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	<title>Comments on: You haven&#8217;t been ill enough so we assumed you were dead</title>
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		<title>By: Karen Blakeman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5692</link>
		<dc:creator>Karen Blakeman</dc:creator>
		<pubDate>Sat, 27 Mar 2010 11:26:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5692</guid>
		<description>Hi Hazel, the &quot;big one&quot; for me would be &quot;hold the typhoid vaccination&quot;. 

I&#039;m still waiting to hear from the surgery. No information on whether or not I am now registered there and no update on the location of my records.</description>
		<content:encoded><![CDATA[<p>Hi Hazel, the &#8220;big one&#8221; for me would be &#8220;hold the typhoid vaccination&#8221;. </p>
<p>I&#8217;m still waiting to hear from the surgery. No information on whether or not I am now registered there and no update on the location of my records.</p>
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		<title>By: Hazel Edmunds</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5690</link>
		<dc:creator>Hazel Edmunds</dc:creator>
		<pubDate>Sat, 27 Mar 2010 11:01:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5690</guid>
		<description>A bit late coming in on this one. Have you thought of the serious consequences of your not being able to say, vociferously or otherwise, &quot;hold the pencilin - it&#039;ll kill me&quot;. A medalert bracelet is the answer even if you DO have proper records &quot;on the system&quot;.</description>
		<content:encoded><![CDATA[<p>A bit late coming in on this one. Have you thought of the serious consequences of your not being able to say, vociferously or otherwise, &#8220;hold the pencilin &#8211; it&#8217;ll kill me&#8221;. A medalert bracelet is the answer even if you DO have proper records &#8220;on the system&#8221;.</p>
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		<title>By: Karen Blakeman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5665</link>
		<dc:creator>Karen Blakeman</dc:creator>
		<pubDate>Tue, 23 Mar 2010 07:17:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5665</guid>
		<description>Hi Phillip,

Judging from the public and private comments I&#039;ve had from people on this. Shutting down GP surgeries for poor records management would result in there being hardly any surgeries left! But the threat would concentrate their minds wonderfully.</description>
		<content:encoded><![CDATA[<p>Hi Phillip,</p>
<p>Judging from the public and private comments I&#8217;ve had from people on this. Shutting down GP surgeries for poor records management would result in there being hardly any surgeries left! But the threat would concentrate their minds wonderfully.</p>
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		<title>By: Phillip Ruston</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5609</link>
		<dc:creator>Phillip Ruston</dc:creator>
		<pubDate>Fri, 19 Mar 2010 07:46:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5609</guid>
		<description>Hi Karen,

I work in the healthcare sector - not the NHS, but in the private sector. Records Management practices are generally a key component of some of our regulatory inspections. We can be shut down and/or fined for not getting it right. I&#039;ll probably open up a huge argument here, but I suppose you can&#039;t shut down a GP surgery for poor records management - if you could, it might be a different story.</description>
		<content:encoded><![CDATA[<p>Hi Karen,</p>
<p>I work in the healthcare sector &#8211; not the NHS, but in the private sector. Records Management practices are generally a key component of some of our regulatory inspections. We can be shut down and/or fined for not getting it right. I&#8217;ll probably open up a huge argument here, but I suppose you can&#8217;t shut down a GP surgery for poor records management &#8211; if you could, it might be a different story.</p>
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		<title>By: Karen Blakeman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5602</link>
		<dc:creator>Karen Blakeman</dc:creator>
		<pubDate>Thu, 18 Mar 2010 19:06:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5602</guid>
		<description>Hi Phillip, 

I am still waiting to hear if they have found my records and re-registered me at the practice. So while I wait I asked my husband, who went to the surgery about two months ago to get a general check up that was needed for a possible trip to Antarctica, about his status at the surgery. He is on the computer - just. Only name and address, a totally new NHS number, and the doctor commented that he obviously had not visited them before because there were no notes on the system (computer says no!). His previous visit had been in 1989 and mine was about 1995 so why was there a record for him, even if it was only contact details, but not me:-(  Human error is the obvious conclusion. But we are now thinking why wasn&#039;t any previous medical history available to the doctor either on the computer or on the old buff coloured cards? My husband or myself could be given a treatment or a vaccination to which, in the past, we have suffered an adverse reaction and there would no record of it available to the doctor. The consequences for them would be fire-fighting on a serious scale i.e. major legal proceedings - if we had survived of course! 

In reality, both of us are well aware of past allergic and adverse reactions and would make them known very vociferously to the doctor. But the fact remains that in transferring records to the computer system it seems that they are not including vital information that could  mean life or death to the patient. 

