debate continued 4 Mar 2015 10:08
garnered by technology (60 per cent of respondents recognised these) and the potential for improved patient care through innovations such as remote working and telehealth.
Joined-up thinking
While it’s easy to knock the NPfIT, Dell’s director of healthcare and life sciences, Gary Birks, was quick to identify the important contribution it has made to moving technology forward throughout the health service.
“The NPfIT found a significant difference just in the baseline technology used across General Practice from Primary Care Trust to Primary Care Trust,” he said. “One of the things it did was [to] bring that baseline up, [and make] software more readily available. It forced GPs that didn’t have a clinical system to take [one up], and at least got them on the road. Where it foundered, however, was that everyone was at a different point on that journey.”
If this explains why the connectivity that was a key part of the NPfIT’s approach didn’t succeed, it doesn’t obviate the need to join different healthcare providers together – as respondents to the Dell/Dods Research survey were quick to recognise.
For example, only two per cent of the nearly 2,000 respondents said that primary and secondary care is sufficiently joined up in their area.
Moreover, 65 per cent said they were unable to access relevant information from external organisations when trying to provide care to patients, and a staggering 96 per cent said healthcare and social care were not sufficiently linked for patient needs.
The benefits of a more joined-up approach to healthcare were highlighted by Shilpi Rahman, a practice manager from the West Midlands. “At the moment all the practices in our area use the same IT,” she reported. “This is immensely helpful, because it means [everything] is transferred electronically [between practices].” That enhances efficiency, Rahman said, by making record keeping less labour intensive. In a further benefit, it makes for a happier workforce, because they get to do more hands-on work and less paper pushing.
When joined-up healthcare works, then, it proves to be a big hit. And the converse is true: when healthcare providers don’t share information, it can be highly frustrating for patients.
Alan Kennedy, lay chair of the Clinical Commissioning Group (CCG) in Crawley, West Sussex, drew on personal experience to make this point. After a health scare, he was irritated by the lack of shared data among different parts of the NHS, meaning he had to repeat information and tests in a variety of places. “We’ve invested a lot of emotional time, resource and money in enabling new records,” he stated. “But they’re not portable, or connected at all. The NHS is driven by snail mail at the moment.”
Part of the problem is that healthcare providers are nervous about sharing patient data, as GP Dr Sunil Gup