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Why information (technology) matters to doctors The BMA view on NPfIT
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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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Current practices - the need for improvement Past failures of NHS IT Multitude of systems Lack of interoperability Under-investment in secondary care
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A national approach to NHS IT Doctor’s support Potential benefits Change management programme Need for consultation
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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
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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
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The issues Accuracy of records transfer Security Confidentiality and consent Monitoring Audit Legal issues
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Positive steps Cluster clinical advisory groups Care Records Development Board Front Line Support Academy National and regional events Roadshows Stakeholders’ conference
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What is needed for success Communication with clinicians Local ownership Information for patients Benefit realisation Evaluation and improvement Honesty, trust and openness
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Understanding Resource Needs Adequate Warning of meetings/training Back fill Training Operational needs
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What doctors want Functional systems which are well supported which enhance and enrich working practices and improve patient relations and care
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