Endgame for Electronic Patient Records

The Conservatives have announced plans to scrap the government’s flagship electronic patient records system – the planned central database of patient records – in favour of electronic medical notes stored locally by GPs and hospitals.

The NPfIT’s electronic patient records system is already years behind schedule, a thorn in the side of the otherwise promising progress made in the £13bn NHS IT project.

Accessible patient data, and more of it, is vital in helping to improve care delivery and patient outcomes.  What is needed therefore is an easy to use system which allows healthcare practitioners to securely access relevant patient data to support clinical decision-making.

NHS trusts are being promised a choice of computer systems, rather than having a single system imposed on them.  According to the Tories, interoperability between locally hosted systems would allow a joined-up, coordinated approach to healthcare, and sidesteps the hugely complex structure required for the national spine, which has dogged progress made by the Department of Health.

In addition to the increased security that the party says comes with patient data being hosted locally, patients would have more access and more control over their records, and would be able to update information such as blood pressure and cholesterol.

Increased access to data in this way not only benefits healthcare providers, it also benefits patients, in that they get improved understanding of their condition – a key factor in improving outcomes.

Dangers of Storing Patient Data in the Clouds

The former shadow home secretary David Davis has voiced his concerns on Tory plans to store patient records with commercial IT companies such as Google and Microsoft, describing the decision as “naive” and “dangerous”.

He argued that although the NHS data centre is already bloated, storing records remotely will pose great security threats in the potential misuse of information and supported the idea that patients should be able to nominate where their data is kept.

Davis has suggested that private companies are better than the state but improvements will still need to be made to ensure maximum security, such as clear structures and rules for data management to guarantee that whether records are stored with private or commercial companies, they are always secure.

While using cloud computing to manage patient data does have its benefits, by storing information locally trusts are able to have more control over who can access the information, and if a patient requests their data it is easily accessible while still remaining secure.

Ardentia’s business intelligence are customised to meet the specific needs of each individual trust, PCT, or strategic health authority.  Every organisation is different, and so a one-stop-shop approach simply does not work.  Customised business intelligence better meets internal reporting requirements and individual operating structures, and also better supports the varying levels of access required.

A centrally-managed super-cloud solution would simply not work well within the NHS environment – far more effective is to have a highly customisable solution to meet the data analysis and reporting requirements at trust level.

Keep Everyone in the Loop

It was reported on E-Health Insider today that a North London Trust has stated that any patient who will not allow the trust to upload their details in to the electronic system will not receive care.

Following one patient’s request, who asked not to have an electronic patient record, the director of strategy wrote to the patient stating that the trust was under legal requirements to maintain local patient records and they would now only be doing this electronically. If the patient continued to refuse, due to their duty of care, the trust would not be able to provide treatment.

The main patient concerns seem to be centred on when the records will be streamed onto the national records system. With the number of data loses and security issues surrounding personal data it is understandable that patients may be concerned – it’s therefore vital to deploy secure electronic systems to ensure patient records are managed safely.

Perhaps trusts simply need to make their patients more aware of the new structure for electronic data records systems. It is the patient’s data after all, so they have a right to be concerned about how it is used. Reassuring them of the benefits of the system as the changes take place will minimise these concerns and ensure no one is refused treatment.