[GLLUG] Comments please

John Hearns hearnsj at gmail.com
Mon Jul 24 10:32:38 UTC 2023

ps. One thing which could improve healthcare computing greatly. And not
Open Source.
Thin clients or zero clients on the wards and on reception desks. Using
existing smartcards to validate the user.
Have live migrating desktops which 'follow' the card.
Advantages I can see

* staff dont have to log in to a new desktop or nailed down laptop when on
the move
* failed hardware at the server end can be swiftly switched over to a
different server (using a connection broker)
* infection control - you can get a monitor with a builtin PCOIP zero
client and power over ethernet.
   Equip that with a splashproof membrane keyboard and you have something
easy to wipe clean
* security - the Amulet Hotkey clients I am thinking of are secure up the

Yes, you would still have your normal Windows desktop

On Mon, 24 Jul 2023 at 11:27, John Hearns <hearnsj at gmail.com> wrote:

> Karanbir, great to see you on here again.
> Your post is very insightful.
> On Mon, 24 Jul 2023 at 11:08, Karanbir Singh via GLLUG <
> gllug at mailman.lug.org.uk> wrote:
>> hi,
>> On 22/07/2023 17:36, bap--- via GLLUG wrote:
>> > It turns out that he’s an old skool Linux and BSD hacker. He would like
>> Any chance you could share names ?
>> > to make more use of open-source software. Of course he doesn’t have
>> > freedom to kick MS into touch but would be willing and able to
>> But MS does not engage with the NHS directly, past the platform services
>> - its their ISV's and the ecosystem that rallies around it. And in the
>> same space as MS, there are other vendors with some traction, admittedly
>> not enough. So I think its important its clarified as to which end of
>> what spectrum is being addressed here.
>> > Elsewhere in the world every country has similar healthcare issues and
>> > in the third-world that sometimes means running software on ancient
>> > hand-me-down computers, often running old versions of Windows. They
>> > could do with some help too. The USA is looking at universal healthcare
>> > but it’s not going to happen unless the Democrats gain enough power to
>> > amend the constitution or someone comes up with a way to enable
>> > individual states to agree a nationwide strategy. Hell might freeze
>> over
>> > first.
>> Healthcare is a complex industry, it might make sense to double down on
>> local, focused domains. As has been pointed out in the thread, GPs are
>> largely an autonomous entity who can chose and work through their own
>> systems. I believe there are multiple vendors in this space, disrupting
>> that end of the spectrum with open source, open standards and enablement
>> would be good start. Next, the Dentists. Followed by the pharmacists.
>> These are the smallest, but complete, execution domains in the space -
>> efficiency wins here directly map to impact for mass population.
>> If you can make a positive impact on the consumer end of the scale, you
>> may well find that institutional support becomes morere likely.
>> Or you could find specific focal areas to improve - faster ambulance
>> response times, better training optimisation, diagnostic support and
>> evidence collection etc - harder, than just general purpose inventory
>> and reporting that GP, Pharmacists and Dentists need.
>> Keep in mind that the healthcare data is one of the most heavily managed
>> with compliance, privacy and certifications. Even more so than taxation
>> systems. And you are going to need a lot of domain knowledge who are
>> effectively working against £££ and capitalism.
>> There are many initiatives of this nature that have started and had
>> varying levels of success; I would highly recommend finding and reaching
>> out to some of these efforts and people to either learn from them or to
>> offer collaboration.
>> > So here’s a plan:
>> >
>> >  1. Create an open-source healthcare discussion group.
>> >  2. Create an international standards body for backbone systems
>> >  3. Along with the NHS design and develop primary/secondary/tertiary
>> >     healthcare management tools
>> >      1. To build a free-as-in-beer system for healthcare administration
>> >         in the third-world
>> >      2. Introduce more free-as-in-speech software to the NHS and
>> government
>> >  4. In a mutual backscratching exercise persuade the NHS to use their
>> >     management and development resources to take over maintenance for
>> >     some of the orphaned open-source utility and infrastructure
>> projects.
>> >  5. By working with the NHS and third-world healthcare providers develop
>> >     a consultancy arm of the NHS to co-ordinate international systems
>> >     integration. Open-source by default.
>> >  6. By making the NHS the go-to people for large-scale healthcare
>> >     systems position them as the obvious people to implement universal
>> >     healthcare in the USA when the time is right
>> >  7. Make the NHS revenue-neutral.
>> i guess my tldr; here is - its good to have vision, but execution might
>> need to start smaller than 'change the dynamics of mankind'.
>> All the best! and I look forward to hearing more as you make progress.
>> - KB
>> --
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