The Government could solve the NHS staffing crisis – there are lots of people who would love to help

While we are at least 10% of nurses & doctors short, patients and their families are ready to release time to care with better documentation & communication systems.


Patients’ online access to Electronic Health Records – current status and experiences from the implementation in Sweden

Learning from Sweden: Maria Hägglund‏  blogg from #medinfo2017. Directions for others to follow!   Source: Patients’ online access to Electronic Health Records – current status and experiences from the implementation in Sweden

Nursing documentation: Mind the gap?

Thanks for sharing the insights: documentation systems clearly need help, as need the teams that fill them and the patients that they report on.

British Geriatrics Society

Liz Charalambous is a qualified nurse on a female, acute medical HCOP (Health Care for Older People) ward at Queen’s Medical Centre, Nottingham University Hospital Trust. She is currently a PhD student at The University of Nottingham. She tweets at @lizcharalambou and is a regular guest blogger for the BGS. Her blogs are her own opinion and do not represent the opinion of her employer or any other organisation. Co-author and supervisor, Dr. Sarah Goldberg, is an associate professor at The University of Nottingham. She tweets as @se_goldberg


docsNew research out this week highlights the importance of nursing documentation for older patients in an acute hospital setting. The research ‘Gaps, Mishaps and Overlaps: Nursing Documentation, how Does it Affect Care?’ published in The Journal of Research in Nursing found that paperwork is time consuming to complete, takes nurses away from caring for patients, and can be counterproductive…

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Toward a New Definition of Primary Care: Primary care 3.0

Jay Parkinson thinking loud about our relation to ‘our’ Primary Care Physician’: is this age specific?

Jay Parkinson MD, MPH

For the last couple thousand years, doctors have used the same tool to treat their patients— an appointment, a physical room, a conversation, and a payment for the time. Communication and problem-solving has happened exclusively in the exam room. The average person age 18–65 visits the doctor 2.7 times a year and the average visit is ~10 minutes for a total of 27 minutes of doctor communication and problem-solving per year. Because it’s an oral conversation, full of anxiety and jargon, patients forget ~85% of the conversation. That’s ~4 minutes of memorable education/conversation per year. This is Primary Care 1.0. Primary Care 2.0 is today’s “innovative” versions of value-based primary care 1.0 designed to fit a square peg into a round hole. It’s the same office-based primary care 1.0 trying to fit itself into an insurance payment model that transfers risks away from insurance companies and onto primary care doctor…

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