NHSbuntu and users with disabilities?
How usable will NHSbuntu be for users who are visually impaired, hearing impaired or have limited use of their hands?
47 posts • joined 20 Jul 2011
How usable will NHSbuntu be for users who are visually impaired, hearing impaired or have limited use of their hands?
A genuinely interesting bit of news on El Reg that wasn't widely reportedly elsewhere. Keep it up!
Fortunately, all electronic health records software used by the NHS is Data Protection Act compliant. We know this because... well, actually we didn't ask but it must be, right?
The fact that software is licensed rather than sold allows software manufacturers to get away with a great deal.
I can't think of any product which can be sold, be found to be flawed in a way that makes it unfit for the purpose for which it was sold and the vendor of which can't be compelled to repair, replace or offer a refund. However, because software is licensed the Consumer Rights Act 2015 and Sale of Goods Act 1979 don't apply.
The NHS has lawyers; I'd like to see them test this against Microsoft in court.
Well, the meerkats in the adverts are White Russians so you might not be far off.
"the government ... should have put laws in place to ensure that all nationally important IT systems are fit for purpose..."
It's broadly covered by the Civil Contingencies Act 2004.
The security versus convenience compromise is usually wrong in the NHS because messages from doctors, nurses, pharmacists etc on the front line are ignored by those who make the implementation decisions.
I worked in one large hospital where management decided to tighten up security and have a whitelist of accessible websites. Unfortunately they didn't include the British National Formulary, TOXBASE etc with predictably hairy results. When they eventually responded to this they overreacted and scrapped far too many security measures with predictably hairy results in the other direction.
Perhaps Theresa May should watch this:
Very little state intervention involved.
I like Manchester, but the harsh truth is that it never found a replacement for its original reason for becoming a city, textiles, and it is slowly dying. Public sector employment will keep it going for a bit longer but there's nothing on the horizon to reverse the decline.
Lewis Page did make the point that ship-to-ship warfare is an obsolescent concept.
How much an NHS Trust spends on permanent IT staff salaries (broken down by job title) and how much it spends on contractors would be a good start.
This is NHS IT. Nothing will happen at all.
"Adam Curtis believed that 200,000 Guardian readers watching BBC 2 could change the world."
Good point. The relevant information needed to by a property is not going to be centralised anytime soon.
...you'd build an Eye of Harmony instead.
He's also offered well-reasoned arguments for more effective oversight of the security services.
"Server down today, try again tomorrow."
"How do you fix a dead server by sharing passwords?"
By trying a different server to which I don't have access because I'm not supposed to need access. I can request a password for that server of course (with the request countersigned by my line manager and my line manager's line manager) which will almost certainly be rejected by someone who won't read / won't believe the reason I give for needing it and with the usual response time of twenty working days.
"For routine medicine you can always wait a couple of seconds, and in most emergency cases you *treat what you see in front of you* not what some computer says."
"A couple of seconds"? More like "Server down today, try again tomorrow." Need to look at an X-ray or some blood tests? Better just "treat what you see in front of you." Do most of the IT boondoggles I deal with increase the risk of death? Probably not. Increased risk of serious harm through delays in correct treatment, plus more pain and distress for the patient? Oh yes.
Indeed. More informative articles like this by Dominic Connor please!
"Anyone who has applied for EU money in science will know that there is a massive political agenda to what they support. E.g.
Requirements for partnership with weak EU based institutions.
Bans on working in certain areas,
Bans on working with certain non-EU institutions even when they are world leaders.
The gross cost of applying often greater than the grant when all the failed bids are added together
The delays are so long that the bid ceases to be relevant
The paperwork for compliance is often a significant part of the projects costs
They don't even pay on time!"
But could those issues be fixed if we had a bespoke agreement (pdf) as the Swiss do? I use the Swiss as an example of the principle of such an agreement, not necessarily the detail.
"so what was his motivation?"
The adulation of Rory Cellan-Jones?
"Because when you fire somebody, you get a new somebody who'll just go and make the same stupid mistake again. The real answer is to remove a non-typing finger (you know the one!!) and turn the debacle into a learning opportunity."
