Archive for the ‘NHS’ Category

Ink colour on forms

Sunday, May 19th, 2013

“This is a hangover from a previous era. When most photocopiers used selenium photoconductor drums, there was a big problem with blue light discharging the drum, resulting in it not copying well.

This was resolved in the early 1980s by the adoption of either CdS drums or other photoconductors. Even those that continued to use selenium got around the problem by adding 5% tellurium and 10ppm chlorine to the coatings. These days, the only reason a photocopier should fail to copy blue writing is if there is a fault with it.”

From my clever colleague with special knowledge of this subject, Prit Buttar.

From me: if you want indelible ink, it is still India Ink, which is not easy stuff, and not usually found in black pens particularly ball points. If you want a form in monochrome (losing the information of colour) then photocopy it on one of the remaining copy machines that doesn’t print colours as colours. If you want it legible, computable, and available for mechanical checking and fault-free sharing, obviously print it off a suitable computer program.

In case your Trust has lost this …

Tuesday, April 16th, 2013

in the 15 years or so since it was published…

The guidance saying hospitals should build sick notage into their discharge procedures is now in the National archive.

I’m wondering if the vanished PCT stuff will find its way there, or if a veil will be drawn across that.

Moving to pictures of pieces of paper

Saturday, March 23rd, 2013

Jeremy Hunt said[1]:

“The NHS cannot be the last man standing as the rest of the economy embraces the technology revolution.”

It has trailed, except in General Practice, for decades, and the trailing part is that which has acquired control over the process and has for 2 decades been reeling back general practice. I suspect it actually can go on doing that.

“It is crazy that paramedics cannot access a full medical history of someone they are picking up in an emergency ”

It would be more crazy for them to sit there reading the full medical history, probably as pictures of letters and big Word for Windows files, while the patient bled out or expired from heart failure.
(A function mandated in all healthcare computer systems to answer the question =EmergencyMedicalSummary(PatId) might be more useful.)

“– and that GPs and hospitals still struggle to share digital records. ”
Actually, they don’t.
On the few occasions when the local hospital has wanted to share something it has had not difficulty and neither have I. More commonly though the hospitals want to avoid sharing, and if they want anything they want to ensure that people copy type from one computer system into the one they control, not share. Struggling implies the problems are technical and they are not technical.

[1] http://www.dh.gov.uk/health/2013/01/paperless/
(Which has something odd that allows a view of the page to appear, and then blanks it while sending messages to another web-server. Irritating. It also breaks the back arrow model of web navigation, which as everyone knows is the key function there. Not a good sign.

Pockets. Likely to be filled in a new NHS

Tuesday, March 19th, 2013

“Much of the NHS produces great care, some is average and small pockets are scandalously bad. Why? Because bad news is still brutally suppressed for political or corporate gain.” http://drphilhammond.com/blog/category/private-eye/

How did NICE arrive at the HT guidance they gave?

Sunday, March 10th, 2013

NICE HT guidance replaced by http://guidance.nice.org.uk/CG127 in 2011

and

http://www.bmj.com/content/344/bmj.d8218?sso= which makes much sense leave the question of on what basis NICE came to the conclusions in their advice to be answered.

Meanwhile, in other news, an actual trial of the Mediterranean diet did not prevent cardiovascular disease. http://www.nejm.org/doi/full/10.1056/NEJMoa1200303?query=featured_home&#t=articleDiscussion

Clowns

Thursday, February 28th, 2013

From their website

“Important communication regarding the FP 2013 allocation process

Published: 26/02/2013

We regret to inform FP2013 applicants that the Medical Schools Council (MSC) has brought to the attention of the UK Foundation Programme Office (UKFPO) a potential error in the scanning process of the Situational Judgement Test answer sheets that may have affected the scores for some applicants.

Due to the nature of the potential issue, the UKFPO has made the decision to manually remark all the affected answer sheets. It is possible that some SJT scores will be increased as a consequence of the manual check, and if this is the case, the UKFPO may have to re-run the allocation algorithm.

Please be assured that the decision to re-run the algorithm will not be taken lightly, but if any discrepancy in scores is detected, then it will be the fairest and most transparent way of ensuring that any applicants who received a lower mark because of this error are awarded the marks they deserve.

All those who sat the SJT received their results at 9am on the 25th of February. The outcome of the allocation to UoA may now be subject to change.

The UKFPO and MSC do not underestimate the anxiety that this may cause, and are working collaboratively to resolve this issue as quickly as possible. The UKFPO will keep those involved in the application process well informed throughout this procedure, and it is hoped that if the allocation algorithm needs to be re-run, applicants will be notified of the outcome by the end of next week at the latest.

The machine-marked SJT is a well-established method of assessment and it does not affect the validity or reliability of the assessment. The UKFPO would also like to inform all concerned that this issue has been caused by an off-line process and not by the Foundation Programme Application System (FPAS).

This is the first round of an important project to improve selection to the Foundation Programme and the UKFPO and MSC are taking the lessons learned from this incident extremely seriously to make the process stronger in the future.

An NHS problem and solution

Tuesday, February 12th, 2013

“The Hinchingbrooke secret was to trust doctors, not bureaucrats. It ditched the corporate management culture which so bugs medical staff elsewhere in the NHS. A tier of managers was removed and clinical staff were put at the heart of running the hospital. They were made a majority on the board, and the hospital’s operations divided into 12 clinically led units. Nurses talked about being better valued and being taken seriously when they made suggestions. The Hinchingbrooke experience shows that excessive management has been the biggest ailment afflicting the NHS.” http://www.spectator.co.uk/features/8840311/sickness-in-the-health-service/

Not wrong.

Incentivised to ignore problems

Thursday, February 7th, 2013

“We have regulators, commissioners, health authorities, oversight committees and a host of other interested parties. But if you ask where in this panoply is there someone who can reliable recognise quality and its opposite, or where, in all the myriad information published about NHS services, there is anyone making a credible assessment about whether a service is superb, just about up to scratch, or simply no good; the answer is nowhere.”

http://www.telegraph.co.uk/health/healthnews/9848414/The-frightening-truth-NHS-managers-are-incentivised-to-ignore-problems.html

I suspect they are punished for noticing them as well.

Prefatory to Francis: good hospitals are run by doctors.

Tuesday, February 5th, 2013

“In 2011 Dr Amanda Goodall from the Cass Business School published, in the journal Social Science & Medicine, her findings of a strong positive association between the ranked quality of a hospital and whether the CEO was a physician. This paper at long last nails the myth that doctors do not make good managers. Medical and other health professionals should urgently be restored to the highest levels in hospital management if the problems to be revealed by Robert Francis, QC, are to be dealt with in a radical manner.
Sir Miles Irving ”
http://www.thetimes.co.uk/tto/opinion/letters/article3677766.ece via a colleague on DNUK

The TImes, behind its paywall, also has an article by Tallis
http://www.thetimes.co.uk/tto/opinion/columnists/article3677878.ece

CCG:Lewisham:Tattersall:dud

Monday, January 21st, 2013

http://m.guardian.co.uk/commentisfree/2013/jan/21/gps-sham-ccgs-local-commissioning nicely put.

In Devon though the enthusiasm of the GPs for the structures and aims of the next 5 year plan is total.