1. v. The act of writing a weblog or 2. n. Toby’s weblog.

TCSOTD 2006-12-11

The Denial Machine

10 Bible verses never preached on

Ask your doctor for the 93C3 form
… not that it’ll make any difference of course.

ID Cards don’t work – even Tony says so

A good resource on all public NHS IT information

Mozilla causes relationship to break up

The Corporation released for free on bittorrent

BottleTalk: Web 2.0, Wine and Social Networking

Published on 2006/12/11 at 00:01 by Toby, tags , , , , , , , , , , ,

The Vice President Has Spoken

A quote in Information Age magazine in the Management Report 2006 section:

“Software has always been a barrier, and I guess it sort of always will be a barrier”

Who said this? Clive Fenton, the Vice President for Service in BT’s health division. Says it all, really.

Published on 2006/11/24 at 11:07 by Toby, tags ,

TCSOTD 2006-11-22

Interactive whiteboard technology

Global Orgasm Day, December 22nd
… ‘peace through global ecstasy’

Longer drinking hours seem to be producing fewer problems
Tim Worstall’s analysis

Goldsmith says he has seen no evidence to increase suspect holding time to 90 days

New Zealand Minister defends right of school girl to run amok in underwear

Robert Altman dies

Parents halt mosque school trip
… “did not want their children exposed to a religion that was not their own.”

GPs threaten to snub NHS database

RFID passports less reliable than normal ones

The plastinated brain

Paintball minigun in development

Red tape blog

Ordnance Survey New Popular Edition Maps from 1940s scanned in
… add your postcode to the map

Police to take fingerprints on street
Henry Porter responds

Police accepted gifts from scientology allegation
… why are the police allowed to accept gifts at all?

TCSOTD 2006-11-13

Health service IT boss ‘failed computer studies’
Reaction from Burning Our Money
Article in the Inquirer
Article in the Register

List of faux pas

Sun security engineer talks about ID Card technology

More on FIDIS Budapest ID Card Document
… ‘Biometric ID cards an insecure menace’

I’m up for a chat on the tube day – 17th November

Addiction explained
… ‘primarily caused due to possession by either ghosts or our departed ancestors’

A judicial speech given in 1997 which still resonates today
comment by Bystander here

Published on 2006/11/13 at 09:01 by Toby, tags , , , , , , ,

NHS IT: A plan for the future

We all know what a mess the NHS IT project is in. Billions overspent; one of the major partners currently being investigated by the FSA for suspected “accounting irregularities”; another announcing a profit drop due to the project and then subsequently pulling out. Most recently the government has threatened to scrap the agency in charge of the project". So much, so known, and yet nothing seems to be being done publicly to fix the project. The press pundits complain about a waste of tax payers’ money and typical government IT project cock ups but I haven’t yet seen anyone put forward a plan to fix it.

In the past, back when the NHS IT project was but a glimmer in the eye of the various consultants that persuaded governments that monolithic IT solutions were The Way Forward I spent a time talking to doctors about their requirements. Here is what I learnt: before government woke up to the enabling aspects of technology the Doctors realised pretty quickly that they could make their surgeries far more efficient. They either looked at off the shelf packages or talked to developers for more bespoke solutions. The Doctors got systems that they and their staff liked with user interfaces that they then got used to over many years. Generally the systems worked the way that they wanted and had specified. Unfortunately the systems didn’t work well with each other and were not compatible with the systems that hospitals and other NHS resources had.

So, how to rectify this situation? I am a great believer in loosely coupled systems which offer many advantages. At this point in the NHS IT Project the large collection of different software platforms that existed should have been seen as building blocks, not a hindrance.

In 2000 Tony decided that the UK should become the best country in the world for e-commerce. This seeded some ideas in my head about how these sorts of large government projects should look. Rather than creating large, monolithic and effectively unmanageable projects, why not ask some technical experts (say, the W3C) about data transfer technologies and then set up a working committee to look at a resilient and extensible data standard for transferring data between medical systems?

Once this standard is produced all government needs to do is mandate its use across all NHS platforms. You keep a free market in software; doctors, nurses, physiotherapists, hospitals, you name it, all get to use the software that they want to use, rather than software that is forced upon them which requires vast swathes of tax payer’s cash as well as retraining. The more technical able would even be able to write their own applications. You also get the benefit of then having created a standard that medical systems can use across the world. Imagine how useful it would be, in the modern travel hungry world, if doctors in foreign countries being able to find out about your medical history if you are unable to communicate it to them for what ever reason.

There are obvious hurdles here but none of them are insurmountable, and a few of them are solved problems in other industries. Here are some of the challenges that this would face off the top of my head:

  • Data Security
  • Authentication and Access Rights
  • Data location
  • Data synchronisation
  • Data redundancy

IT these days should be about enabling people to improve how they and the processes that they interact with work. Lets work towards that in the most flexible way possible.

Published on 2006/11/08 at 15:30 by Toby, tags , , , ,

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