Dr Bruce McKenzie is now available for freelance consultancy as a clinical knowledge architect, addressing the unmet need for usable knowledge resources at the point-of-care in UK general practice. General practitioners (GPs) make more decisions in a day than a typical business executive, and these decisions cost not just money but potentially lives. It's challenging work, and you can but hope your decisions are based on good information. The problem is information overload and access to what you need when you need it: there's just too much and it's too hard to find in the context of a 10 minute consultation. As a GP for 10 years I can relate to this. I also have informatics knowledge and experience, and this puts me in a position to offer you solutions that are built the way a doctor would design them.
Continue reading 'Clinical knowledge architect for hire'
Tag archive for 'nhs'
The week just gone marked 15 years in medicine. Two of those years were spent in New Zealand, the rest in England, and the last 10 in general (family) practice. It also marked the end of my clinical career—I'm hanging up the stethoscope and starting down a new path. I don't yet know where that path begins, let alone where it leads. But it's something I have to do.
Continue reading 'Hanging up the stethoscope'
As reported by the BBC, the Sussex Ambulance Service NHS Trust are providing MP3-based first aid advice on how to deal with common and potentially serious situations (such as fits, collapses and resuscitation). This joins first aid advice available as a podcast on the iTunes Music Store by St. John's Ambulance.
Continue reading '999 advice on your iPod'
The New General Medical Services Contract (nGMS) for NHS general practitioners changes the way GPs are remunerated. Under the contract GPs are paid performance-related income according to a Quality and Outcomes Framework (QOF)—essentially a list of clinical and other standards associated with points (income) for achieving certain target thresholds. One of the informatics challenges of nGMS is therefore the recording of activity in a consistent and efficient manner.
Continue reading 'QOF checklist and Read Codes'
As previously raised, there are many competing guidelines (NICE, NSF, PCT, etc.) and formularies (Clinical Terms, prescribing) that clinicians must take account of at the point-of-care. Most clinical systems used in British general practice offer templates to prompt data entry and pick-list formularies for prescribing and coding, but these only go so far. How can a practice take account of this competing management advice to streamline and standardize patient care? The answer, somewhat paradoxically, may be to produce another guideline...
Continue reading 'Guidelines: a solution for guideline overload'
From a primary care viewpoint, a summary of NHS IT strategy from Jan 2001 to April 2004, outlining the National Programme for IT (NPfIT) and the implications of the New GMS Contract...
Continue reading 'NHS IT: the story continues'
