In message <[log in to unmask]>, Ian
Trimble <[log in to unmask]> writes
>On Sat 11 Jul, Dr Mark Trowell wrote:
>
>> Other developments:
>> * Frank Burns has put NHSnet roll out into GP on hold
>> * Blair says that the Electronic Patient Record (EPR) should be made
>> available countrywide 24 hours a day, with access between GPs, and
>> summaries for different purposes e.g. alerts, emergency
>> information only.
>>
>> What next? As Ewan Davis of AAH Meditel said: "Don't Panic"
>> * DON'T: Buy Commissioning Systems, Virtual Private Networks,
>> new GP or Community systems
>> * DO: Wait for further guidance, Frank's IT strategy, make sure
>> your systems are RFA4 accredited and are able to data extract with
>> MIQUEST2, get connected to NHSnet, improve your data quality.
>
>Thanks for the helpful summary Mark.
>
>Frank Burns has written to HAs advising them not to invest in NHSnet
>'solutions' until the results of ongoing negotiations between the
>NHSE, suppliers and the profession are known.
Seeing the consultation document on the implementation of Caldicott -
Part 1: the role and responsibilities of Caldicott guardians Part 2:
Access controls for the NHS strategic tracing service - the ongoing
negociations may take a while to reach any meaningful agreement....
As GPs, we seem to be on the horns of a dilemma - needing to take some
action on the needs of PCGs, but hamstrung by the other agendas
involved.
How can I - as the lead in IM&T in the Dunstable & Houghton Regis Pilot
- plan *anything* when we *don't know* the strategy, the operational
consequences of that strategy, or the resources available to implement
the operation - *and* we go live on 1.4.98?
As we seem to be lacking any sensible central outline plan (and go live,
as Ahmed reminded us in something under 30 working weeks) , would there
be any value in developing a set of - um - requirements? must haves?
needs? desirables? essentials? - on gp-uk? It appears that there are DOH
lurkers - and I think that, *if* we are going to make the system work
(I'm carefully not addressing my opinions of whether I aprove or
disapprove of the situation. I was a bit busy in 1990 - don't remember
my views being sought , or, when expressed, being regarded then,
either), we need to develop a *universally agreed* communications
framework - even such simple basic standards as :-
-PCG systems should be based on software that enables communication
throughout the NHS
-PCGs must be able to communicate ,not only within the PCG, but also
with other NHS organisations, with neighbouring PCGs (ie, PCGs within
the same HA ), with neighbouring PCGs in adjacent HAs, and with non-NHS
bodies with an interest in the PCGs
-PCGs should be ble to communicate freely with other PCGs, NHS bodies
and other non-NHS organisations: the status of such communications
should be defined (present status) and the need for regular reasssment
and disemination of changes be agreed and the mechanisms studied.(this
is a security/confidentiality point)
-PCGs need to have access to NHS Net resources - and will have a major
role in influencing the same: a framework for access and feedback needs
to be developed.
-the security and confidentiality implications have not been resolved as
yet: without agreement, it may prove impossible (or at anyrate extremely
difficult) for ethical practices to connect their clinical-data-
containing systems to be connected..;-<<
-the questions of security and confidentiality, and the datasets needed
to ensure the, must be addressed before the networks are established
>
>Ewan Davis is chair of the supplier's association. His messages are
>helpful and likely to be consistent with forthcoming guidance. He
>also stressed that the *implementation* of the new IM&T strategy will
>evolve over several years: it will not all be in place for 1 April
>next year.
I'm sure it will evolve - but I'm in a pilot - and we're making
decisions *now*
>
>
>> More at: http://www.avongp.demon.co.uk/umist_prog98b.htm
>>
>> Some of the talks haven't been uplinked (yet!)
>
>You should be able to access the talks via the PHCSG pages at:
>
> http://www.schin.ncl.ac.uk/phcsg/phcsg_hi.htm
>
>
>Trims.
>
>
Thanks, I'll look at it
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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