Damian Williams

GP in Birmingham. #Gpsbehindcloseddoors Clinical Informatician. Views my own.

[Damian Williams @drdamo]

@Mandingosan @invariant_0x @felixrieseberg I don't think that is available on pro subscription

[Matt Shumer @mattshumer_]

https://t.co/ivXRKXJvQg

[Damian Williams @drdamo]

@NVIDIAGeForceUK GeForce RTX 5090

[Damian Williams @drdamo]

@cobrockets Wow. That is very impressive. Well done

[Damian Williams @drdamo]

@GPsShould @pulsetoday GPs can't already agree with each other in a partnership let alone between partnerships or wider. This lack of unity is what makes the GP position weak. Collective action, where everyone is doing something different, is a prime example.

[Damian Williams @drdamo]

@kapowaz @hadleybeeman I think that culture already exists in the NHS. The problem is that most electronic records systems are made by private companies and whilst some have the same culture many do not

[Damian Williams @drdamo]

@JohnMeredith @MrWNeedham @hadleybeeman Every hospital, GP practice, pharmacy, community service etc etc is a separate legal entity with completely separate data controller responsibilities. Each one needs a data sharing agreement with every other one before they can share. Plus the data subject (patient) needs control

[Damian Williams @drdamo]

@hadleybeeman However what your model doesn't address is data analytics / population health / cohorting / risk stratification / screening recall etc etc. You can't really do that with a look up system

[Damian Williams @drdamo]

@hadleybeeman What you describe is OK for direct care ie when you go to see a clinician. And this kind of look up record pulling from multiple sources without a central database already exists in many areas. Most are regional but can be linked up (as we have done in the Midlands)

[Damian Williams @drdamo]

@ShamblerSynth @hadleybeeman Most GP records go back at least 20 years. It is just that they are only sharing the part year. You can ask for more

[Damian Williams @drdamo]

@CNagpaul @BBCNews @wesstreeting @LBC @NickTriggle I agree but why are the BMA continuing collective action instead of taking a pause and working with the government to find that solution?

[Damian Williams @drdamo]

@drgandalf52 @Pharmacistdaz I am not a lawyer but if you receive a hospital letter and it has an error in it and you enter it into the record who is responsible? Whereas these entries are clearly attributed to the pharmacist who entered it.

[Damian Williams @drdamo]

@drgandalf52 @Pharmacistdaz Both systems are configurable. The message always comes into workflow and you can choose if it is filed or held for filling. You can remove any element that you don't want (in EMIS there is a remove button next to each entry).

[Damian Williams @drdamo]

@drgandalf52 @Pharmacistdaz This is not really data sharing (where we usually are referring to sharing out) but a post event message. A handover of care. The only difference is that instead of a PDF that needs extra processing you get a structured message that can still be accepted or rejected as needed

[Damian Williams @drdamo]

@Pharmacistdaz @drgandalf52 It is hard to see how this is any different to a hospital letter. They can and do dump work on us and being a letter is no deterrent. If you reject the structured message you will get a PDF by email with exactly the same content and exactly the same potential for work dumping

[Damian Williams @drdamo]

@IanSlaterPhoto1 @EssexPR @lindsaypuppyd Interesting that the salary is half what the NHS job was offering.

[Damian Williams @drdamo]

@themeatly @dantdm Strictly speaking now in two pieces. A big bit at home and a little bit left behind in the hospital!

[Damian Williams @drdamo]

@andy4wm Thank you for serving us so well. Your successor has a really tough act to follow and will be measured by your standard.

[Damian Williams @drdamo]

@NVIDIAGeForce #RTXSUPER

[Damian Williams @drdamo]

@Razer Unexpected place to play? Probably in church (as long as I don't get caught!)