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Is technology killing the NHS?

I'm sorry if this comes across as pessimistic but I believe that the NHS will die unless seriously intelligent reforms are made to it. These reforms will probably not be possible because of inertia in the system. What happened to Stafford Hospital is a snapshot of what will come to other NHS trusts.


When the NHS was established in the 1940s, technology in hospitals was far simpler. In many cases medical procedures were carried out using simple hand tools. The most complicated piece of equipment in a hospital was probably an X-Ray machine. A modern hospital contains tens of thousands of pieces of advanced machinery.


This costs a large amount of money to buy.

This costs a large amount of money to maintain and service.

This costs a large amount of money to provide staff training.


The amount of money spent by hospitals on advanced medical devices and IT equipment keeps increasing year after year and is a substantial part of the NHS budget.


If this isn't bad enough in itself, the NHS is not very good when it comes to using and deploying technology due to its cumbersome and antiquated management structure along with the mentality of a high proportion of its staff. The NHS is clearly not a visionary and progressive organisation.


Only a small fraction of medical devices are specifically designed for the NHS. A high proportion of them are off the shelf products primarily designed for the US healthcare market.


The situation is marginally better with software although NHS IT projects are known to have been expensive disasters.


Therefore, is technology killing the NHS?
  • Former Community Member
    0 Former Community Member
    Speaking to the eye surgeon at the check up on Thursday, "optician-to-operating theatre" digital eye imagery is used routinely within the Scotland NHS by ophthalmologists. This English NHS specialist eye hospital has the required very expensive and capable imagery equipment, but it is looked away in a cupboard. The problem is that the NHS Trust that the hospital is within has mandated a corporate software operating system across all its hospitals and medical facilities that cannot connect with and interconnect with, the specialist digital eye equipment software that this eye hospital has bought! What a waste of money buying a system that cannot be connected to the Trust's corporate IT network, or mandating a corporate IT software that doesn't connect to extant, current and future Trust equipment. Someone needs to be held accountable, someone needs to find a software inter-operability solution to enable the use of specialist eye equipment and allow free flow of digital imagery, and/or someone needs, or a number of someones need, to be sacked.
  • Former Community Member
    0 Former Community Member
    Peter, I can understand the likely problems with transferring digital information between different private medical organisations in the USA, but the NHS is supposedly a single healthcare organisation. If I can manage my banking on-line and access it securely globally, it cannot be rocket science to have a national NHS IT system that meets personally controlled 'access anywhere' secure general and specialist medical data collection, transfer, manipulation, collation, storage, and retrieval needs. I should have a secure, backed up, 'personal medical data vault' that holds all my medical information and records that I can securely update with IoT medical devices. I should also be able to give tailored routine monitoring access to my GP, any specialist medical staff, dentist, optician, pharmacy, etc, and also approve full read/write access to my records, imagery, results, history, medication, etc, for A&E emergencies, hospital appointments, etc. All tracked by blockchain, or similar, so everything to do with my medical data and data vault transactions has an audit trail for transparency, analysis and investigation as required.


    Whilst I don't fully understand the App, I am always wary of personal data cyber vulnerability when 'in a cloud or remotely hosted', and would never trust a commercial organisation with my personal medical data, if Apple can provide globally accessible personal medical records, why not a single national healthcare organisation?
    https://www.apple.com/healthcare/health-records/
  • Being retired I don't give a damn about who I contact to get a problem like this formally identified and fixed -


     I would try and get the manufacturer and model of the equipment that has been put away and the basic information of the NHS software package (commercial or custom software package).


    The equipment manufacturer will probably have a conversion software package or know where there is one that will interface with the corporate software.


    Failing that I would contact the MP who is responsible for NHS issues or one of the major UK newspapers.


    By the way I have previously contacted a UK MP about the big 4 auditing problem and got a response - it works 


    Peter Brooks MIET

    Palm Bay Florida USA

  • Everyone should know by now that the NHS is not a single Health-care system, but a group of Fiefdoms.


    When my son (who had a NHS and EIC card) died about three years ago I could never find an NHS organization that was responsible for cancelling his cards,



    It is my position that there is not a database system (commercial or government) that can not be hacked.


    Usually for health-care systems it is an inside job.


    Peter Brooks MIET

    Palm Bay Florida USA
  • Former Community Member
    0 Former Community Member
    Is there a point beyond which we should not go with digitisation and relying on technology (without a robust back up) as we become too vulnerable to disruption?

    If Sweden is now advising its citizens to keep a hard cash stash in case of cyber attack on its financial system, perhaps we should limit how much we rely on technology
    https://www.thetimes.co.uk/article/sweden-nation-that-pioneered-living-without-cash-warns-hoard-your-banknotes-6f72jqbf3
  • Automation (digitization and robotics) in hospitals MUST have a robust backup up.


    Living here in Florida we have our annual hurricane season which starts in about one month when the Gulf and Atlantic water temperature gets over 80 degrees F. They are unpredictable up to about 3 days before landfall.


    Each year the Florida population is advised to prepare  under the assumption that there will be no electric power for up to 5 days. Hospitals are required to have back up generators and now, after the deaths in South Florida a few years ago, so are nursing homes.


    My other concern is the skill loss (for example by surgeons) if fully robotic surgery is implemented


    A family member underwent surgery with the Da Vinci Robotic system which produced excellent results (reducing post op time in hospital) but it was under the direct control of an experienced surgeon at all times.


    Not everyone has their internal plumbing in the exactly the same location in the body.


    Peter Brooks MIET

    Palm Bay Florida USA





  • Hello Maurice:


    Your comment about the problem of the UK becoming a cashless society and it's social impact, is a major problem. It was recently highlighted in one of the weekday internet IET articles.


    I carefully read each of their published articles and make written comments back to the IET staff that rarely get published.


     I usually go one step back, looking at the original article or research paper or contact the author(s)  and I often find that the published abstract that they used for their article, is missing some essential details. 


    There needs to be a new members "forum" that exclusively provides feedback on these IET articles.


    That being said, I will not respond to your cashless society item, as it does not relate to the"technology problems with the NHS.


    Peter Brooks MIET

    Palm Bay Florida USA



  • Peter Brooks:

    Everyone should know by now that the NHS is not a single Health-care system, but a group of Fiefdoms.




    This is true. The NHS is vaguely similar to the Holy Roman Empire.


  • Do NHS hospitals have outreach educational lectures on various medical topics?


    Education of the general population concerning various medical problems (both physical and mental) should be in the charter of any hospital system -- prevention is cheaper than a cure.


    The hospital system I currently belong to, has "annual" one hour lectures on subjects like heart failure or kidney failure given by doctors, specialists or surgeons.


    As an example this coming week I will be attending a lecture given by an Alzheimer's doctor on "Secrets to Successful Aging" - it also covers reducing stress (resulting in improved health) in long term "care givers".


    Peter Brooks MIET

    Palm Bay Florida USA

  • Peter Brooks:

    Do NHS hospitals have outreach educational lectures on various medical topics?




    Not really for the public although there are some lectures for staff.






    Education of the general population concerning various medical problems (both physical and mental) should be in the charter of any hospital system -- prevention is cheaper than a cure.




    The traditional modus operandi of the NHS has been cure rather than prevention. Remember that the NHS was established in the 1940s when society, medical conditions, and medical technology were very different from today, so the primary purposes of the NHS back in the immediate post war years were different from society in the late 20th century and early 21st century. In more recent times increasing emphasis has been placed on prevention rather than cure (like stop smoking services) but the NHS has struggled to adapt and changes are sometimes seen as violation of its original constitution.


    Mental health and psychology services for children and teenagers are quite poor.