EMIS & EPRs
190 posts across the blog, other publications and LinkedIn ·
all articles
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22 Jul 2026
Who do your patients actually see? A free continuity tool for GP practices
Introduces a free browser-based tool that checks a practice's Usual GP field against who patients really see, and reflects on building clinical software with AI.
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6 Apr 2026
Lexacom New Features
LinkedIn
Lexacom AVT now pulls EMIS patient data into ambient consultation notes locally on the desktop, and a new mobile app takes dictation to home visits and meetings.
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7 Sept 2025
Can we get rota management in EMIS?
LinkedIn
Asks whether any rota management software can push its generated schedules directly into EMIS appointment books, suspecting a weak API means an RPA workaround is needed.
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2 Sept 2025
New process for PPA Drugs Claims?
LinkedIn
Calls out the paper-based quarterly PPA reimbursement claim for practice-administered drugs as a day-long manual chore in every surgery, and asks why EMIS or others cannot automate it.
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22 Aug 2025
Not sure why this post didn’t get more attention- so reposting in case it was missed in…
LinkedIn
Reshares a study using temporal graph analysis of patient records to measure clinician-patient interaction intensity.
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13 Aug 2025
So my desktop at the surgery has been upgraded to windows 11!
LinkedIn
Grumbles that a Windows 11 upgrade left his surgery desktop slower, crashing more, and unable to connect Surgery Connect to EMIS.
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31 Jul 2025
I recently did a couple of workshops demoing the Ambient Scribe technology in Lexacom to…
LinkedIn
Reports workshop feedback on Lexacom's ambient scribe and Echo speech recognition, noting time savings across EMIS, email and Word.
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11 Jun 2025
Could RPA help with this problem?
LinkedIn
Asks whether RPA or an API could copy predefined data such as ethnicity and BPs between EMIS Web and community services' EMIS records.
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21 Feb 2025
My Latest EMIS Request
LinkedIn
Asks EMIS for a one-click button to send an acute script to the pharmacy outside the surgery, replacing a destination-change process that eats minutes per consultation.
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29 Dec 2024
Are Docman doing the right thing?
LinkedIn
Questions Docman's plan to charge extra for its AI letter summarisation, arguing it should add value to its centrally funded core product before ICBs cut the cost.
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11 Nov 2024
EPR summaries can be a mess.
LinkedIn
Argues robotic process automation could consistently tidy messy GP problem lists and coding, making records clearer for shared care.
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7 Nov 2024
Been playing with EMIS-X this week.
LinkedIn
Gives early impressions of EMIS-X, praising its speed and instant document access despite a user interface that still needs work.
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6 Sept 2024
In a previous post I whinged about EMIS in terms of worsening reliability and performance…
LinkedIn
Argues GP electronic records need rethinking, with clearer consultation logging, cross-practice scalability and built-in process tracking.
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5 Sept 2024
I try not to whinge on here - but EMIS just gets worse and worse.
LinkedIn
Neil lists mounting EMIS faults, from the panic button to the task counter, and says he is now seeking a new EPR.
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9 May 2024
Just been having a play with AnalyseRx on my EMIS system..
LinkedIn
A first look at AnalyseRx on EMIS, praising the interface and seeing a real use case, once he completes the training.
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24 Apr 2024
The East sussex assistant coroner has written to TPP and EMIS complaining that their…
LinkedIn
Responds to a coroner's warning to EMIS and TPP over record-transfer delays, describing poor prison-release medical records.
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22 Feb 2024
CBT Phone System
LinkedIn
Early impressions of a new CBT phone system: patient callback and the callboard work, but EMIS tie-in quirks, missing caller names and weak reporting disappoint.
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29 Dec 2023
My PCN's co-DTL Caroline Acuda has put together this guide for clinicians to show them…
LinkedIn
Shares a guide on how EMIS entries appear in the NHS App, flagging exposed third-party emails and internal session names.
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1 Nov 2023
Over the last 6 months or so I've heard of several staff from nearby practices leave and…
LinkedIn
Warns that departing staff deleting EMIS and shared-drive files exposes weak access controls and leaver policies.
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19 Oct 2023
Anyone know how to bulk move all covid drugs from emis acute screen?'
LinkedIn
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18 Oct 2023
Has anyone done a workload/or what pts want audit?
