The NHS Summarry care record

having seen the way nhs records are stored currently it would be more secure to leave them in a skip
 
+ all my family are out

i heard that the records are being typed up on db in india!

The architecture design, database design and supporting code is done in India. Live support and actual live data entry is still done in the UK.

However, the government has tried to offshore live support and live data in the past, but the move was defeated by the PCS union (I know, what have the unions ever done for us).

I believe the government are looking at the feasibility of off shoring live data again though busting methods at
 
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Does annoy me no end that NHS England seems to be able to do just about anything with records yet they make NHSScotland jump through hoops just to get a basic connection to their internal network.

I work for one of the Scottish health boards, frankly I have no idea why NHS England are doing this, clearly the Caldicott guardians down south are a lot less bothered about leaks than up here.
 
[TW]Fox;16388253 said:
Why would you possibly want to opt out of this service? It is completely secure and requires a smart card, which will ONLY work on certain terminals, and a passcode, in order for a member of staff to access it.

It means wherever you go for treatment, staff can access your records to ensure you receive the best possible care for whatever is wrong with you.

Opting out just seems so utterly pointless and conspiracy theorist like.

Access has already been sold to private companies. It's not a conspiracy - it's not being kept secret.

There's no such thing as a system that is completely secure from data entry to usage, not when it's intended to be accessed remotely from a central location.

The system is not even intended to be limited to medical information for the purposes of treatment - it's intended to be part of a general biological information system including whole DNA sequencing, etc.

There's no conspiracy babble here. Nobody's saying it's being run by the alien illuminati freemasons who killed JFK and faked the moon landing, blah blah blah. There is no conspiracy - the details and the intended scope have been openly stated.
 
Speaking as a medic....

These records would make the world of difference when people come in unconscious in A&E.

When a Patient A arrives unconscious, unless a family member or friend is present, we have no idea what their co-morbidities are, what medications they're on, what their allergies are. All of which are vital to provide optimal care. These records will speed up treatment for the acutely unwell, and provide better continuity of care eg. reducing the chance of important elements of on-going health problems and diseases being missed when patients transfer to different GP practices, different hospitals, admitted to hospitals.

Speaking personally, I can't count the number of times I've spoken to an elderly patient who happens to forget their on inhalers for lung disease or insulin for diabetes. These records would help remove that doubt and provide accurate information.

On the other hand, it might all be part of movement to watch and control the worlds population! :O

edit: this is only my perspective as a medic, I have no idea how secure the data is/ever will be.
 
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edit: this is only my perspective as a medic, I have no idea how secure the data is/ever will be.

And if I thought the data would only be relevant medical information and only accessed by relevant medical personnel for the purposes of treatment, I'd have no problem with it.

But that's not true. So I do have a problem with it. It's not just about security (are there any truly secure government IT systems?) but also about scope, purpose and availability. There's no need for a security breach if access is given or sold.
 
And if I thought the data would only be relevant medical information and only accessed by relevant medical personnel for the purposes of treatment, I'd have no problem with it.

But that's not true. So I do have a problem with it. It's not just about security (are there any truly secure government IT systems?) but also about scope, purpose and availability. There's no need for a security breach if access is given or sold.

I completely understand. I guess it'll boil down to whether you trust their data handling, and on the balance of things if you think the benefits of better care out weigh the risk of your data being safe/kept confidential.
 
I honestly wouldn't have an issue with it if it was only to make the lives of the NHS staff and to benifit treatment/minimising mistakes due to lack of records. Yet bupa/police having unrestricted access to it I have decided to opt out.

Last thing I want is targeted ads due to my medical history.
 
When a Patient A arrives unconscious, unless a family member or friend is present, we have no idea what their co-morbidities are, what medications they're on, what their allergies are. All of which are vital to provide optimal care.

I'm quite shocked because even here in backwards Stoke On Trent we have a system called CIS/Dashboard which shows all of the above information and then from there I can access online records such as ICM Results, Medisec, IPM, Medical Oncology, Cyberren, iCris, Syngo PACS, EDMS (Electronic Records Document System) and many more so these systems are already in place. Also be aware that not anybody can access the above systems unless they have been given permissions and for example out of 33 people in the department I'm the only person with access to all those systems.

I deal with Medical Records every day and all online records would be a million times better than the hand held patients records that accompany the patient and get easily lost. There is also the timeline problems that I encounter, for instance a current patient I'm working on has 4 sets of hospital notes that reach a height of 14". Because of how hospital staff are rushed it is very common for the latest patients journey to end up in all four volumes - a chart here, an A&E card there, a Nursing Book elsewhere and so on.

Some may ask why patients hand held records go missing - human error mostly.
Staff members track the wrong volume so for example volume 2 could have been tracked as volume 1 for months even though it says volume 1. After 3 years I've actually become quite expert at using our Filefast system to track down where errors were made but it's very time consuming. This story ended up in our local newspaper - http://www.stokesentinel.co.uk/Pati...g-University/story-19986169-detail/story.html

So tin foil hatters, it is my vast experience that putting all your records online would be of 100% benefit to you and I already know how locked down the access is to it.

I'm not even going to mention the difficulties of reading hand held records.
 
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What value does this data have any? What's anyone going to do with the knowledge that you once had herpes?

Opting in because I'm not a conspiracy theorist weirdo.
 
At least this way, maybe they will be able to find your records when they need them. :)
Not sure if you are joking or not, but anyway... Recently i have been having a lot of blood tests as I am currently showing a lower WBC. I wanted my new doctor to check all my previous blood tests that might be on record to see if any of those showed similar results. She couldnt check because there was nothing in my records. I asked about my paper records which i know contains a ton of information on me due to my burn. She didnt have access to any of that. Its all stored off site in some shed somewhere were you have to request it to be delivered which can take up to god knows how long.

Seems only sensible to move all that data into my file so any doctor can access it incase im having issues with my scar.
 
Not sure if you are joking or not, but anyway... Recently i have been having a lot of blood tests as I am currently showing a lower WBC. I wanted my new doctor to check all my previous blood tests that might be on record to see if any of those showed similar results. She couldnt check because there was nothing in my records. I asked about my paper records which i know contains a ton of information on me due to my burn. She didnt have access to any of that. Its all stored off site in some shed somewhere were you have to request it to be delivered which can take up to god knows how long.

Seems only sensible to move all that data into my file so any doctor can access it incase im having issues with my scar.

You have the right to contact your hospitals Ministries Department where you will be able to request your ICM Results which contains all your blood tests. Every patient who has ever had a blood test at our hosptal is on the ICM system going back years and I can't see why your Path Lab is any different.
 
How are the existing records being added to the system? Are they being retyped or just scanned?

On our EDMS system they are scanned in and I don't think an OCR software has been made that can translate Clinicians hand writing.
Your ICM Results would be non handwriting and straight off a computer system.
 
I've opted out. I can opt in whenever I want.

After a number of issues with the council and my bank writing to me to tell how I may be subject to fraud because laptops they were using were stolen I think I'll wait for better security before all my medical details are in one place. Smart cards or no smart cards, encrypted or not, there's going to be some plum out there with it on their laptop.

Not really sure where to start with that. And I usually don't struggle pointing out such stuff!
 
They know enough about my browsing habits some things have to be kept private. I don't believe everything should be monitized. Besides surely it breeched doctor patient confidentiality :confused:
 
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