Google meets the NHS? Politicians show their IT naivety again
The Tories like technology. They increasingly seem to think IT is going to help them win the General Election due next year. And they might be right – in fact, getting behind the tech sector would not be a bad policy for anyone to pursue, as Labour has already realised with its Digital Britain plan.
But, as I have written before, the Conservatives seem to be bring with them the same optimistic naivety that has blighted the Labour government’s IT track record.
The Times today reports that the Tories could bring in a policy that would see NHS patients storing their electronic medical records on web-based private sector systems run by the likes of Microsoft and Google.
The Times claims this as an exclusive, despite the fact David Cameron announced the concept in April and Computing wrote about it at the time, but I digress.
The newspaper quotes a Tory source saying: “We’re thinking about how in government the architecture of technology needs to change, with people ‘owning’ their own data, including their health records.”
The idea of citizens owning their own data is welcomed, it’s a concept that could work, and was first suggested in a different context by former HBOS chief executive James Crosby in a report on ID cards he produced for the Treasury two years ago (which was pretty much ignored by the Home Office at the time, but I digress again).
But to think that simply letting people put their medical records online will be easier or cut costs is disturbingly naïve.
The questions that would need to be addressed pour out:
-
Will people have to pay?
- If not, how would Microsoft and Google make money? By charging the NHS? By selling data? By selling contextualized adverts to be viewed alongside your records? (“Over 45? Have you thought about Botox yet?” Honestly, the mind boggles…)
- What about connecting to GPs’ existing systems?
- How would a medical professional know which service hosts a patient’s records – especially if that patient is in a critical condition or unconscious?
- What about security – what guarantees are there that a Microsoft/Google system is more secure than one run by government?
- What if Google suffers a temporary crash, as it did with its Gmail email service earlier this year – thus rendering patient records inaccessible?
- How would private sector online applications be integrated with other NHS systems such as electronic prescriptions?
- How much work would be required to re-develop Microsoft and Google’s online health records systems to conform to NHS practices – a challenge that has proved to be a major problem for the US suppliers of packaged software currently trying to implement the National Programme for IT?
- And who would actually own the data and be legally responsible for its protection?
I could go on.
Labour should have learned by now the downside of technology over-optimism. Tony Blair rightly saw that IT-enabled change was the key to transforming public services and his government set out down that road with enthusiasm. But they soon discovered that delivery was a rather more complex affair.
Politically-driven deadlines for IT projects have inevitably slipped. And where politics over-rode IT, such as the disastrously rushed tax credits system, everyone suffered as projects went live too soon.
I’m sure there are votes – and certainly attractive national newspaper headlines – to be gained by populist ideas such as giving electronic patient records to Google. Come to think about it, while you’re at it, why not make them available through Apple’s iPhone app store?
As the NHS is already finding out to its cost, introducing e-records is a massively complex task, and just by stamping the names Google or Microsoft all over them does not make them any cheaper, easier, or more likely to succeed.



Recent Comments