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Open Interfaces, Open Standards and Open Source

Follow @WoodcoteEwan Everyone I talk to agrees that we have to create an Open Digital Health and Care Ecosystem in which a range of digital health and care service can be delivered. This needs to support the interoperability and orchestration…

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PHRs – An important but limited role

There is a lot of interest around PHRs at the moment at senior levels within the NHS, but there seems to be a lack of clarity the role PHRs might play in the UK If we are to make progress…

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Code4Health

The  Code for Health initiative and the idea of teaching doctors to code (disambiguation: I mean write computer software not learning to apply clinical codes to health records and other health data) is in my mind a really good idea…

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What makes an Open Source community?

There has been a lot of interest in the role of Open Source software in the UK over recent months, initially stimulated by NHS interest in the American VistA Open Source EHR, but now taking on a broader scope including some…

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Food England?

Listening to the Nuffield Health Policy Summit http://www.nuffieldtrust.org.uk/live/health-policy-summit-2014 Lots of interesting stuff from Phil Collins of the Times. Talking about “command and control”, “integration and competition” and “patient centred service design” Perhaps it would help to think of the NHS…

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"Wicked" Barriers to Innovation and Adoption

Sometimes we just have to JUST DO IT! In the NHS we have too high a tolerance for inaction and too little tolerance for honourable failure. I’ve just come back from the Healthcare Innovation Expo in Manchester, where there was much…

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NHS and Vista Integration

Here is my presentation I gave at the CAMTA Annual Meeting in London on 14 November 2013 CAMTA, otherwise known as the M Technology Association – UK & Ireland, is a non-profit educational organisation. Its aims are to further the…

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UK Drug information, knowledge, coding and classification

I wrote this piece below to brief some US colleagues, but thought it might be worth sharing with a broader audience for what’ it’s worth. The coding of drugs and medical devices in the UK is based on the NHS’s…

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A Pilot Site for NHS VistA – Please?

Moving the open source agenda require that NHS Trust submit Expressions of Interests (EoI) for open source projects under NHS England’s £260 million Technology Fund by the deadline on 31th July. Over recent weeks I’ve been persuaded that there would be real…

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NHS VistA and NHS Open-Source

Many of the issues discussed here will feature at the HANDI Health Apps Conference – Collocated at EHI Live 5 6 Nov NEC Birmingham A slighty amend version of this blog piece with a brief commentary for those outside the…

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NHS VistA – An Update

[Update with additional Links ahead of NHS England/Intellect workshop on 8 July] There is growing support for the production of a NHS version of the VistA the US open source EPR used by the US Veterans Administration and more recently…

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GPSoC – PQQ Deadline 4th July

This procurement is NOT just relevant for those in or wishing to enter the GP clinical systems market – Don’t miss your opportunity. The new GPSoC procurement provides an important opportunity for anyone who wants to sell products or services…

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Digital Healthcare – Making the most of NHS IPR

I’ve got what I think is an important question for NHS England. How do we get the best value out of the IPR (intellectual property rights) created by NHS organisations developing digital tools – Is it by freely sharing this…

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Electronic Health Records

This blog is the first of a series of extracts from a long paper on Electronic Health Records that I have been maintaining and revising since 2008. It’s been shared on a limited basis and has benefit from review and input by…

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Time for Zero-Tolerance

I heard the blindingly obvious statement at the recent Intellect stream of BCS HC2013 Conference in Birmingham that “If you give people software that makes their life easier then adoption is not a problem” Given the clear truth of this…

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Healthcare and Banking

NHS leaders often make comparisons between the use of IT and digital service in banking and health. While we have much to learn from other sectors I feel this comparison means that those who make it don’t fully understand the challenge. What banking systems…

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SPINE 2 – A Game Changer for NHS IT

I attended a presentation of SPINE2 from CfH at Intellect today. I think it’s the first thing from CfH to really excite me (at least in a positive way) since they were established. While I’m reminded of  “The Second Coming…

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An ESB for GPSoC Phase 2 ?

A key feature of the proposed new GPSoC contract is the opening up of interfaces of the principal GP systems to subsidiary system suppliers (this can include pretty much any product or app that might be offered in the primary…

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Preserving Trust in the Digital Age

Trust lies at the heart of the relationship between patients and those that care for them. Meeting the challenges faced by the health care system requires that we make much greater use of digital technology and increasing sophisticated use of…

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Another own Goal from NHS Commissioning Board

It seems to me that the NHS Commission Board is about to score another own goal with it plans to seek section 251 approval to share identifiable patient data without consent reported in the Health Service Journal ( Warning: some of…

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