LinkedIn
Asks whether anyone has an EMIS template for auditing practice workload and patient demand, coding reception and clinician contacts in SNOMED.
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13 Oct 2023
EMIS bulk signing functionality
LinkedIn
Praises v2 of EMIS's bulk prescription signing feature after signing off almost 100 scripts in a few clicks, with wider release promised soon.
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20 Sept 2023
EMIS have put this info in a newsletter: in case you havent seen it:'
LinkedIn
Relays an EMIS newsletter on Web 9.22's new GPAD appointment exception flag, supporting the ACC-08 two-week booking IIF indicator.
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19 Sept 2023
Anyone have any good experiences of early cancer detection software that integrates with…
LinkedIn
Asks for recommendations on current early cancer detection software that integrates with EMIS.
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25 Jul 2023
Are your practices confused as to why their end of year payments don't quite match what…
LinkedIn
Links to an Ardens explanation of why practices' year-end Network Contract DES payments don't match what CQRS led them to expect.
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18 Jul 2023
Anyone good with the interface between EMIS web and EMIS community?'
LinkedIn
Asks how to automatically copy ethnicity and preferred-language coding from EMIS Web into community services' EMIS Community system.
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26 May 2023
EMIS IT Issues - Take some responsibility!
LinkedIn
After a wrongly pushed EMIS update disrupted practices for a day, asks whether an anonymous apology email is good enough and calls for named accountability from suppliers.
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5 May 2023
Anyone using SunQuest ICE order comms in a cross practice setting?
LinkedIn
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22 Nov 2022
The ups and downs.. 2 emails from EMIS yesterday - one very welcome saying they are…
LinkedIn
Reacts to EMIS improving search performance but withdrawing its built-in QRISK calculator, and floats an app to fill the gap.
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30 Jul 2022
Did you know that our free to use How2.training website not only has videos on using EMIS…
LinkedIn
Highlights the free How2.training site's videos on EMIS Web, other GP IT systems and manager topics like CQRS, now also on YouTube.
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6 Jul 2022
We have just done a quick video of the new e-sign function in EMIS web for Fit notes and…
LinkedIn
Shares a free how2.training video on EMIS Web's new e-sign feature for fit notes and sending them to patients electronically.
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7 May 2022
Anyone know if #Alivecor have an API?
LinkedIn
Asks whether AliveCor offers an API, wanting a simple app to file 6L ECG readings into the clinical record with SNOMED codes.
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7 Apr 2022
Support for PCNs in delivering Enhanced Access
LinkedIn
A Howbeck Healthcare case study on helping ten PCNs deliver Enhanced Access with a practice-based model, EMIS enterprise consultations and Apex activity monitoring.
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18 Feb 2022
One of my contacts is asking does anyone know of any online/electronic solutions to DMARD…
LinkedIn
Seeks EMIS-integrated software for DMARD monitoring that auto-populates blood results and alerts patients.
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3 Feb 2022
Great to be working with the Ardens Team to help people get the most from their software.
LinkedIn
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2 Feb 2022
Some of you will know that we run How2.training as a not for profit GP IT training…
LinkedIn
Introduces How2.training, a free not-for-profit GP IT training platform with 1,500-plus users, and its new YouTube channel.
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11 Jan 2022
In the book Good Omens there is a brilliant scene where the demon character Crowley moves…
LinkedIn
Uses a Good Omens analogy to lament EMIS's constant slowness and crashes, calling for a lean browser-based alternative or switching systems.
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29 Dec 2021
One of the issues we are having around chasing patients for their boosters is although…
LinkedIn
Highlights gaps in EMIS coding for how Covid boosters are offered and declined, which hampers chasing at PCN level.
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20 Dec 2021
just been thinking about turning on Record View in accuRx - it strikes me this would work…
LinkedIn
Suggests accuRx's Record View could give home-working GPs basic remote access, and calls for record write-back and EPS prescribing.
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2 Nov 2021
How to... meet your IT needs
Pulse PCN
Practical tips for building a PCN IT strategy: audit hardware, align clinical systems and add-ons, share staff skills, use business intelligence tools and hire dedicated IT support.
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24 Jul 2021
Is it time to replace EMIS?
