Tuesday, August 05, 2008

NHS Spine - delivery in 2507?

Many people will be aware of the glorious NHS Connecting for Health "spine". The superduper fancy computer system that will means everyone in the country has a "Summary Care Record" in the system.

Recently it was suggested to me that in the early adopter areas for these records, the ability to "opt-out" was very restrictive. Whilst everyone had the right to do so, they were often pressurised into doing it, or, as my source suggested, requests for opt-out were not quickly actions and in some cases were just ignored.

I decided to ask the Department of Health about this, and in response discoevred something much more amusing/concerning. To start with, the DoH told me they didn't hold opt-out rates centrally but then assured me it was less than 1%, however, it was the input rate for the Summary Care Records onto the "spine" that caught my eye.

Currently, there are five early adopter Primary Care Trusts involved in the projects. They are Bolton PCT, Bradford and Airedale Teaching PCT, Bury PCT, Dorset PCT and South Birmingham PCT, and they started to upload records in 2007. According to the DoH,
As at the beginning of July 2008, medical information in respect of some 163,000 summary care records had been uploaded to the spine at the small number of early adopter sites where this phase of the NHS CRS has already gone live.
That's 163,000 records in areas that have population far in excess of the uploaded figure. In fact, let us to some rather quick and dirty maths.

If we assume that the population of the country minus the 1% opt-out is approximately 60 million people, then so far, in about a year, they have managed to upload 0.2% of the final total of records to the system. So it's going to take them approximately 5 years to upload 1%, meaning that at current rate they will have uploaded everyone (currently alive) in 500 years times.

I wonder if Microsoft Project can generate a Gant Chart with that sort of delivery timescale on it? Government IT projects huh? Don't you just love'em? Data entry jobs are clearly the future for Brtiain's unemployed!

5 comments:

Gollum Brownfinger said...

"Data entry jobs are clearly the future for Brtiain's unemployed!"

Arrest this man ot once! He has seen through the whole smoke and mirrors scheme of massaging the unemployment numbers.

Lola said...

Ahh, I wondered what the next way Brown Darling were going to use to massage the unemployment figures and where the non jobs would come from. Now we know.

Danvers said...

Dizzy, you might be interested in this research from Huddle.net who are already successfully selling some Web 2.0 to government...

http://www.huddle.net/press/government-should-buy-local-go-social-public-sector-workers-say

Anonymous said...

Update on the stats. Per DoH data at the end of 2007 the five trial PCT's had a total population of 1,642,819 people (3.25% of population of England) so only 9.92% of the patients in the trial areas have been entered into the system so far. Allowing 1% refusniks, that means it will be more than 10 years to load the trial areas so that it is possible to see if the system works at all. Which is about long enough to spend the rest of the £13bn budget and decided that the project needs to be restarted from the beginning with a new plan and newer and bigger budget. Only in our glorious land of goverfail.

total nosher said...

i wrote to my Dr asking to opt out of the spine - there is a precedent letter somewhere that you can top/tail, have a look on No2ID I think. Anyway, she wrote back saying that she had done the same thing and encouraged me to ask everyone I knew to do it!