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Identity management... Used to think this was a skill of people not like you or me at all e.g. liars, actors, (war)criminals; also young people using Facebook etc. Did anyone else see BBC News report 3-6mo ago from US (sorry can't find on website): During the height of Clinton/Obama contest re US Healthcare: Justin Webb interviewed a family in ?Chicago with various health problems that they've grouped into profiles with different identities to present to different health organisations. The poor chap was struggling to recall what version of his medical history he'd told to whom to keep getting free care! Couldn't happen here. -- Colin Brown (apparently) -----Original Message----- From: GP-UK [mailto:[log in to unmask]] On Behalf Of Fay Wilson Sent: 30 July 2008 07:47 To: [log in to unmask] Subject: Re: email consulting Identity management! There is an idea. Today I am posing as an LMC secretary, tomorrow... who knows? An air hostess? :-) Fay Dr Gillian Braunold wrote: > Paul > through HealthSpace we are putting communicator in place which will > enable absolute identity management security and leave you > communication on line without revealing email addresses either side > between clinicians and patients. > There are some other tricky questions that the profession needs to > work though when and if they choose to utilise the tool- such as how > best to e consult etc. But the identity management and security of > identifiable information we will be sorting out for those who wish to > use the tool. > Best wishes > Gillian ( HealthSpace Clinical director) > > ------------------------------------------------------------------------ > *From:* GP-UK [mailto:[log in to unmask]] *On Behalf Of *Paul Miller > *Sent:* 29 July 2008 21:46 > *To:* [log in to unmask] > *Subject:* email consulting > > http://www.ehiprimarycare.com/news/4006/rcgp_says_good_gps_have_great_websites > > OK, we have a website (albeit not sparkly as yet). But what concerns > me more is this statement: > > "It adds: "Patients value being able to talk to a doctor or nurse on > the phone or consulting through email."" > > By e-mail. Yes, sounds cool. But fraught with potential hazards too > namely: > > Initial Identification - do we have any evidence of who they are when > they start off? > > Future Authentication - do we have any evidence of who they are next > time? > > Privacy - once it is out the practice it is perhaps free text readable > by whomever: forwardable, copyable, postable to bebo....or the NotW ;-) > > Encryption - 'government' have seriously proposed maintaining a > database of *all *electronic communications in this country, > apparently Britain (coz I checked by looking out the window and it was > raining in July) > http://news.bbc.co.uk/1/hi/uk_politics/7511671.stm > > Asynchronocity - asynchronous consulting is difficult for both > patients and doctors and often requires some re-skilling and thought. > > Capacity - only so many hours in the day, more stuff done in one place > means less stuff done in another. Is it more efficient? > > etc... > > Or am I just being reactionary and luddite? > > Can we reasonably do all this by informed consent? > > Are you all doing this anyway? > > I have done some e-mail consulting informally in the past, and would > happily do more if I could reasonably resolve these issues. What > concerns me is the advice to go ahead, indeed the positive > encouragement, without much in the way of suggestion or recognition of > the possible risks. > > From the RCGP. > > > -- > Dr Paul Miller > Tel: 07711-346-928 > http://visionblogged.blogspot.com > ------------------------------------------------------------------------ > > No virus found in this incoming message. > Checked by AVG. > Version: 7.5.524 / Virus Database: 270.5.7/1580 - Release Date: 29/07/2008 17:26 > *********************************************************************** This message may contain confidential and privileged information. If you are not the intended recipient you should not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents. To do so is strictly prohibited and may be unlawful. Please inform the sender that this message has gone astray before deleting it. Thank you. 2008 marks the 60th anniversary of the NHS. It's an opportunity to pay tribute to the NHS staff and volunteers who help shape the service, and celebrate their achievements. If you work for the NHS and would like an NHSmail email account, go to: www.connectingforhealth.nhs.uk/nhsmail ***********************************************************************