LinkedIn
Reports Cheshire GP leads seriously discussing alternatives to EMIS, and suggests the appointments module, messaging and consultation screens are ripe for disruption and AI.
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6 Jul 2021
Looking for any EMIS or primary care IT experts who might be interested in helping us…
LinkedIn
Seeks EMIS and primary-care IT experts to record training videos for how2.training as paid freelance work.
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21 May 2021
Lovely quote/feedback from one of the new users on www.how2.training the FREE primary…
LinkedIn
Shares a new PCN clinical pharmacist's testimonial praising the free how2.training site for learning EMIS.
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7 May 2021
Today we launching How2.training.
LinkedIn
How2.training launches with around 80 free videos on primary care IT systems and the GPAD programme, funded by Cheshire and Merseyside HCP.
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17 Mar 2021
Another view: of Covid-19 vaccinations
Frontline account of standing up Covid hot hubs, home pulse oximetry and PCN vaccination sites, and why EMIS Enterprise searches disagreed with regional data on who needed the jab.
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12 Jan 2021
AccuRx is good for vaccine booking..
LinkedIn
Praises accuRx for vaccine booking but wants multi-site options, check-in and queue-management features.
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16 Dec 2020
Our local PulseOx@home service run by the SouthCheshireValeRoyal GP Fed is now up and…
LinkedIn
A local COVID pulse-oximetry-at-home service, run by the South Cheshire and Vale Royal GP Federation using AccuRx.
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15 Dec 2020
We have launched a whole series of videos aimed at teaching people Search and Reports in…
LinkedIn
Announces a free video series teaching Searches and Reports in EMIS Web and invites feedback from users.
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8 Oct 2020
My latest digitalhealth column is out - is AccuRx about to take over the world?
LinkedIn
His DigitalHealth column surveying the GP IT market and whether AccuRx is on course to dominate it.
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22 Sept 2020
Please watch my session at the EMIS conference on Thursday pm, on my thoughts on the…
LinkedIn
Invites viewers to watch his EMIS conference session setting out his thoughts on the future of primary-care IT.
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4 Sept 2020
Latest EMIS upgrade has significant changes to prescribing roles for AHPs.
LinkedIn
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27 Jul 2020
on www.howbeckhow2.co.uk we are giving free access to our learning videos to all NHS…
LinkedIn
Howbeckhow2 opens its healthcare IT training videos free to all NHS staff and invites suggestions for new topics to cover.
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15 Jul 2020
Now Docman has gone down - for 5 practices locally that I know of - not sure if its a…
LinkedIn
Laments frequent IT outages after Docman goes down for five local practices, questioning reliability and NHS underinvestment.
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13 Jul 2020
Loads of Surgeries in Cheshire without IT this PM - some BT network issue that took hours…
LinkedIn
A BT network fault leaves many Cheshire surgeries without IT, prompting reflection on resilience and EMIS's business continuity app.
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23 May 2020
Followers of mine will know I've long been after a tool that would allow me to take a…
LinkedIn
Proposes an accuRx feature to capture patient photos straight into the record, comparing PhotoSAF and Consultant Connect.
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23 May 2020
Nominating Chemists
LinkedIn
A gripe that temporarily switching a patient's nominated pharmacy in EMIS is far too fiddly, just as electronic nomination is being pushed hard to keep people out of surgeries.
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22 May 2020
Video on AccuRx
A pointer to a Howbeckhow2 screencast demonstrating AccuRx for SMS communication with patients, including its new one-time reply feature.
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14 May 2020
These online reviews look really good from Medlink - planning on asking for a free trial…
LinkedIn
Flags Medlink's online consultation reviews as a more developed alternative to accuRx, and plans a free trial for his practice and PCN.
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14 May 2020
These online reviews look really good from Medlink - planning on asking for a free trial…
LinkedIn
Flags Medlink's online consultation tool as a more developed accuRx alternative worth trialling.
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22 Apr 2020
Working from home!
A GP's lockdown home-working setup compared: VPNs versus VMware Horizon virtual desktops, X-on's GP@home for masked calls, and a Nye Health video link that diagnosed chicken pox.
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15 Apr 2020
I've done another demo video this time on AccuRx and their reply with a photo…
LinkedIn
Shares a demo video of AccuRx's reply-with-photo feature and promotes the Howbeckhow2 online training site for primary-care systems.
