Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 5:33 pm  

sanjunien wrote:

Absolute b*ll*x !! how come the french have had a superb computerised records system for at least ten years - the latest system now being introduced will be even more user friendly - it's a simple card with a microchip thingy which saves oodles of paperwork not to mention time...

I'm interested... what data is on the card?

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 5:44 pm  

El Barbudo wrote:

I'm interested... what data is on the card?

any data relating to medical or dental treatment received at any hospital,doctors or dentists surgery anywhere in france - also included are details of the complementary insurance which may or may not be taken up by the holder of the card.

The latest cards now being issued include the holders photo

If you visit a new doctor,dentist or hospital/clinic you are asked to provide extra proof of identity with photo etc

no bank details or other personal info is on the card

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 6:34 pm  

sanjunien wrote:

Absolute b*ll*x !! how come the french have had a superb computerised records system for at least ten years - the latest system now being introduced will be even more user friendly - it's a simple card with a microchip thingy which saves oodles of paperwork not to mention time...

It's not absolute bollox, I ran an NHS Medical Records Archive for 7 years during which time the computerisation of medical records was discussed and the issues I just outlined were the main reasons as to why the Executive Board assigned more money to the storage of paper records as they didn't think the computerisation would go ahead.

I have no idea what the French system is like, what data is stored, accessed and by whom but I know that attempting to transfer the current NHS medical records system onto a totally computerised form would be incredibly difficult and probably impossible right now.
There is not just the standard medical record, there is (just off the top of my head):
A&E Cas cards
Maternity notes
Deceased casenotes
Psychiatric Notes
Mental Hospital notes
School Health cards
Blood Transfusion Forms
Organ Transplant Forms
Paediatric Notes
Oncology notes
Opthalmology notes
Physiotherapy notes
Occupational Health notes
Xrays
Breast Screening notes
SCBU notes
ICU notes
Cardiology notes
Neurosciences notes
Orthopaedics notes
Pharmacy notes
Dietetics notes
Labs blocks & slides

that are all stored seperately to the general medical file and I'm sure there are more. All are currently in different formats, with different layouts, with different identifiers, stored in different ways for differing time periods. And that's just from the hospital, never mind GP's and walk-in centre notes.

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 6:38 pm  

sanjunien wrote:

any data relating to medical or dental treatment received at any hospital,doctors or dentists surgery anywhere in france - also included are details of the complementary insurance which may or may not be taken up by the holder of the card.

The latest cards now being issued include the holders photo

If you visit a new doctor,dentist or hospital/clinic you are asked to provide extra proof of identity with photo etc

no bank details or other personal info is on the card

Out of interest do you mean the carte vitale? Or is it something different?

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 6:39 pm  

Just to add: our local GP managed to lose both our sets of records – due to predictive spelling.

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 7:06 pm  

Mintball wrote:

Just to add: our local GP managed to lose both our sets of records – due to predictive spelling.

Did you tell him to look for Tony's under "Comminicative Respiratory Diseases"?

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 7:47 pm  

cod'ead wrote:

Did you tell him to look for Tony's under "Comminicative Respiratory Diseases"?

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 8:42 pm  

Him wrote:

It's not absolute bollox, I ran an NHS Medical Records Archive for 7 years during which time the computerisation of medical records was discussed and the issues I just outlined were the main reasons as to why the Executive Board assigned more money to the storage of paper records as they didn't think the computerisation would go ahead.

I have no idea what the French system is like, what data is stored, accessed and by whom but I know that attempting to transfer the current NHS medical records system onto a totally computerised form would be incredibly difficult and probably impossible right now.
There is not just the standard medical record, there is (just off the top of my head):
A&E Cas cards
Maternity notes
Deceased casenotes
Psychiatric Notes
Mental Hospital notes
School Health cards
Blood Transfusion Forms
Organ Transplant Forms
Paediatric Notes
Oncology notes
Opthalmology notes
Physiotherapy notes
Occupational Health notes
Xrays
Breast Screening notes
SCBU notes
ICU notes
Cardiology notes
Neurosciences notes
Orthopaedics notes
Pharmacy notes
Dietetics notes
Labs blocks & slides

that are all stored seperately to the general medical file and I'm sure there are more. All are currently in different formats, with different layouts, with different identifiers, stored in different ways for differing time periods. And that's just from the hospital, never mind GP's and walk-in centre notes.

with respct if you bothered to read 'Him's notes you will see the reference was for medical records -my reply was that medical records - that is to repeat for the last time is to do with hospital,doctors & dentists visits and treatments
the dozens of other things you list are treated in a different way some manually with papers/files and others electronically - ie: one example : any X- ray or Scan results are given to the patient within afew minutes of them being taken - they become the property of the patient not the hospital or doctor though the patients doctor will receive a copy of the conclusions.Similar for blood tests which are known within a few hours normally and handed or sent to the patient as well as a copy to their doctor
it's a whole new system,one which generally works brilliantly and puts the uk system and most other national sytems to shame

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 8:43 pm  

Him wrote:

Out of interest do you mean the carte vitale? Or is it something different?

yes it's the Carte Vitale

Re: Privatisation of NHS hospitals begins : Mon Nov 14, 2011 9:14 pm  

sanjunien wrote:

with respct if you bothered to read 'Him's notes you will see the reference was for medical records -my reply was that medical records - that is to repeat for the last time is to do with hospital,doctors & dentists visits and treatments
the dozens of other things you list are treated in a different way some manually with papers/files and others electronically - ie: one example : any X- ray or Scan results are given to the patient within afew minutes of them being taken - they become the property of the patient not the hospital or doctor though the patients doctor will receive a copy of the conclusions.Similar for blood tests which are known within a few hours normally and handed or sent to the patient as well as a copy to their doctor
it's a whole new system,one which generally works brilliantly and puts the uk system and most other national sytems to shame

So it's nothing more than a precis of medical history then and if the patient doesn't happen to have their latest x-rays or scan results on them, when they are run over by a bus, they're as fooked as we are?