RADIOLOGY & IMAGING
vulnerable patients who will no longer have access to the same information. Experience has already shown that once services move on-line, that there are few alternatives. Those who do not have access will potentially be left out. They may be the most vulnerable with the most complex health needs. Socially excluded people are often digitally excluded too, including disabled people and ethnic minority groups.8 The blog also notes the lack of accessibility to the internet in more rural areas. Universal internet access is a long way off and there is already sufficient health inequality without compounding the issue.
Conclusion
There are any number of explicit advantages of electronic data, which may be shared across the sector but with significant caveats regarding security and confidentiality. Patients must be able to trust that their data is safe, secure and cannot be accessed by anyone who should not be able to see it. Recent cyber insecurities in NHS do not give confidence that the service has spent significant money on appropriate firewalls and protection. Patients may or may not be willing to use the technology they have to access their data. They are used to being recipients of healthcare rather than partners in their own health management. If responsibility is to be passed to individual patients, this will need to be undertaken over a long period of time,
As we become integrated across acute and primary care as well as social care, there will be far more players in the market and ever more data not only to share but also to protect.
to assist the vulnerable. Engagement must be a public process and allowed to go at the patients’ pace.
Staff have a wide range of skills from almost none and a reluctance to have anything to do with the technology to eager uptake by the early adopters. However, if the system is to replace the current systems, all the workforce must be allowed time and space to learn. The hardware and software systems will need to be replaced with modern faster speed systems and the change management process enabled. This requires enormous resource whichever way you look at it, but is essential for sound patient management and shortages of healthcare workers, going forward.
References
1 Royal College of Nursing. Every nurse an e-nurse. July 2018 Accessed at
https://www.rcn.org.uk/clinical-topics/ehealth/ every-nurse-an-e-nurse
2 NHS digital. Electronic Patient Records at Leeds Community Healthcare Trust Accessed at
https://digital.nhs.uk/about-nhs-digital/
Maintenance and calibration checks from seca – for your peace of mind
nursing-and-nhs-digital/electronic-patient-records- at-leeds-community-healthcare-trust
3 Hancock Matt MP, Secretary of State for Health and Social Care. Speech at NHS Expo 2018. Accessed at
https://www.gov.uk/government/ speeches/my-vision-for-a-more-tech-driven-nhs
4 Ibid 5 Topol Review, Interim report 2018 Accessed at
https://www.hee.nhs.uk/sites/default/files/ documents/Topol%20Review%20interim%20 report_0.pdf and
6 Topol Review. Frequently asked Questions
https://www.hee.nhs.uk/sites/default/files/ documents/Topol%20review%20frequently%20 asked%20questions_2.pdf
CSJ
7 Health Education England. A Health and Care Digital Capability Framework. Version 1 December 2017. Accessed at
https://www.hee.nhs.uk/sites/default/files/ documents/Digital%20Literacy%20Capability%20 Framework%202018.pdf
8 NHS app. Accessed at
https://digital.nhs.uk/services/nhs-app
9 Nuffield Trust Blog. Digital patients: Myth and reality. Accessed at
https://www.nuffieldtrust.org.uk/ news-item/digital-patients-myth-and-reality
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