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1 Apr 2020
Just came across an issue - using AccuRx for video (I believe iPlato's new version is…
LinkedIn
Describes a video-consultation snag with a temporary resident on VDI and how the Nye Health app saved the appointment.
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1 Apr 2020
Just came across an issue - using AccuRx for video (I believe iPlato's new version is…
LinkedIn
Recounts a video-consultation glitch with AccuRx on VDI for a temporary resident, solved by switching to Nye Health.
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1 Apr 2020
Lot of people talking about a lot of home visits being needed to be done by hot teams…
LinkedIn
Argues COVID home-visiting 'hot teams' need cleanable mobile devices running EMIS Mobile that work with or without signal.
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14 Mar 2020
Been playing with the new accuRx video functionality for general practices.
LinkedIn
Reviews accuRx's browser-based video consultations, praising screen sharing, multi-party rooms and its Covid screening tool.
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7 Mar 2020
More Florey more
LinkedIn
A quick note praising accuRx's Florey questionnaires, describing how a progesterone-only pill check form avoids appointments and urging the same for combined pills.
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3 Mar 2020
Had a great online demo from @Miles Carter from Ardens today - really like their product…
LinkedIn
An online demo of Ardens convinces Neil to have his PCN buy it, citing time savings, quality and practice productivity gains.
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23 Feb 2020
ACCURX Video Consult
LinkedIn
A quick hands-on test of accuRx's new video consult module, praising its no-install link-based setup over iPlato while noting the drawbacks of running it on a personal phone.
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23 Oct 2019
Docman 10 is trying to become artificially intelligent!
Backs Docman 10's project with the University of Manchester to train an AI on real letters to work out which need a GP's attention, and urges practices to sign up.
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26 Sept 2019
Partnership working
Argues PCNs should standardise clinical systems, share back-office staff and join up networks — and that EPRs must let staff work across multiple practices at once.
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23 Sept 2019
Seeing one record / Sharing data nightmares
A rant on record-sharing contradictions: no way to grant access to a single patient's record, stale sharing agreements, staff snooping and the burden of redacting notes.
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23 Aug 2019
The Power of GP Federations
Showcases what his 29-practice federation delivers at scale: a shared GDPR service, practice websites, IT trainers, cloud dictation with Lexacom, a Technomed ECG service and peer-reviewed referrals.
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6 Jul 2019
On primary care networks and IT upgrades
Early days of PCNs: missing data-sharing agreements, network-level analytics with Apex, a transformative Windows 10 hardware refresh, and whether pooled Lexacom typing could work across practices.
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6 Jun 2019
If you are a GP practice and haven't heard of or tried AccuRx's Chain SMS - look it up -…
LinkedIn
Recommends AccuRx's Chain SMS to GP practices as a free and effective way to text patients.
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11 Dec 2018
Docman 10 is trying to recruit practices to join its AI experiment to reduce GP workload…
LinkedIn
Encourages practices to join Docman 10's AI experiment to cut GP document workload, since more data improves the AI.
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22 Nov 2018
Things my IT could do better – 2
A detailed rant on EMIS prescribing: unintelligent warnings, grey drug lists, clunky personally administered drug workflows, shared inboxes and unsynced repeat medications.
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22 Nov 2018
Please connect EMIS to Outlook/NHS mail
LinkedIn
A plea for an app that syncs EMIS surgery session times into Outlook or NHSmail calendars, so portfolio GPs can answer meeting invitations without logging into their clinical system.
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24 Oct 2018
Conference season
Compares three autumn 2018 events — a lacklustre EMIS NUG, a start-up panel frustrated by NHS procurement, and the BCS primary care group — with PatientLeaf's UI the standout product.
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23 Oct 2018
Hire your own trainer?
How a GP federation locality used non-recurrent funding to employ its own IT trainer with EMIS and Docman expertise, and why other areas should copy the idea.
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22 Oct 2018
Things my IT could do better – 1
A rant about the EMIS results screen: no result history table, no medications or recent consultations in view, and an over-eager default SMS that fires before all results are checked.
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22 Sept 2018
Docman needs Alerts!
Calls for patient-level alerts in Docman so safety-trained GPs spot serious adverse events among trial participants' letters, citing the workarounds the Salford Lung Study had to use.
