Damian Williams
1.4K posts

Damian Williams
@drdamo
GP in Birmingham. #Gpsbehindcloseddoors Clinical Informatician. Views my own.
Birmingham, UK Katılım Kasım 2008
574 Takip Edilen652 Takipçiler
Damian Williams retweetledi

👏 Congratulations to Reuben Ubogu & Nektarios Papadopoulos on their European Youth Basketball League awards!
Nektarios made the All Star Five, recognising him as one of the top players at the tournament while Reuben received the MVP award.
Congratulations, guys!
#WeAreRockets

English

@GPsShould @pulsetoday GPs can't already agree with each other in a partnership let alone between partnerships or wider. This lack of unity is what makes the GP position weak. Collective action, where everyone is doing something different, is a prime example.
English

Health secretary Wes Streeting has committed to taking ‘representations seriously’ from GPs affected by the hike in National Insurance contributions. buff.ly/3Ywx5qC

English

@kapowaz @hadleybeeman I think that culture already exists in the NHS. The problem is that most electronic records systems are made by private companies and whilst some have the same culture many do not
English

@JohnMeredith @MrWNeedham @hadleybeeman Every hospital, GP practice, pharmacy, community service etc etc is a separate legal entity with completely separate data controller responsibilities. Each one needs a data sharing agreement with every other one before they can share. Plus the data subject (patient) needs control
English

@MrWNeedham @hadleybeeman The problem is that shared care records generally fail when needing to actually do the sharing part. Shared to whom and where? The porous boundaries of Trusts and care organisations were not adequately considered and now there's is a mess and lack of Interoperability.
English

@hadleybeeman However what your model doesn't address is data analytics / population health / cohorting / risk stratification / screening recall etc etc. You can't really do that with a look up system
English

@hadleybeeman What you describe is OK for direct care ie when you go to see a clinician. And this kind of look up record pulling from multiple sources without a central database already exists in many areas. Most are regional but can be linked up (as we have done in the Midlands)
English

@ShamblerSynth @hadleybeeman Most GP records go back at least 20 years. It is just that they are only sharing the part year. You can ask for more
English

@CNagpaul @BBCNews @wesstreeting @LBC @NickTriggle I agree but why are the BMA continuing collective action instead of taking a pause and working with the government to find that solution?
English

The @BBCNews story berating @wesstreeting for calling the NHS “broken”, arguing that “NHS insiders” claim it’s deterring patients from seeking care and allegedly demoralising staff is totally misguided and incorrect.
As I told @LBC for once we have a government that acknowledges the true state of the NHS, rather than covering it up with press releases pretending all is OK. Healthcare staff experience the reality of an NHS unable to cope with demand and feel finally understood. There’s no evidence that this is deterring patients from seeking healthcare, since they already experience a “broken” NHS when they’re waiting over a year for treatment within an NHS constitution that says it should be 18 week or being treated in A&E corridors.
What we now desperately need is a clear “rebuild” plan from government that shows how the gross NHS infrastructure deficits of shortages of doctors, staff, hospital beds, and community facilities will be funded and corrected and with clear accountable timescales.

English

@drgandalf52 @Pharmacistdaz I am not a lawyer but if you receive a hospital letter and it has an error in it and you enter it into the record who is responsible? Whereas these entries are clearly attributed to the pharmacist who entered it.
English

@drdamo @Pharmacistdaz Can you clarify if the data is coded on entry?
Can this be removed directly if incorrect?
Who is legally responsible for errors
English

URGENT GP data sharing actions on GP Connect UPDATE RECORD
Do this NOW!!!
Watch: youtu.be/2A-DDEmEuTY

YouTube

English

@drgandalf52 @Pharmacistdaz Both systems are configurable. The message always comes into workflow and you can choose if it is filed or held for filling. You can remove any element that you don't want (in EMIS there is a remove button next to each entry).
English

@drgandalf52 @Pharmacistdaz This is not really data sharing (where we usually are referring to sharing out) but a post event message. A handover of care. The only difference is that instead of a PDF that needs extra processing you get a structured message that can still be accepted or rejected as needed
English

@Pharmacistdaz it is a case of the tip of the iceberg.
One possible useful route of data sharing, with a reasonable risk of abuse to transfer work and risk to practices that is being engineered not to be reversed.
Shame really as ever, data sharing done wrong.
English

@Pharmacistdaz @drgandalf52 It is hard to see how this is any different to a hospital letter. They can and do dump work on us and being a letter is no deterrent. If you reject the structured message you will get a PDF by email with exactly the same content and exactly the same potential for work dumping
English

@drgandalf52 So is the advice to totally reject GPC update record messages completely?
It seems a shame that structured data from one sector has to be ignored, to prevent, as you state "workload" dumping from another.
#GPConnect
English

@IanSlaterPhoto1 @EssexPR @lindsaypuppyd Interesting that the salary is half what the NHS job was offering.
English

@EssexPR @lindsaypuppyd There’s a website full of these things. This was a particular favourite.
diversity.co.uk/jobs/60835406-…
English

@themeatly @dantdm Strictly speaking now in two pieces. A big bit at home and a little bit left behind in the hospital!
English

@andy4wm Thank you for serving us so well. Your successor has a really tough act to follow and will be measured by your standard.
English

We’re giving you TWO ways to WIN a one-of-a-kind GeForce RTX 4080 SUPER signed by NVIDIA CEO, and founder, Jensen Huang 👀
If you’re at CES head to our partner booths to enter 👉 nvidia.com/en-us/geforce/…
Want to WIN here on social?
⚫Comment #RTXSUPER
⚫Like this post

English

@Razer Unexpected place to play? Probably in church (as long as I don't get caught!)
English











