. My father (in his 90s) can cope with email, but many of the elderly can't, or don't even have a computer or smartphone. Many of those who do have a mobile phone keep it in the cast in case of vehicle breakdown and don't otherwise turn it on.
Our current health secretary seems obsessed with computers, but hasn't worked out how a GP can use Skype to examine a patient, check a blood pressure, or measure a temperature. In other words, he hasn't a clue about how doctors work. We are all doomed.
As someone who has worked for over 30 years as a GP, let me say that telephone consultations only work for (at best) 50% of consultations. We tried it all.... search on-line for "Doctor First" to see how it might happen. Half of the consultations need an examination, so you lose time on the phone / Skype and then do the normal consultation. Being too available caused consultation figures to rocket ( hello doctor, I've got shampoo in my eyes, what can I do? ) and we lost an experienced GP for 6 months with stress.
Increasing litigation means that no doctor wants to take a risk, so the fail-safe is to examine patients to at least put yourself in a position to make a diagnosis which is defensible in court /coroner's court.
I can only speak for England, but you the taxpayer provide ALL GPs with computers and software. And it's all Windows based. I get no choice over hardware, clinical software or even antivirus. And the electronic booking system is only compatible with Internet Explorer... and not even the most recent versions.
We are all doomed
My (online) bank has never asked for a password change, in about 15 years of use, yet my NHS email account forces a change every 90 days.
Why does changing my password make the email address more secure? Or is it just a ploy to keep IT staff employed doing exciting things like resetting the account, when I get locked out because one copy of Outlook isn't updated quickly enough?
Actually, the NHS owns and pays for every PC in every GP practice, and has done since the contract changed in 2004. If they don't know how many PCs they own and support, well.... I'm not surprised.
And I've been asking about an upgrade from XP since August 2013 - 36 PCs in my practice. That's only £4,500 that the taxpayer is wasting on my practice in this year because the NHS didn't get their fingers out.
1783 days until I can retire
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