[Gllug] NHSnet Choose and Book

[Peter Childs]

On 02/02/2008, George <caparo.g at gmail.com> wrote:
>
> On Saturday 02 February 2008 17:56:50 John G Walker wrote:
> > On Fri,  1 Feb 2008 10:24:46 +0000 "t.clarke" <tim at seacon.co.uk> wrote:
> > > The funadmental problem with the NHS, it seems, is that the whole
> > > thing runs for the convenienceof the system rather than for the
> > > convenience of the patients (sorry, we are all 'customers' or
> > > 'clients' now, in new-speak)
> >
> > This can vary from clinic to clinic and from tie to time dependent on
> > who's in charge.
> >
> > My diabetic clinic used to be atrocious in this. I was told, more or
> > less, by a manager there that the problem was the patients. Then there
> > was a change in regime and it's now run exactly as it should be - at
> > least it that was my experience up until last year. My appointment's on
> > Thursday and I'll let you know if it has got worse. I'll have to let
> > off some steam somewhere f it has,
> >
> > --
> >  All the best,
> >  John
>
> Hi,
> The patients notes are "supposed" to be all computerised now but the 3
> Hospitals ,2 clinics and the GP cannot see each others notes despite
> treating
> various aspects of the same ailment :((( and have to rely on snail mail
> with
> the exchange of information usually after much bullying from me to do so.
>
>

Hmm Joined up service? The best way of getting a message correctly from
specialist nurse to GP..

It seams to be something like this. (and this is for a simple prescription
change

1. Specialist Nurse writes letter.
2. Specialist Nurse get Consultant to sign it
3. Give Letter to patient to take to GP.
4. Patient fills in blanks in letter
5. Patient makes appointment with Practice Nurse (could send it to GP but I
don't trust them to read it and handle correctly)
6. Repeat Prescription gets up dated by Nurse at appointment.
7. Patient Requests  repeat prescription from receptionist on way out.
8. Patient picks prescription up from chemist 3 days later.

Oh some other important details, GP does not really understand anything
thats going on it just needs his signature (nor does he care)

I know what should be on my prescription and have been basically making it
up my self for the last 10 years now!

Lets just say Its not just snail mail for communication is communication via
patient. I've had a number of cases where wires have got crossed and
incorrect data has been rocking around for months until it finally tracks me
down.....

But I guess this is the way Gordon Brown wishes to run the country!

Peter.
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