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Why information (technology) matters to doctors. The BMA view on NPfIT. Information and patient care. central to medical practice not an e-phenomenon importance of IT in healthcare - the benefits of technology Warning: must be patient-focused not technology-led.
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Why information (technology)matters to doctors The BMA view on NPfIT
Information and patient care • central to medical practice • not an e-phenomenon • importance of IT in healthcare - the benefits of technology Warning: • must be patient-focused not technology-led
Current practices - the need for improvement • Past failures of NHS IT • Multitude of systems • Lack of interoperability • Under-investment in secondary care
A national approach to NHS IT • Doctor’s support • Potential benefits • Change management programme • Need for consultation
Why is the BMA concerned? • lack of early consultation • aggressive implementation schedules • effect on the doctor-patient relationship • effect on working practices and existing agreements
The need for consultation 70% of clinicians say they have not been consulted (Aug 2004) • best view of relevant work-flows • early problem spotting • engagement and motivation • building a skills base
The issues • Accuracy of records transfer • Security • Confidentiality and consent • Monitoring • Audit • Legal issues
Positive steps • Cluster clinical advisory groups • Care Records Development Board • Front Line Support Academy • National and regional events • Roadshows • Stakeholders’ conference
What is needed for success • Communication with clinicians • Local ownership • Information for patients • Benefit realisation • Evaluation and improvement • Honesty, trust and openness
Understanding Resource Needs • Adequate Warning of meetings/training • Back fill • Training • Operational needs
What doctors want Functional systems • which are well supported • which enhance and enrich working practices • and improve patient relations and care