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Electronic health records in England
Rathfelder: ←Created page with 'In 2005 the National Health Service (NHS) in the United Kingdom began deployment of Electronic health record systems in NHS Trusts. The goal was to h...'
In 2005 the [[National Health Service]] (NHS) in the [[United Kingdom]] began deployment of [[Electronic health record]] systems in NHS Trusts. The goal was to have all patients with a centralized electronic health record by 2010.<ref></ref> [[Lorenzo patient record systems]] were adopted in a number of [[NHS trusts]] While many hospitals acquired electronic patient records systems in this process, there was no national healthcare information exchange.<ref name="DoibmjcMissing" /><ref></ref><ref>Liquid error: wrong number of arguments (1 for 2)</ref><ref>Liquid error: wrong number of arguments (1 for 2)</ref><ref>Liquid error: wrong number of arguments (1 for 2) "The government today announced an acceleration of the dismantling of the National Programme for IT, following the conclusions of a new review by the Cabinet Office's Major Projects Authority (MPA) ... The MPA found that the National Programme for IT has not and cannot deliver to its original intent."(sic)</ref> Ultimately, the program was dismantled after a cost to the UK taxpayer was over $24 Billion (12 Billion GPB), and is considered one of the most expensive healthcare IT failures.<ref>Liquid error: wrong number of arguments (1 for 2)</ref> The UK Government is now considered open-source healthcare platform from the United States Veterans Affairs following on the success of the [[VistA EHR]] deployment in Jordan.Liquid error: wrong number of arguments (1 for 2)
In November 2013 [[NHS England]] launched a clinical digital maturity index to measure the digital maturity of NHS providers<ref>Liquid error: wrong number of arguments (1 for 2)</ref> but 40% of NHS managers surveyed by the [[Health Service Journal]] did not know their ranking, and the same proportion said improving their ranking was of low or very low priority.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
Electronic palliative care coordination systems have been developed by [[Marie Curie Cancer Care]] and the [[Royal College of General Practitioners]] which mean that terminally ill patients no longer have to explain their circumstances afresh to every new professional they meet and are less likely to be inappropriately taken to hospital.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
====''Personalised Health and Care 2020''====
The publication of ''Personalised Health and Care 2020'' by the Department of Health elaborated a new attempt to integrate patient records.<ref>Liquid error: wrong number of arguments (1 for 2)</ref> Its stated ambition is that every citizen will be able securely to access their health records online by 2018 and make real time data available to paramedics, doctors and nurses.<ref>Liquid error: wrong number of arguments (1 for 2)</ref> A real time record across health and social care is seen as the key to the provision of integrated care.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
====GP Systems====
GP2GP is an [[National Health Service|NHS]] Connecting for Health project in the United Kingdom. It enables GPs to transfer a patient's electronic medical record to another practice when the patient moves onto the list.<ref></ref>
In General Practice in the UK the medical record has been computerized for many years, in fact the UK is probably one of the world leaders in this field. There are very few General Practices in the UK which are not computerized. Unlike the USA GP's have not had to deal with billing and have been able to concentrate on clinical care. The GP record is separate from the national Care Record and contains far more data. Shaun O'Hanlon, [[Egton Medical Information Systems|EMIS]]'s Chief Clinical Officer says that the legal framework around data sharing is the main problem in integrating patient data because the [[Data Protection Act 1998]] puts responsibilities on GPs to protect the confidentiality of patient data, but at the same time they have a "duty to share" when it is in the best interests of the patient. He says the quickest, easiest route to large scale record sharing is to put patients in the driving seat using smartphone technology. He quotes a [[YouGov]] poll which found that 85% of the population wanted any medical professional directly responsible for their treatment to have secure electronic access to key data from their GP record, such as long term conditions, medication history or allergies.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
Clinical IT suppliers are moving towards greater interoperability, already achieved with the GP2GP project allowing different systems to exchange complete medical records between practices. There are projects allowing access between hospitals & GP practices. The main Primary Care systems are [[EMIS Health]], [[SystmOne]], [[iSOFT]], and [[INPS Vision]]. The NHS in Scotland widely used [[GPASS]] until 2012. From April 2014 practices are contractually required to promote and offer patients the opportunity to book appointments online, order repeat prescriptions online and provide online [[patient record access]].<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
