Moving to pictures of pieces of paper

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.

Zoe Brennan bitten by Mumsnet over search to smear GPs.

March 21st, 2013

http://www.mumsnet.com/Talk/media_nonmember_requests/1683415-National-Newspaper-seeking-stories-of-children-sent-to-A-E-inappropriately-by-GPs and wholly appropriately. The Daily Mail is a foul rag and reading it will improve neither your health nor happiness.

Pockets. Likely to be filled in a new NHS

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/

Another 10k Photographed.

March 18th, 2013

On Saturday, Photographs of the South Devon 10 running race at Paignton.

Wet.

Parkrun: a mass movement of a useful sort

March 13th, 2013

Guardian article on Parkrun.

and another Guardian article

“The concept is the same as it was in 2004; runners of any ability register online, turn up at their park, and run. An eclectic blend of wheelchair users, children, walkers and runners in fancy dress, with buggies or dogs, are welcome. Sponsors, including Lucozade and Adidas, cover the operational costs, while volunteers (20,000 in 2012) keep the runs in full flow.”

A bit of a big society that works?
“As David Cameron’s big society initiative continues to face mounting criticism, the success of parkrun is perhaps a timely reminder to critics that the values of community and volunteering continue to inspire – if not to jump out of bed on a Saturday morning.”

How did NICE arrive at the HT guidance they gave?

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

A picture of the famous infamous and well-known

March 9th, 2013

An eclectic mix of famous people with links to Wikipedia articles about them. A good way to present this information. And asthetically pleasing.

Humanism and Philosopher

March 8th, 2013

A C Grayling on Humanism in the Grauniad

GP Apostrophe s

March 3rd, 2013

Apostrophe does not mean plural.

One GP.
Several GPs.
One GP’s various interests.
Several GPs’ interests.

Clowns

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.