Laurie,
Could you ask the key question: what is (and what s the function) of the
CRS?
Until we know what it is, how could any reasonable person have a
rational opinion on the opportunities and threats it might represent?

If the CRS is (as Aidan Halligan said at the Conference of LMCs) an
incremental record from the date of the organisation , how useful would
this be for management of individual patients?

If the CRS is a total cradle-to-grave record , incorporating the
existing records, what would the effect on this pooled record be of
incomplete records, and records generated at the same time in different
places?
If the CRS is unreliable, how confident should anyone be in depending on
it for patient treatment?

Now, if the CRS is a summary (and this could be agreed with the
individual patient) , that would be really useful!

I know I'm not in the IDX fiefdom, but CRS is supposed to be national
(meaning, in this case, English) and presumably iSoft will have to
conform to the same CRS.

MaryH

In message <003f01c4a658$3246f360$9d00a8c0@pc>, Laurie Slater
<[log in to unmask]> writes
>Mary:
>
><<I'm not sure that there is anyone who could deliver the leadership
>(and knowledge of the various scenarios) needed to bring "clinicians"
>(not only medical clinicians) on board. Aidan Halligan certainly seems
>to have misinterpreted the concerns of the Conference of LMCs this year
>
>...snip.... Interesting times.>>
>
>They certainly are that Mary. CRS is unfathomable with so many
>variables, very significant obstacles, but enormous momentum and
>political drive - it would take a brave person to call the outcome.
>
>I attended the first Primary Care Best Practice Process Design Group
>today. There was a good representative turn out of GPs from London and
>the southern cluster and some lively discussion, not least from one or
>two GP-UKers, one of whom was tirelessly in extolling the virtues of
>open source software (answers on a postcard please ...). There was not a
>weight of opinion agin the CRS process but a number of concerns raised
>about continuing lack of information. Still no firm answer about exactly
>what will be held on the spine. There are plans for a session where Andy
>Truscott (head of Information Governance at NPfIT) will talk about
>security and confidentiality. We also have a promise of a regular Q&A
>session at all the follow up workshops and a commitment from NPfIT and
>CCA/Fujitsu to give a formal response to questions and to actively
>engage in 2 way discussion which will feed into the build of CRS. We'll
>see.
>
>Any GPs from London and the southern cluster are welcome to attend
>(@450/day and extra for travel/hotel if from the west country), contact
>[log in to unmask] . The next all day workshop is on 7th Oct at
>76 Portland Place, London. If you cannot come but still want to ask
>questions you can do so through GP-UK and I will pass them on and
>feedback the response.
>
>Laurie
>

--
Mary Hawking