Ramblings

Digital Maturity Index?

Follow @WoodcoteEwan It’s a good idea for health and social care organistaion to reflect on their digital maturity and understand where they are in relation to their peers. The NHS Digital Maturity Index was a good proxy for what we all might reasonably recognise as digital maturity and potentially a great tool to stimulate reflection,…

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Please! Not another "White Knight"

Follow @WoodcoteEwan News has been leaked this week by Computing  of plans by NHS England to create a new post of Chief Information Officer/Chief Technology Officer to replace the role that Tim Kelsey will leave vacant at the end of the year. On the face of it this seems to be a good idea, but my experience…

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Sticking to the Knitting

Follow @WoodcoteEwan I’ve written about this before, but have become increasing concerned that the pressure on NHS organisation to generate revenue outside of their core business is a dangerous distraction, acts as a barrier to the diffusion of innovation within the NHS and acts against the best interest of patients and taxpayers. A distraction because…

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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 of the exciting home grown initiatives. Included amongst these are a number of projects that…

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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 as a supply chain? Supply chains are complex adaptive systems which consist of a large…

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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 talk about the need to encourage innovation. I’m all for that but I think it’s…

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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 this article may be behind a paywall) I want my identifiable health data shared so…

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Nick and Ewan's Grand Union Cycle Adventure

Please help us help The Neuroblastoma Society Not health informatics this time, but the planned adventures of two health informaticians – myself and my old friend and colleague Nick Booth. (http://linkd.in/kpNnXQ) who plan to cycle the length of the Grand Union Canal from Birmingham to London. I was inspired to do this as a result…

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Life without a Moblie Phone

Both my adult children have recently had their phones stolen. Both were bereft. This lead to the following email to my son with some reflections on life without a mobile phone. Hi Silas, How are you finding life without a phone? Interesting to reflect on this. You were born in to a world where very…

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