The assistant coroner for inner north London has twice written to [[Jeremy Hunt]] warning that "future deaths could occur [if] further action is not taken to facilitate secondary care access to GP records".<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
====Patient access====
It has been possible for patients to access their own medical records online for some time. By 2013, the debates had moved onto discussing the impact of patient access on patient care.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
==References==
[[Category:Healthcare in England]]
In November 2013 [[NHS England]] launched a clinical digital maturity index to measure the digital maturity of NHS providers<ref>Liquid error: wrong number of arguments (1 for 2)</ref> but 40% of NHS managers surveyed by the [[Health Service Journal]] did not know their ranking, and the same proportion said improving their ranking was of low or very low priority.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
Electronic palliative care coordination systems have been developed by [[Marie Curie Cancer Care]] and the [[Royal College of General Practitioners]] which mean that terminally ill patients no longer have to explain their circumstances afresh to every new professional they meet and are less likely to be inappropriately taken to hospital.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
====''Personalised Health and Care 2020''====
The publication of ''Personalised Health and Care 2020'' by the Department of Health elaborated a new attempt to integrate patient records.<ref>Liquid error: wrong number of arguments (1 for 2)</ref> Its stated ambition is that every citizen will be able securely to access their health records online by 2018 and make real time data available to paramedics, doctors and nurses.<ref>Liquid error: wrong number of arguments (1 for 2)</ref> A real time record across health and social care is seen as the key to the provision of integrated care.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
====GP Systems====
GP2GP is an [[National Health Service|NHS]] Connecting for Health project in the United Kingdom. It enables GPs to transfer a patient's electronic medical record to another practice when the patient moves onto the list.<ref></ref>
In General Practice in the UK the medical record has been computerized for many years, in fact the UK is probably one of the world leaders in this field. There are very few General Practices in the UK which are not computerized. Unlike the USA GP's have not had to deal with billing and have been able to concentrate on clinical care. The GP record is separate from the national Care Record and contains far more data. Shaun O'Hanlon, [[Egton Medical Information Systems|EMIS]]'s Chief Clinical Officer says that the legal framework around data sharing is the main problem in integrating patient data because the [[Data Protection Act 1998]] puts responsibilities on GPs to protect the confidentiality of patient data, but at the same time they have a "duty to share" when it is in the best interests of the patient. He says the quickest, easiest route to large scale record sharing is to put patients in the driving seat using smartphone technology. He quotes a [[YouGov]] poll which found that 85% of the population wanted any medical professional directly responsible for their treatment to have secure electronic access to key data from their GP record, such as long term conditions, medication history or allergies.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
Clinical IT suppliers are moving towards greater interoperability, already achieved with the GP2GP project allowing different systems to exchange complete medical records between practices. There are projects allowing access between hospitals & GP practices. The main Primary Care systems are [[EMIS Health]], [[SystmOne]], [[iSOFT]], and [[INPS Vision]]. The NHS in Scotland widely used [[GPASS]] until 2012. From April 2014 practices are contractually required to promote and offer patients the opportunity to book appointments online, order repeat prescriptions online and provide online [[patient record access]].<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
The assistant coroner for inner north London has twice written to [[Jeremy Hunt]] warning that "future deaths could occur [if] further action is not taken to facilitate secondary care access to GP records".<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
====Patient access====
It has been possible for patients to access their own medical records online for some time. By 2013, the debates had moved onto discussing the impact of patient access on patient care.<ref>Liquid error: wrong number of arguments (1 for 2)</ref>
==References==
[[Category:Healthcare in England]]
October 15, 2018 at 12:00AM