I originally found the incident highly amusing. After receiving so many comments and horror stories from others, and thinking through the potential harm that could befall my loved ones and myself I am now angry at the total shambles of the system and incompetence of those who have devised and implemented this system.</description>
		<content:encoded><![CDATA[<p>Hi Phillip, </p>
<p>I am still waiting to hear if they have found my records and re-registered me at the practice. So while I wait I asked my husband, who went to the surgery about two months ago to get a general check up that was needed for a possible trip to Antarctica, about his status at the surgery. He is on the computer &#8211; just. Only name and address, a totally new NHS number, and the doctor commented that he obviously had not visited them before because there were no notes on the system (computer says no!). His previous visit had been in 1989 and mine was about 1995 so why was there a record for him, even if it was only contact details, but not me:-(  Human error is the obvious conclusion. But we are now thinking why wasn&#8217;t any previous medical history available to the doctor either on the computer or on the old buff coloured cards? My husband or myself could be given a treatment or a vaccination to which, in the past, we have suffered an adverse reaction and there would no record of it available to the doctor. The consequences for them would be fire-fighting on a serious scale i.e. major legal proceedings &#8211; if we had survived of course! </p>
<p>In reality, both of us are well aware of past allergic and adverse reactions and would make them known very vociferously to the doctor. But the fact remains that in transferring records to the computer system it seems that they are not including vital information that could  mean life or death to the patient. </p>
<p>I originally found the incident highly amusing. After receiving so many comments and horror stories from others, and thinking through the potential harm that could befall my loved ones and myself I am now angry at the total shambles of the system and incompetence of those who have devised and implemented this system.</p>
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		<title>By: Phillip Ruston</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5600</link>
		<dc:creator>Phillip Ruston</dc:creator>
		<pubDate>Thu, 18 Mar 2010 12:53:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5600</guid>
		<description>This is all quite worrying! To Fiona&#039;s point &quot;The sheer misunderstanding of good information management principles in crucial mainstream public services such as health is frightening&quot; - I think it&#039;s probably a mix of specific misunderstandings and culture that doesn&#039;t give importance to such things. In this respect, it&#039;s probably symptomatic of large organisations in general. It doesn&#039;t excuse it at all, but to me, it&#039;s re-emphasising that influencing the culture of my organisation with regards to information management should be a big part of my job. With competition for resources so strong, organisations prefer to take the risk of putting out a possible fire (metaphorically) instead of installing smoke alarms to help prevent them.</description>
		<content:encoded><![CDATA[<p>This is all quite worrying! To Fiona&#8217;s point &#8220;The sheer misunderstanding of good information management principles in crucial mainstream public services such as health is frightening&#8221; &#8211; I think it&#8217;s probably a mix of specific misunderstandings and culture that doesn&#8217;t give importance to such things. In this respect, it&#8217;s probably symptomatic of large organisations in general. It doesn&#8217;t excuse it at all, but to me, it&#8217;s re-emphasising that influencing the culture of my organisation with regards to information management should be a big part of my job. With competition for resources so strong, organisations prefer to take the risk of putting out a possible fire (metaphorically) instead of installing smoke alarms to help prevent them.</p>
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		<title>By: Karen Blakeman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5588</link>
		<dc:creator>Karen Blakeman</dc:creator>
		<pubDate>Wed, 17 Mar 2010 07:27:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5588</guid>
		<description>Hi Frank,

&quot;So Mrs Norman the operation was obviously a success&quot;

or perhaps that should be &quot;So Mr Norman, the operation was a failure&quot;

It really does not inspire confidence.

Karen</description>
		<content:encoded><![CDATA[<p>Hi Frank,</p>
<p>&#8220;So Mrs Norman the operation was obviously a success&#8221;</p>
<p>or perhaps that should be &#8220;So Mr Norman, the operation was a failure&#8221;</p>
<p>It really does not inspire confidence.</p>
<p>Karen</p>
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		<title>By: Karen Blakeman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5587</link>
		<dc:creator>Karen Blakeman</dc:creator>
		<pubDate>Wed, 17 Mar 2010 07:25:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5587</guid>
		<description>Hi Fiona,

I read your blog posting and must confess that I have never thought about dental records, but there could be serious reactions to anaesthetics for example that out to be transferred from one practice to another. 

You are right about the poor records management history of the NHS being a factor in my wanting to opt out. But I also sometimes work with programmers who have experience of trying to sort out various messes on NHS systems. They say it is a complete shambles and security so pathetic they might just as well put it all on an open web site.</description>
		<content:encoded><![CDATA[<p>Hi Fiona,</p>
<p>I read your blog posting and must confess that I have never thought about dental records, but there could be serious reactions to anaesthetics for example that out to be transferred from one practice to another. </p>
<p>You are right about the poor records management history of the NHS being a factor in my wanting to opt out. But I also sometimes work with programmers who have experience of trying to sort out various messes on NHS systems. They say it is a complete shambles and security so pathetic they might just as well put it all on an open web site.</p>
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		<title>By: Karen Blakeman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5586</link>
		<dc:creator>Karen Blakeman</dc:creator>
		<pubDate>Wed, 17 Mar 2010 07:18:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5586</guid>
		<description>Hi Phil,

Lots of other horror stories out there judging by Twitter and Facebook responses to my posting, as well as the three comments so far in here. What really got to me was that they kept repeating the same questions over and over again and the manner in which they asked them - a bit like your &quot;How do you know that&#039;s your birthday&quot;. I kept getting &quot;But are you sure you really did register here?&quot;. &quot;Yes - the name of your surgery and the doctor are on this card!&quot;. 