Docking a percentage of the pay of all the individuals responsible (all the way up the corporate heirarchy) would help to concentrate the minds of those who need to learn and save the NHS money. Win/win!
Is this a UK or just a US phenomenon? The press release, sorry, story doesn't make it clear.
Good reference. This is why people who are not chronic alcoholics are dehydrated after drinking alcohol because of reduced retention of water and an osmotic diuresis, whereas chronic alcoholics are not dehydrated but have low sodium because of increased retention of water, decreased sodium intake and increased sodium excretion in urine (in an attempt to increase water excretion to counteract the increased water retention because water follows sodium along the osmotic gradient between blood and urine across cell membranes in the kidney).
El Reg, if there are any changes to IR35 then could you get Dominic Connor's take on it please? His articles on employment practices are always informative.
A PACS monitor is quite a bit more substantial than a normal LCD monitor and so not that difficult to confuse with an all-in-one unit.
The doctor gave you the asset number of the monitor, so why did it take you so long to identify it as such?
Since you wasted 90 minutes while a patient that needed an X-Ray looking at waited, I'm sure you're smart enough to figure out why the doctor didn't say thank you.
My hospital is deploying a Cerner-based electronic documentation and prescription system.
I've read this
and this (and the Deliotte report referred to)
Does anyone have any firsthand experience with Cerner electronic documentation and prescription?
Have we learned anything about why the probe failed that might prevent such a failure in future? If we have then the probe's mission is a partial success. If we have not then the probe's mission is a failure.*
Mars Express orbiter is indeed an undisputed success.
*Edit: I think this post might answer my own question in the negative.
Great article Mr Hunt Very interesting.
I'm going to ask a really boring question though: did the experience you gained through working out there aid your professional development?
I bought a MacBook Pro in March of this year from the Apple Online Store by debit card. No problems.
This morning I when I closed it I caught the power adapter connector (about 4mm deep) between the top left corner of the keyboard and the bottom left corner of the screen. I now have a column of dead and dysfunctional pixels about 3cm wide on the left side of the screen. No external signs of damage.
No insurance unfortunately.
The AppleCare Protection Plan explicitly excludes accidents, I'm either going to have to pay for a new screen (not cheap I'm sure) or argue that the goods were not of satisfactory quality (durability) as the amount of damage sustained by the screen is greater than would be expected from application of such a small amount of force and ask for a repair or replacement under the Sale of Goods Act 1979.
On another forum, others have suggested fibbing and saying it just stopped working out of the blue. Apple might not believe it because it was working fine for six months before this happened and the pattern of dead pixels looks like it might be diagnostic of a certain kind of damage.
Any other suggestions?
Have any TCOs been published for these systems?
"The thinking goes that although plutonium is extremely potent in a weapon, the difficulties and expense in handling, storing and utilizing it make it highly unlikely that anyone who doesn't already have some would be able to build a functional plutonium weapon. Everything about plutonium weapons is several orders of magnitude more expensive and complex than a uranium device."
What about someone who's willing to die for his religion exploding a plutonium-dirty car bomb in the Green Zone in Iraq?
"Then the powers that be changed the rules so if I signed up, my next of kin had no authority to stop doctors choosing to do whatever they wanted."
That's never been true.
"Currently NHS says "healthcare professionals will discuss the matter sensitively with them. They will be encouraged to accept the dead person's wishes and it will be made clear that they do not have the legal right to veto or overrule those wishes".
I'd trust my wife or son to make the decision in difficult circumstances over an NHS professional, however highly paid. This surrendering rights to the state seems all wrong so no organ donation offer from me until my wishes are respected."
That's the point of the card: it's so your previously-expressed wishes come first, ahead of any 'NHS professional'. There's no 'surrendering rights to the state'.
Just out of interest, what sort of 'healthcare professional' are you?
Me too, I bought it for peanuts on eBay out of curiousity. I can see why it failed; it was defeated by the faster, more reliable and more versatile technology of pen and paper.
