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-----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 Mary Hawking wrote: > In message <B1F6747E34054C7CAC17DAB4F942B7C8@CherrysLaptop>, Cherry > Cullen <[log in to unmask]> writes > >> But is the NHS central register up to date? > > I'm getting confused. > Are we talking about PDS, or is there another Central Registry database > in addition to PDS? If so, what is the relationship between them? > (Genuine ignorance here - I thought the old multiple unconnected > database problem had finally been sorted!) PDS is a registry, no? And central? The central registry is a concept, rather than anything so boringly concrete as the particular name applied this week under this month's once in a generation reform of the health service to one particular specific implementation or instantiation of that concept in software, hardware or administration. > PDS is supposed to be updated every time a patient is called up if the > person at the terminal is logged on with a smart card, and every time a > patient changes details at a practice, regardless of whether this is a > new registration. > Wasn't all this automated when GP Registration Links was introduced in > the mid '90s? Someone will be wanting to be paid for doing it all over again from the 1980s data then I expect by now, and someone will be wanting to spend 3 years in their post negotiating over it and supervising the implementation before retiring to a job with the prime contractor. > There are even more implications here, both for legal liabilities > (previously patients were the responsibility of the *registering* doctor > if no-one else could be fingered: how does this work now?) and for > partnership splits. (When patients were registered with individual > doctors, there were a number of cases where a GP joined a partnership - > and left with his/her registered list as soon as that list was large > enough - often after being allocated a share of an existing list): what > happens in a split when the patients are all registered with the practice? That one is easy, for managerial convenience, splitting a practice has been rendered more difficult. > As to when the organisation in the PCTs and PDS will catch up with the > change in organisation, have patience! It's only been 5 years: can't > expect miracles! Organisational changes are largely independent of the organisation and its activity. - -- A -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.6 (GNU/Linux) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org iD8DBQFIcKidb80am9d/StcRAkczAJ0cJ3Pr5OtbzLj+7ALJO7REqF9PpgCfRlv5 B/G22d/s0ZvFDPlzbxqGMIU= =Egop -----END PGP SIGNATURE-----