Disasters and duds
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Academy of Fab' Stuff
9th February 2023
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For what, do they exist....
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As you know, I’ve been playing with AI generated text.
Let me start by assuring you; I have written every last syllabub of this, myself… and the malaprop is by way of proof.
Functioning AI probably, would rank as the biggest event in human history. It might also be the last. So make a note of where the off-switch is.
Arthur C Clarke said, advance technology was indistinguishable from magic. He may be right? Maybe not.
Magic is based on deception. When you know how a trick is done, it’s always disappointing.
Technology is the same...
... understand a spread sheet and you’ve got the basis of just about everything. Binary; if it’s this… do that. If it’s not… do this.
Get that going quick enough and you have the basis of every computer in the world.
Managing something by the use of technology can take the grind out of the day, be quicker… and if you define efficient as quicker… then more efficient.
Managing healthcare with the use of technology? We don’t want much.
Just ten simple things;
is the patient,
have they come from.
their record, have they been sick before and...
we did we do?
in their history that’s a red flag?
do we do to fix them up this time and…
how we did it.
did it cost and…
we want to do it again.
This is simple, basic record keeping and it is not difficult… but the NHS can’t do it.
It can’t do it
because too many people think the management of information by IT is magic and too many other people like the idea of pretending it’s magic.
It can’t do it
because we put more energy and effort into how we buy stuff than doing stuff.
Preserving the magic-circle of procurement, to make sure anyone with a tin-can and a wet-string can play the game, drives up the cost of buying.
Instead of getting stuff that works that we can all use on day one and drive down the cost of doing it.
And… it’s getting worse.
If there is any branch of the NHS that really should be tooled-up-to-the-eyeballs it’s the lone worker.
Making huge decisions about care, on their own; in a run-down apartment, in downtown Down Town, no wifi, dodgy phone signal, no recourse to a second opinion or notes.
They are called community nurses or is it district nurses. Dunno… but you know who I mean.
The doyens of all matters community nursing, the Queen’s Nursing Institue have just
published the upshot of a survey
about their members and technology.
Here’s a warning….
If you work in technology and are of a delicate constitution, go and read the Beano. What follows is not for you.
The survey compares a previous survey in 2018, just about five years ago. Here’s a taster:
; 32.7% reported problems with lack of compatibility between different computer systems… in 2022 the figure had risen to 43.1%.
; around 85% of respondents reported issues with mobile connectivity… in 2022 this figure was around 87%.
; 29.5% reported problems with device battery life… in 2022 the figure was almost 53%.
During this time we have had a thing called NHS Digital.
It was an arms-length ‘thing’. Now it’s been stuffed up the back passage of NHSE, as some sort of ‘transformation directorate’.
New lamps for old.
Back to the report:
tools …. cause workload issues including over-allocation
… intensified by repetition, often requiring dual entry of data.
interaction with suppliers, vendors or decision makers in the design, purchase or deployment of technology.
battery life, unsuitable hardware and software, old and cumbersome laptops
challenges, use of multiple platforms, lack of integration and repetition of data entry
This is simple stuff. The sort of thing British Gas engineers take for granted. The Ocado business is founded on. Uber would’t exist without.
We have wasted, squandered, frittered away billions with digital this-n-that and all we’ve had is disasters and dud stuff…
… ‘digital’; bogged down, group-thunked, lost its way and can’t understand the basics.
For what purpose do these digital Barrons… exist?
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News and Other Stuff
Branding agency hired to help ‘cultivate new personality’ for NHSE
- I really thought this was a joke. It's not. For goodness sake, just read this. At a time when the NHS faces its historic biggest challenges, a hostile government, endless strikes, waiting lists queueing around the block and no money, who, for heaven's sake, thinks it's a good idea to fiddle about with this and pay for it. Time for a taxi for Ms Pritchard. If she has time to think about her 'image', it's time to look in the mirror. Time for a practical, hands-on, get stuff-done leader. Time for a change at the top.
If this is about NHSE getting priorities right... for me and the thousands slogging their guts out, delivering more for less... it's backfired big-time. I'm not even sure the Board should stay.
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This is what I'm hearing
, unless you know different. In which case,
tell me, in confidence.
- NHS waiting lists are unlikely to fall significantly in 2023... well that's going to put a dent in NHSE's 'image'.
Woman, 82, declared dead at nursing home is found breathing three hours later at funeral home
- US story
Trust leaders ‘welcome rigour’ of A&E target, says new NHSE director
this is a clear as mud to me and seems to have total disregard for the fact social care is in bits. The message seems to be, don't get old.