Re: NHS IT log-in delay
Charles Lindsey <
chl@...>
2007-10-01 17:02:49 GMT
On Mon, 01 Oct 2007 09:56:02 +0100, Mary Hawking
<maryhawking@...> wrote:
> There is yet another scenario - *planned* smartcard sharing.
> This applies to pharmacists - and has arisen from including community
> pharmacists (who, like GPs, are independent contractors - but with
> business outside the NHS) in the electronic systems in the NHS (or at
> any rate, NPfIT) - and the problem will get worse if they are to be
> trained in minor illness and chronic disease management, when access to
> patient records as well as demographics will be needed.
> The problem goes like this:
> A registered pharmacist logs onto the system (I believe this applies to
> current commercial systems as well as ETP - electronic transfer of
> prescriptions - the NHS bit) and all the dispensers in the pharmacy use
> this logon.
> It would be possible to issue community pharmacists with a smartcard
> based on their PCT of residence (as with sessional GPs) *but* many
> (?Most) are locums and will have short sessions scattered throughout the
> country at very short notice - and only coincidental contact with their
> PCT of residence.
> RA02 (the form used to approve the roles required for that job and
> identify the place and therefore population - signed by the relevant
> local Registration Authority) would be a problem - let alone the fact
> that unidentifiable dispensers would still have access, and be even less
> identifiable if the pharmacist had had several locum posts within a very
> short space of time.
> Alternatively, it might be possible to limit the access provided to this
> group of extended practitioners - but that would mean stopping access to
> the information needed for safe management, particularly of chronic
> disease.
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