We still use fax. A lot. /1https://www.telegraph.co.uk/news/2018/07/11/nhs-worlds-biggest-fax-machine-buyer-due-stubborn-resistance/ …
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Except in trusts where they cleverly THREW AWAY ALL THE FAX MACHINES. Genius. Unless you need to RECEIVE a fax.
/2https://www.digitalhealth.net/2018/12/nhs-banned-from-buying-new-fax-machines-as-hancock-orders-phase-out/ …Prikaži ovu nit -
My computer can take up to 30mins to be useable. We often have to move rooms and delay clinics while we are sorting this. /3pic.twitter.com/Yy53KfGQ7H
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I need up to TEN different programmes to run a clinic. At least ONE will always crash EVERY DAY. /4pic.twitter.com/qaVOtZ4Lr5
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We are 100% reliant on IT to run the NHS, but IT support is not 100% available (nights,weekends), and never on-site. /5
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(Real example); Me: This patient needs an urgent blood transfusion but has two hospital numbers. He needs an urgent operation RIGHT NOW IT: please hold. (Ten minutes later) IT: Good news. We will be able to look into this within 24 hours.
/6pic.twitter.com/CRcBPY1yxMPrikaži ovu nit -
For an IT tech to visit I would guess the usual wait time is around 2-3 weeks. Things I’ve fixed MYSELF while waiting; - projectors - Routers - Displays - Keyboards/mice/cameras - Cables - Battery packs for mobile PCs /7pic.twitter.com/tVSBBjmMxu
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If you go to another hospital or even your GP usually I can’t see any record of that and vice versa. Even a hospital 2 miles away. /8
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Most hospitals I’ve worked in have completely different software to other hospitals. There is no literally no reason for this. /9
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Despite our clinical devices needing WIFI we don’t have WIFI everywhere. Even the 1980s Wall Street bleeps (
) don’t work in the lifts. /10pic.twitter.com/mOb2MtLXCgPrikaži ovu nit -
Even when I report the issue I spend hours on the phone. Trying to fix a mobile PC an outsourced company ASKED ME TO PAY FOR THE NEW BATTERY. Personally. /11pic.twitter.com/ftCXlxekEO
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Even the systems we do have are overly complex. Ten passwords for ten programmes I have to change every ten minutes /12pic.twitter.com/W1S1rq5vJA
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We don’t have good enough security and THERE IS NO PLAN B. During the last cyberattack I had to REMEMBER the histories, results and plans for TWENTY patients to do a ward round. /13pic.twitter.com/y04qf5QIom
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Just to summarise, NHS IT is a) notoriously unreliable b) disconnected c) unsupported d) underresourced e) incredibly vulnerable /15
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Also AI has NO EVIDENCE OF BENEFIT in healthcare. As yet. Just in case AI is listening; I’m sure you are very good and I look forward to serving you. /16pic.twitter.com/BgPnPO0Cww
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What DOES have evidence? Nurses, medicines, equipment. £250m is the annual salary for 10,000 nurses. But sure, Siri needs a new motherboard. /17https://www.bmj.com/content/349/bmj.g5260 …
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What really gets me is how all of this is just another PR exercise. Hunt prattled on for five years about “patient safety” while systematically making the NHS the least safe in recent history.../18
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...and now
@MattHancock has chosen “technology” to be his “focus”, when the reality is the basics of the NHS are completely broken and no one is trying to fix them. /19pic.twitter.com/YRSWCzmXGgPrikaži ovu nit -
What would I suggest? (Asked no one.) Well
- Healthcare is life and death, and we now rely 100% on IT. So start treating IT issues like life and death as well. We always have nurses/doctors on the ward, why not IT? /20pic.twitter.com/WvFYHRwuZEPrikaži ovu nit -
If we can bank online we can have our health records on there too. Let people opt out if they wish, but care is too fragmented now. It isn’t safe. /21pic.twitter.com/q84i6Fz58f
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All IT systems should be as fast, efficient and simple to use as possible. There should be a gold standard of 0seconds of “dead time” when using any system. /22pic.twitter.com/WB4tq8AjOb
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All systems inside a trust and ideally between trusts should align as far as possible. The less programmes I need to use the less vulnerability to failure. /23
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So if we are now focussed on “technology” why don’t we actually sort the tech we need, not the super-tech we don’t, and spend that money saving actual lives. Once you’ve done that, feel free to buy a nice shiny hard drive for SkyNet or whatever. /endpic.twitter.com/Dhdn7FxVTR
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ADDENDUM: My IT account has “expired”. I still work here.... It’s 9pm on a Friday.
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