I wish Apple had a form on their website where we could enter our healthcare providers customer support email, maybe include our patient ID at our provider, and it would send a request that they integrate with Apple. Apple could include the department to contact within Apple, and our Patient ID for those of us willing to share.
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Apple Brings Health Records on iPhone to the UK and Canada
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Listing specific hospitals that would participate seems a little odd for Canada. In my province the government already has centralized records (Netcare) that any doctor/hospital/etc. can fully access. Individual citizens are starting to be able to gain limited access to some of that information as well through a different – but connected – system. I could see the province extending the latter system to integrate with Apple, but it seems odd for a hospital to give you direct access to records. But maybe this just means the hospital is just giving you some limited access on details for treatments or services that were specifically performed at that one hospital.
Take my comment with a grain of salt when it comes to all of Canada as each province sort of has its own approach to health boards, who runs hospitals or clinics, record keeping, etc.
Take my comment with a grain of salt when it comes to all of Canada as each province sort of has its own approach to health boards, who runs hospitals or clinics, record keeping, etc.
Good start but as with everything to do with the NHS, the whole thing will be fragmented and for many trusts will take many years to implement if at all.
I’m shocked they didn’t go down the route of adding EMIS directly. They power something like 75% of GP surgeries (where most medical records are held anyway).
Would have been a quick win. Then anyone who uses patient access could get all their test results/consultations/documents on the phone (pro tip; get your surgery to enable documents view to see all documents scanned on their system about you).
I know hospitals have separate systems, but that’s the pain point you’d have to add each trust one by one and then that wouldn’t include GP data for most places.
Doing EMIS would give most UK GP Records in one swoop!
Would have been a quick win. Then anyone who uses patient access could get all their test results/consultations/documents on the phone (pro tip; get your surgery to enable documents view to see all documents scanned on their system about you).
I know hospitals have separate systems, but that’s the pain point you’d have to add each trust one by one and then that wouldn’t include GP data for most places.
Doing EMIS would give most UK GP Records in one swoop!
EMIS is a major player in Wales as well as England. (I simply do not know about Scotland and Northern Ireland.)
I don't know If I misunderstand you , but in England for decades GP practices have operated as private partnerships. I've been with a GP practice in North London for 44 years and they've always been a partnership, though nowadays many GP doctors don't wish to take on the onerous roles of being a partner so become paid staff.
The local health boards have on occasion in England have had to step in and have a 'non private' GP practice usually when there is not enough cover for example in deprived areas. Who knows, practices owned by Doctors may have been part of Aneurin Bevan's original plan to 'stuff their mouths with gold' policy to get the doctors on board the NHS in the 1940s.
As for my views on devolution, from here in London the devolved Scottish government is making better fist of it than our shambles. Please take that 'door' Matt Hancock & Typhoid Dido. All the best
There is no centralised system. Some hospital data flows to NHS Digital, there were plans for GP data to do the same (care.data) which caused an outcry. Data from various other providers, e.g physiotherapists, opticians, pharmicists flow to local parts of the NHS but not centrally. In terms of linking this is what your NHS Number is for. NINO is not used at all.
Where does the money go? Paying over a million staff isn’t cheap and is probably the largest single component. Buildings, drugs, research, IT, food, equipment, admin (lower than comparable systems), vehicle maintenance, data analysis and probably a lot more I can’t think of.
Just because you don’t comprehend the scale of things doesn’t mean the money is all wasted. This isn’t a dig at you, it is normal to not understand large systems, but don’t take your information from sources like the Daily Mail or The Express.
Yes there are inefficiencies such as in procurement not being allowed to just buy from a local vendor at a much lower price, but overall it is not that wasteful.
If you wonder where billions go now just wait until we have privatised systems and it is costing much much more for far far less.
While yours is a very balanced and sensible response, there are also some areas where costs are out of control.
One medicine - ten years ago, was £12 for 28 tablets.
The sole supplier to the NHS de-branded it, thereby escaping price controls, and raised price to about £268.
Two other suppliers have now joined in and the price has dropped to about £120. Still ten times the cost it used to be.
At the same time, the retail cost for a high quality product in Germany is around £30 for 100 tablets. And that price has been stable for years. And the Greek and Turkish products are less than two euros.
But the NHS has not made savings by purchasing from Germany.
Cost cutting on this medicine has been achieved by refusing it to many who desperately need it. Not by procuring at a lower cost. With consequences such as extra treatments, usually inappropriate, being needed for the patients who are suffering.
That’s a rather sweeping assumption on what papers I read. Actually I have a very good understanding of how large corporations work and an insight into the nhs. And as I said it is incredibly inefficient and wasteful. It has become so big in it’s metamorphosis into the world’s local doctor surgery that it has become a sprawling and wasteful service.
Sounds like it's the same in England too then, I wasn't sure what the model was down south.
I can say this though, the NHS here is in just as big a mess - the Scottish government couldn't be depended upon to run so much as a bath - our once excellent public services are totally crumbling, with police and education the worst affected.
Before I retired as an an eHealth Programme Manager in NHS Lothian we had successfully linked all hospitals and GP surgeries to Intersystems Trak and we had a full cradle to grave record accessible to all appropriate healthcare professionals in real time. As far as I am aware this has been rolled out to most if not all health boards across Scotland. So it pains me to see soo many ill informed and incorrect posts on here.
Also quite a number of English Trusts have adopted Trak rather successfully. It's a lot more joined up than most on here think.
Also quite a number of English Trusts have adopted Trak rather successfully. It's a lot more joined up than most on here think.
Right, that’s what I meant. NHS number. Why can’t we just see everything with that?
That would be too easy! We've all got to wait for every single one of the 12108081121 NHS entities to all join, around the year 2100. 🙄
That would imply around 418,863 entities a day.
I don't think that is a reasonable target. I couldn't manage that many acronyms a day.
Care.data, NHSX and the 'Queen of Carnage' Dido Harding - this is an organisation run by a woman who's famous for runnning TalkTalk when it got hacked and using the wrong version of Excel and 'loosing' 16000 Covid deaths.
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I was really disappointed in Health app 1.0. Then Apple seemed to forget about it for a while.
That all has changed. The last two updates have been amazing and changed my life. I have used several software programs over the years to digitize my health records. (Early adopter of the now defunct Microsoft Health and Google health app) This one is the beat by far. Mainly because it is “work-free”. You just link to your health provider and records automatically populate in close to real time. Usually my records will get pushed to the app within a day of doctor vivist.
That all has changed. The last two updates have been amazing and changed my life. I have used several software programs over the years to digitize my health records. (Early adopter of the now defunct Microsoft Health and Google health app) This one is the beat by far. Mainly because it is “work-free”. You just link to your health provider and records automatically populate in close to real time. Usually my records will get pushed to the app within a day of doctor vivist.