NHS Summary Care Card

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RogerS

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One of these dropped through the door the other day. I'm in two minds whether or not to Opt-Out given my jaundiced view of most Govt IT systems, their viability and their security. I can see why it might be useful if one was on medication but I'm not. So that eliminates the one key benefit as far as I can see.

I'm not sure that the fact I'm not on the system will make the paramedics pause from giving me a drug while they debate whether or not I was on medication that might interfere with the drug.

What do you guys think?
 
I reckon it's a sensible first step to letting anyone treating you at a hospital see the relevant bits of what your GP knows about you and your medical history. Also relevant if you need to get treatment out of hours.
 
I wish the system was already in operation here it would make my life a lot simpler, and maybe safer, instead I have to keep lists to show different NHS staff in different places.

There has been a problem with security on a lot of goverment systems and there probably will be on this but for me the good would out weigh the bad.

john
 
Medical professionals will (should) not administer a drug or treatment if it could cause serious side effects depending on the patient. They can't know this if it's not on your record (or if you don't have a record), they'll have some tests done first. This takes time which might make a difference to your condition.
 
Mike...you don;t actually have anything. It's all stored on the NHS computer system.

One other solution I heard about was to stick all relevant details on your phone as either your lock screen or wallpaper.

And while we're on the subject of phones, do remember to check and update if necessary your ICE numbers!
 
Not being familiar with the system you are talking about (living up in Scotland), I assume it's an electronic record of a patients medical history, in brief? Or is it just regarding drugs?
Either way, and to answer to Roger - knowing that someone is on no repeat drugs at all can be just as useful as knowing which drugs someone else is on. There arent too many things that will cause a serious acute cross-reaction, but it can help to rule out certain problems.
However, this record would only be of use if the patient can be positively identified as the 'holder' of their record - for instance an unconscious patient found with no family and no bank cards etc.
Having been in the situation several times of wanting more information on a patient (and yes, handwriting in patient notes is sometimes completely unrecognisable) prior to anaesthetising them, I can telll you that *any* reliable information is supremely valuable to medics.
Cheers,
Adam
 
I was in hospital in april and I was chatting to a nurse in a quiet minute. I forget what the subject was, but I told her something and she expressed some surprise - I was surprised she didn't already know. She explained that due to patient confidentiality, she was not allowed to see some other department's notes. Beat that.
 
Phil - that makes no sense whatsoever. I think your nurse had the wrong end of the stick regarding confidentiality. Im not certain, but there maybe one or two areas (for instance psychiatry, but Im just educatedly guessing) that are specific in the notes they keep/allow others to read - i.e. those of a rather sensitive personal nature. However, for a nurse who has legitimate access to a patients' notes cant check up on information from another department is daft.

Adam
 
It's a good idea if it works, but the confidentiality/security issues are immense. Because the all-embracing NHS IT project failed (spectacularly), there is no common security/authentication standard, and, even if there were, the security of the system would be limited to how well individual departments were run in hospitals, clinics, etc.

It's also going to be hellishly expensive. It's high time we did more cost-benefit calculations with regard to public policy. How many more lives would be saved, problems averted, etc. compared to not having such a system? What is the cost per incident averted?

As a comparison, we're one of the cities being inflicted with a "twenty is plenty" speed limit scheme. It's going to cost twelve million pounds here, just in signage alone. I've never seen any numbers for how many accidents it's likely to prevent, nor what the additional costs will be in increased pollution, slowed traffic (wasted time), more wear and tear on vehicles, etc. My guess is that the true cost will be between £3m and £20m every year (Bristol has 350,000 inhabitants - go figure). Yet the idiots in charge of us think it's a great idea. They're borrowing money to do it, of course.

In the NHS, one of the really big stupidities coming down the pipe shortly is on-line access to your own medical records, which is being imposed on GPs by the government. There are so many issues surrounding this it's hard to know where to start, but be aware your already over-stretched GP is about to be penalized for not setting this up by 2015. To seed the thought process, consider hacking, viruses, mistakes, telephone support, patients misunderstanding what's in the record, lawsuits, and so on.

Personally I'd prefer it if they simply got on with the job of looking after people.

Shout if you think almost all politicians are idiots.

E.
 
Eric - for what it's worth, I mostly agree you. However, the 'job of simply looking after people' is made overwhelmingly easier when I have access to accurate, up to date, legible notes. Digital versions allow this. There may be some issues with security etc, but Im not sure they are any worse than having paper copies falling out of casenotes etc.
Online access to your own medical records, however. Bonkers.
Adam
 
I had cause to go to A&E in Glasgow recently. The person checking me in looked on the computer and asked if I was still at an address I lived in 50 years ago before I moved to England! I think it's a sensible idea to have this facility.
 
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