Menopause Matters Forum
General Discussion => This 'n' That => Topic started by: CLKD on November 11, 2022, 02:26:39 PM
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I go to the top of our stairs >:(. I rarely listen to Jeremy Vine, however. On yesterday's programme I learnt that the planned joined up computer system was never built. Due to an uproar by the public - worries about information shared etc.. Did any1 hear it?
Even within Health Authorities different computer systems are in place so Surgery can't take to Surgery or to the hospitals. One GP was interviewed, his computer regularly crashes and sometimes takes 25 mins to reboot. Now given that each patient is 'allowed' 10 mins per appt. :-\ ???. His Mum was in Hospital and given the 'wrong' medication due to ICU not being able to access her notes via computer - the question should be, why didn't someone ring her GP?
Another caller explained that on being transferred from 1 hospital to another - 25 miles apart - it took the notes 3 days to move across >:(. That could of course, be a matter of Life and Death. In my day we carried patient notes from Clinic, to Ward etc.; what's wrong with paper information as well? It is noted that medics rarely flip the computer screens back as one would turn paper records so a lot of information has been missed: i.e. medication, social situation, blood/X-ray reports ...........
Also, Project 2000 was never going to work. It takes 3 years to do a Nursing Degree B4 1 steps onto a ward these days. Until 1999 Nurses trained and were paid 'on the job'. England is now short of 50,000 nurses ........... however much money is poured into the NHS, it won't fill gaps.
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There has always been a problem with NHS computer systems going back years, but on the whole they work brilliantly in my experience.
Jeremy Vine, time the BBC got rid of that death obsessed programme!
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Most of yesterday's programme was talking to callers who have recent experience of lack of computer capability in England.
Crashing systems when seeing patients isn't best working practice. Not being able to transfer notes between Surgeries .....
Which HA do you work for?
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Not working but closely involved. North West London Hospital Trusts, covering a few of the major hospitals in London.
They all communicate well with each other but obviously there has been the odd blip in the system, but nothing major lately, but that's technology for you!
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That's good news! Of course technology has raced away, however: pros and cons for an over-all central system in that if it all goes down :o
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Whenever I go to the hospital for an appointment, they had a huge tatty file to leaf through! At the doctors, all computerised.
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Big files were called 'fat' ::) and some patients had several 'fat' files going back several years. In a few cases blood reports etc. were filed in one folder, history in another and recent visits in yet another ::). All could be flipped through and the Doctors with whom I worked had very good memories anyway.
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Big files were called 'fat' ::) and some patients had several 'fat' files going back several years.
Could i just ask you CLKD how long in your experience is a hospital file kept on someone ? Is over 10 years too much to expect ? especially if a consultant has left ?
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A 'live' physical file for patients with regular appts. was kept for as long as necessary. Others were 5 years B4 being micro-filmed. There is a legal requirement for all medical and legal files to be kept available for a specific number of years.
Of course with computer technology files should in theory be available 24/7. Handy if patients are seen irregularly until they age = falling etc.. I do know that there is a risk of patient history on computer not being accessed far enough 'back' , whereas it is easy to flick back through paper files.
It mayB that each HA has it's own rules? I've never worried about my history being accessed - it is illegal for any1 who doesn't have a legitimate reason to look at patient information, i.e. if someone in the Hospital wanted to see a friend's notes ........... I have information in my head that I will never reveal.
Within the Staff we would talk about the patient's problem i.e. he's the leg, she had X, Y, Z rather than patient names ::). Having physical notes meant that they were instantly available; no botheration of needing to log on/out of a system that might crash. Notes did go missing: I found 1 set in a large X-ray folder ::)
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Thanks for the explanation. :) Makes some sense now re a family member.
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That's good.
I hope that the Nurses get a resolution B4 they need to walk out, however - unsafe working conditions as well as long hours will drop morale. Especially as they can earn more stacking shelves in a supermarket :-\
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I believe that if Nurses take strike action it will be the 1st time :-\
As for voting for 'idiots' - is there a real choice?
Add to that QEII Hospital being held up with pit props >:( and even the new Papworth Hospital has had trouble with contaminated water :o
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:o. no need to shout :o
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What is unverified about typing in black = shouting? MayB you aren't aware of protocols regarding responding to threads?
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I believe that if Nurses take strike action it will be the 1st time :-\
As for voting for 'idiots' - is there a real choice?
I'm sure it will be the first time some nurses in the UK go on strike, but you are incorrect to think there has never been a nurses strike in the UK, there was one before the pandemic, might have been two, or the second one might have got called off, they weren't long after the pay deal when the pandemic hit and all the promises were broken. My best friend is a nurse in our local NHS hospital and she was on the official strike with the rest of them, wanting equal pay across the board for all NHS staff levels.
I think the point about voting for idiots is that you are choosing the government for the whole UK, not just for yourselves, yet you do not take that responsibility seriously, I mean, Brexit? Noone gonna say that was a good idea in hindsight now are they?
If the English are bribed then they will vote for the money. It's not just my opinion, look how the red wall crumbled when the tories offered more money to just those constituencies? Did they vote for parties who say they are cooperative and fair minded towards the whole UK? No. Do those tories offer that same deal to other parts of the UK? No.
It is entirely corrupt, but so long as the English benefit that's ok.
Such hatred for the English, poppytoast!
One word why the red wall collapsed, Corbyn!
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Yep. Several of us here have either worked or continue to do so in the NHS in various guises. I left the Service in the 1980s, my sister fled to un-safe working practice in Wales 10 years ago ....... and issues haven't altered. Monies don't seem to be thrown at the correct levels to increase services and support.
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On the radio today, the nhs are paying some peoples heating bills because they’re struggling with their health problems.
I think, and don’t quote me on this, three months worth of bills to get over the worst of our winter months.
Some people rang in were all for it, some not.
Doctors have said, heating our homes is crucial for our health. Some people with arthritis and other health problems, cancer for one, are totally struggling. So the nhs has stepped in.
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Some people can't afford transport to get to appts. :-\ .
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Purely out if interest CLKD were the paper files specific to that hospital, and was it a case of letters being sent to the GP? Were entire files sent to other hospitals if treatment was required elsewhere, and were they requested by the GP or the new hospital?
I'm just wondering how they ensured that all history, medication, etc. was known.
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Morning. All patients had to be referred via a GP even to Harley Street. GPs would treat as appropriate and refer to a specific consultant where hand-written notes would be made which remained at that hospital - unless a patient was transferred to another Hospital by Ambulance when notes would travel with them. Usually an SHO, Registrar or Consultant would have spoken to the Consultant in charge at the other end.
All Depts could be contacted by phone or fax should info be required either within the Hospital or by GP or other Hospitals.
As notes were withdrawn from the records dept a tracer card with details was slipped into the gap so that everyone knew the movements of those notes. Same with X-ray folders.
Of course now, all notes should be retrievable by computer - whcih was the idea - anywhere in England.
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I would happily be microchipped with my health record rather than rely on all these systems to follow me accurately. Also to have a hand reader so that i could check the chip.
We recently had to give our 'explanation' to a nurse of a family members previous hospital health record as the record was not there after so many years.
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After a certain number of years patient records will be microfiched. Takes hours to read them ::)