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Justin Time
Snowy Owl
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Joined: 2 Mar 2025
Age: 69
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Location: London UK

24 Apr 2025, 10:13 am

Hi there
There are a couplef places where I feel tech is solving 95% of problems but I feel the last 5% hits me harder.

  • The NHS prescription electornic system in ehgland works reasonalbly well between GP (general practictioners) and pharmacists. But the mental health system dont seem to want to play. May be different in Scotland and Wales....
    I had to walk / bus over a mile to walk a script from a clinic (where in theory I am being treated by but in practice it is mainly remote!) to a pharmacist.
  • Most payments can happen in almost real time, but standing orders seem to requite two days notice. If you forget ot change it it oges ahead anyway.

Does anyone have any thoughts on similar (or indeed different) scenarios.


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autisticoder
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24 Apr 2025, 5:15 pm

Here in the US, we have no central system for healthcare. Each hospital, pharmacy, and health insurance company gets to choose their own system. As a result, every healthcare org you interact with has their own record. They talk to each other via phone or FAX.

Now, a lot of hospitals use a system called "Epic" and that software has a feature to facilitate transfer of medical records to other hospitals that also use Epic.

I personally have four records at LEAST - because I have doctors at two unconnected hospitals, and then there's my pharmacy and my health insurance company.

I used to get my lab orders sent from a doctor at one hospital to the other because it's more convenient for me. For whatever reason, the first hospital inputs lab results faxed in from outside that hospital into a completely different computer system than the one the hospital staff use. I don't know about you, but to me that seems terribly inefficient. Why don't they just upload it directly to the main system!?


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Justin Time
Snowy Owl
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Joined: 2 Mar 2025
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Location: London UK

25 Apr 2025, 11:29 am

Epic has a present in the UK too. Ex colleague of my work on customizing it for the UK market. not always that easy.

I am seen by three different hospitals two of you the same system (think Epic) and other one does it own thing.

Do you still use fax?


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Justin Time
Snowy Owl
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Location: London UK

01 May 2025, 5:46 am

Justin Time wrote:
Epic has a presence in the UK too. Ex colleague of mine works on customizing it for the UK market. not always that easy.
edited for typos!

In theory NHS bodies are meant to ask you as a disabled person what communication style you prefer.
In practice they tend to use whatever suits them at the time. Eg its a bit hard to maintain a difference between Landlne and mobile (cellphone)


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Justin Time
Snowy Owl
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Joined: 2 Mar 2025
Age: 69
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Location: London UK

19 May 2025, 8:31 am

Out of curiousity @autisticoder - do you work in health IT, or just viewing it as a patient


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