NHS Cautiously Proceeds with Patient Records

It's been announced that Lord Warner has decided that the NHS should press on with the National Care Record System- albeit in a watered down 'summary' format and with the ability to opt-out and keep your data local.

I welcome the news. Well, I welcome the progress bit within the news. We're out of the gate. Personally, I'm happy for the brakes to be taken off the technology but the media suggests that the public thinks differently. This announcement leaves the path open to eventually extend the summary records into being more detailed and provides the opportunity for people to see the benefits. I want all of my medical records on line NOW and I want to contribute to it. It's my information and I feel that future clinicians I have the misfortune to need the services of will be able to serve me better if they have more information. The further away I am from my friends and relatives at home when I need that help, the more I want the information available to clinicians with my life in their hands.

Security? It's doable. What's more, do you know what they're doing now? When were you last asked for your consent? Believe me, technology will be better- it can be explicit. The problem with health care is that moral dilemmas are always a short step away which can bring progress to a stiffling halt. Am I the only person who wants to live longer and healthier?

And in case anyone asks... GPs do not represent me. The media keeps giving the GPs' opinion as if it is surrogate for the public. Not so. Ask me.

Tags: technology, health care, healthcare, IT, healthcare IT, health care IT, information technology, EMR, Electronic Medical Record, EHR, Electronic Health Record, NCRS, National care Record System, NHS, National Health Service, CfH, Connecting for Health, NPfIT, National Programme for IT

Adobe Acrobat 1: Information Governance 0

I was looking for a piece of information earlier today and stumbled across a PDF document online courtesy of Google. It turns out that the document is a 'leaked' "Commercially in Confidence" report of the National Audit Office on the NHS's National Programme for IT. The copy I was looking at was on the BBC website. There are some things in the report which would come as no surprise for most professionals, but obviously the press picked up on them and had a field day. What is really interesting though is that either the source or the BBC chose to black out some of the text which they deemed particularly sensitive. Therefore you can't read it in the PDF...

...or can you?

Of course you can. You simply select the blacked out text and cut and paste it into another application. Hey presto, you can read it as plain as day.

It makes for interesting reading, but my point is that office applications are so feature rich these days that users often lose out in the security stakes to them. "Track changes" in Microsoft Word is also a great example. The contracts I, or my colleagues, have been sent where you can recollect the internal discussions and tactics of the opposite parties, never cease to surprise me.

Tags: Acrobat, Adobe, CfH, Connecting for health, NPfIT, National Programme for IT, commercially in confidence, information governance, Microsoft, Word, healthcare, Healthcare IT, NHS, health care, NAO, National Audit Office, security