AN ambitious hi-tech £11m plan to allow any doctor or nurse to access a patient’s information from anywhere in the country is being launched by Islington health chiefs.
Patients will have their own Facebook-style health records page or app, detailing all of their information, which they will be able to invite other people to look at from anywhere from “Cornwall to Scotland”.
eCulture Thoughts on Electronic Health Records
As a proposed solution eCulture certainly thinks it is a good way to go in so far as providing a patient consent based interface solution. The key will be however in what platform they build this to integrate with from an existing social network perspective. Or if they decide to establish their own, what additional functionality they would proposed to include beyond that concerning health to keep prospective clients engaged.
Other fundamental aspects of concern, build out of the core infrastructures, taking into account the information governance and cyber security requirements, with the need to build in capacity for growth, this is not cheap, even from a start-up perspective.
Opting for a predominantly open source approach will keep costs down, but there will always be an associated cost incurred on a user by user basis some from commercial off the shelf (COTS) technologies, that cannot be displaced by open source alternatives and, subject to what functionality is provided associated increases in platform costs.
There is potential to offer certain services to clients on a subscription basis to cover this, but this is most easily addressed when the offering is from a commercial third party, not so easily implemented when the solution is being offered from an NHS body?
Affiliate revenues are another potential but considerable care and attention in how this is achieved has to be taken, i.e. if the solution is going to have in time an advertising affiliate revenue based model, then great care has to be taken in what is advertised, again more so if it is presented as an “NHS” solution.
Perhaps the business case at the end of the day can justify the investment and running costs be met by central government, on the basis of strong returns on investment achieved.
When they launch it will be interesting to see what fair processing notice comes with the launch, if it is developed correctly with the right approach in terms of implementing a patient consent / data access assurance model then the notice becomes much less of an issue.
It’s all doable so one to watch for sure….