What really concerns me is that there may no longer be any record of the severe allergic reactions I have to some vaccines. When I raised this with the staff on the desk they told me not to worry - it will all be in my notes, which they don&#039;t have and don&#039;t know for certain if they still exist!</description>
		<content:encoded><![CDATA[<p>Hi Phil,</p>
<p>Lots of other horror stories out there judging by Twitter and Facebook responses to my posting, as well as the three comments so far in here. What really got to me was that they kept repeating the same questions over and over again and the manner in which they asked them &#8211; a bit like your &#8220;How do you know that&#8217;s your birthday&#8221;. I kept getting &#8220;But are you sure you really did register here?&#8221;. &#8220;Yes &#8211; the name of your surgery and the doctor are on this card!&#8221;. </p>
<p>What really concerns me is that there may no longer be any record of the severe allergic reactions I have to some vaccines. When I raised this with the staff on the desk they told me not to worry &#8211; it will all be in my notes, which they don&#8217;t have and don&#8217;t know for certain if they still exist!</p>
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		<title>By: Frank Norman</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5584</link>
		<dc:creator>Frank Norman</dc:creator>
		<pubDate>Tue, 16 Mar 2010 23:00:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5584</guid>
		<description>A year or so after moving to my present address I got a letter from my GP telling me that I was overdue for a smear test.  It was quite true - I hadn&#039;t actually ever had one.  The letter had my name right but addressed me as Ms rather than Mr.  I guess it was just a tick in the wrong box. I phoned to check but they said I didn&#039;t need to bother.</description>
		<content:encoded><![CDATA[<p>A year or so after moving to my present address I got a letter from my GP telling me that I was overdue for a smear test.  It was quite true &#8211; I hadn&#8217;t actually ever had one.  The letter had my name right but addressed me as Ms rather than Mr.  I guess it was just a tick in the wrong box. I phoned to check but they said I didn&#8217;t need to bother.</p>
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		<title>By: Fiona Wilson</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5581</link>
		<dc:creator>Fiona Wilson</dc:creator>
		<pubDate>Tue, 16 Mar 2010 16:26:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5581</guid>
		<description>As I mentioned on twitter, I also had an exasperating experience when changing dentists (see http://bit.ly/b3jz0O for my blog about that). The sheer misunderstanding of good information management principles in crucial mainstream public services such as health is frightening. I am guessing that is why you wanted the opt-out form in the first place, or do you have other reasons for opting out (if that&#039;s not a personal question!)?</description>
		<content:encoded><![CDATA[<p>As I mentioned on twitter, I also had an exasperating experience when changing dentists (see <a href="http://bit.ly/b3jz0O" rel="nofollow">http://bit.ly/b3jz0O</a> for my blog about that). The sheer misunderstanding of good information management principles in crucial mainstream public services such as health is frightening. I am guessing that is why you wanted the opt-out form in the first place, or do you have other reasons for opting out (if that&#8217;s not a personal question!)?</p>
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		<title>By: Phil Bradley</title>
		<link>http://www.rba.co.uk/wordpress/2010/03/16/you-havent-been-ill-enough-so-we-assumed-you-were-dead/comment-page-1/#comment-5580</link>
		<dc:creator>Phil Bradley</dc:creator>
		<pubDate>Tue, 16 Mar 2010 16:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.rba.co.uk/wordpress/?p=1023#comment-5580</guid>
		<description>This would be funny if it wasn&#039;t so tragic. Or tragic, if it wasn&#039;t so funny, I&#039;m not entirely sure which. I had something a little similar - I got a prescription a while back and noticed my date of birth was the 7th, not 1st. I think what happened was that someone wrote it down on an official form with too much flair. Anyway, I said to them that my birthday was wrong. Receptionist said &#039;how do you know?&#039; Because it&#039;s *my* birthday? She wanted me to get a birth certificate, give it to them, so that they could send it off, to this mythical &#039;base&#039;. I said that since I couldn&#039;t trust them with the date, I certainly couldn&#039;t trust them with the certificate! Eventually they took a copy of my driving licence, which seemed to sort it. 

So if we both have data horror stories about the NHS, how many other people do?</description>
		<content:encoded><![CDATA[<p>This would be funny if it wasn&#8217;t so tragic. Or tragic, if it wasn&#8217;t so funny, I&#8217;m not entirely sure which. I had something a little similar &#8211; I got a prescription a while back and noticed my date of birth was the 7th, not 1st. I think what happened was that someone wrote it down on an official form with too much flair. Anyway, I said to them that my birthday was wrong. Receptionist said &#8216;how do you know?&#8217; Because it&#8217;s *my* birthday? She wanted me to get a birth certificate, give it to them, so that they could send it off, to this mythical &#8216;base&#8217;. I said that since I couldn&#8217;t trust them with the date, I certainly couldn&#8217;t trust them with the certificate! Eventually they took a copy of my driving licence, which seemed to sort it. </p>
<p>So if we both have data horror stories about the NHS, how many other people do?</p>
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