"ABI Research provided no details on the content and construction of their benchmarks"
Whatever happened to the 'death of the Reg' icon with the tombstone?
Well, the hospital chose an orthopaedic surgeon who doesn't know how to select a printer to print to. No word on how many of the required qualifications he has...
I'm pleased to see I'm not the only one who thought those requirements look a litte daunting. I'm going to watch with interest who my hospital actually ends up employing...
Or nurse or Allied Health Professional (medical physicist, radiographer, pharmacist etc).
I'm a doctor. My hospital recently advertised for a 'Clinical Informatics Officer' whose role is described thus:
"The overall purpose of Informatics and the Clinical Informatics Officer supported by the Chief Clinical Informatics officer has been defined as to: Enable promote and support the effective use of data, information, knowledge and technology to support and improve health and health-care delivery. The role of Informatics, therefore, is to ensure an organisation has the required cost-effective systems, information and technology services to provide excellent clinical care to its patients, in conjunction with its stakeholders throughout the wider health community."
The job is half a day a week and intended for an otherwise full-time doctor/nurse/allied health professional.
I played around with computers a little in school but I haven't looked 'under the hood' since my Acorn RiscPC expired in 1997. Currently I intereract with computers almost entirely as a user, setting up my parents' Windows 8 box recently notwithstanding.
I very much want to improve IT in my hospital and I think I have pretty clear ideas about where the problems are for end users.
However, I know very little about some of the qualifications asked for in the person specification and how useful they would be in real life:
"Masters level degree in either informatics, business analysis or process reengineering, or equivalent (or relevant experience)
Management and/or leadership qualification at QCF level 5 or equivalent (or relevant experience)
BCS Chartered IT Professional (or equivalent)
PRINCE2 Practitioner (or equivalent project management methodology)
Master's degree in risk, governance and patient safety (or equivalent)
Fellow of BCS"
I'm willing to study something that will be useful but I already have more letters after my name than in it so I'm not keen to do more exams just for the heck if it. Are any of the above qualifications actually useful for an informatics officer?
This sort of thing is great for a bit of pre-pub reading on a Friday afternoon, but isn't there anything more newsworthy on a Monday? What's going on with that Russian Mars probe?
I thought El Reg only used to run stuff like this on Fridays?
Firefox hasn't had a memory model that makes best use of memory by using as much as is available - it's just had a problem with memory leaks, among other things. That's only 'adaptable' in the sense that it will eventually waste all your memory, no matter how much you have.
All they need to do now is merge with the Access Linux Platform and then they'll be ready to take on WebOS!
I see what you did there.
It's a truism that the tech industry is littered with companies that made a great product or products but then lost their way. Palm, Nokia, RIM and Acorn all spring to mind and there are many, many more. One common feature is that there was a usually a long delay between the company losing its mojo and this being reflected in the company's financials.
Apple has a lot of momentum.
Media organisations use information obtained illegally all the time - one example is payments to police officers for leads - but publishing information obviously obtained illegally without a public interest defence is asking to be prosecuted. Since LulzSec ( = CluLesz) have publically announced that they've obtained the information illegally, very few media organisations will want to publish that information and so declare themselves accomplices to a crime.
Jason Bloomberg - "In the 'court of public opinion' it works the other way round; people will believe what they read if predisposed to believing it leaving Murdoch & Co forced to prove it's not true or admit it is - with silence being taken as evidence of guilt. Poetic justice perhaps; live by the sword, die by the sword."
scarshapedstar - "Jury, schmury - if there's anyone on earth who deserves a trial by media, it's Rupert Murdoch. The more incriminating emails reach public eyes, the more they have to claim that it's all one big hacker prank - which is a hard sell with David Hoare mould'ring in the grave, bribed cops resigning en masse, Brooks behind bars, and the better part of a billion dollars paid over the years to settle disputes related to NI hacking jobs."
And the resultant publicity will make it very easy for News International's lawyers to argue that any chance of a fair trial by jury has been prejudiced, allowing Murdoch, Brooks, Coulson et al to get off scot free.
LulzSec = CluLesz
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