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18 Sept 2018
Dont forget to come to the PHCSG annual conference - I'm going (dont let that put you…
LinkedIn
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18 Sept 2018
Have you signed up for the free PHCSG BCS education day yet?
LinkedIn
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8 Sept 2018
see my blog about visiting the EMIS conference #healthcare…
LinkedIn
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7 Sept 2018
EMIS NUG
Impressions from the 2018 EMIS National User Group conference in Birmingham: a thin theme, an intriguing Epson inkjet pitch, and Patient Leaf's fresh dashboard UI on top of EMIS.
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23 Aug 2018
EMIS NUG
Impressions from day one of the 2018 EMIS NUG conference in Birmingham: a thin theme, an Epson inkjet cost pitch, and Patient Leaf's dashboard UI over EMIS as the standout.
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22 Aug 2018
Things EMIS could do better
A running index of suggested EMIS improvements, linking to posts on the results screen, the prescribing screen and EMIS Mobile, with an open invitation to add more.
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14 Aug 2018
Online training tool needed for EPRs
Argues primary care needs a structured competency framework and certified online training for EMIS and other EPRs, since most staff learn the systems by trial and error.
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10 Aug 2018
My latest DigitalHealth.net column is out https://lnkd.in/etDzg2h'
LinkedIn
His DigitalHealth.net column arguing that proper EPR training is central to getting value from practice IT systems.
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23 Jul 2018
Healthy.io Does Accurate Urine testing
A look at Healthy.io's smartphone-camera urine dipstick reader, with use cases from care home self-testing for UTIs to automated EPR entry — plus memories of his own iTenniselbow app.
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21 Jul 2018
Docman 10 has some interesting Enterprise features
LinkedIn
Notes from a meeting with Docman's Sean Foster on Docman 10, whose cloud design lets federation or neighbouring-practice staff process documents across sites.
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5 Jul 2018
Please connect EMIS to Outlook/NHS mail
LinkedIn
A plea for an app that syncs EMIS surgery session times into Outlook or NHSmail calendars, so portfolio GPs can respond to meeting invites without opening the clinical system.
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15 Jun 2018
A feature I’d like to see in EMIS (or other primary care EPRs)
LinkedIn
Wishes EMIS offered a live waiting-room list of outstanding QOF actions, so a healthcare assistant could catch waiting patients for blood pressures and smoking status.
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13 Jun 2018
Should my primary care EPR include a widget that tracks (or suggests) a differential diagnosis?
Argues GP records should track a working differential diagnosis — showing what has been ruled in or out and why — rather than bare codes of uncertain provenance, and questions the SOAP model.
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7 Jun 2018
EMIS protocols & QMasters are great!
LinkedIn
Praises EMIS Web protocols and QMasters' background tools that correct bad coding as you type, and floats an open-source GitHub-style repository of useful protocols.
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4 Jun 2018
Do we need a NHS Primary care EPR UI Hackday?
Argues EMIS's text-heavy templates and summary screens need radical rethinking, and calls for a hack day pairing clinicians with UI designers from outside healthcare.
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25 May 2018
Is it time to open up the UI of the GP EPR? Is it time for an app store?
Argues GPs should be able to choose their EPR front end, with specialist-built screens and app-store-style add-ons competing to replace dated interfaces like EMIS's palliative care view.
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24 May 2018
I need a desktop App to report IT issues
After a locality meeting full of complaints about Docman and EMIS crashes, proposes a one-click desktop app for reporting IT faults so helpdesks get real failure statistics.
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23 May 2018
Could a new feature in EMIS/Sunquest ICE save the NHS >£1.5 Million a year?
Argues that letting Sunquest ICE batch-print test forms for a whole clinic list would free hours of admin time across practices, and asks why end users have so little influence on EPR features.
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22 May 2018
Can AI deliver a Smarter Problem based Past Medical History and Improve Prescribing?
Argues GP problem lists are a coding mess and that AI trained on millions of records could tidy them, link medications to indications and flag data-quality gaps automatically.
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22 May 2018
Healthy.io Does Accurate Urine testing
A first look at Healthy.io, which uses a smartphone camera and colour-reference board to read urine dipsticks accurately, with use cases in care homes and recurrent UTI self-testing.
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21 May 2018
More thoughts on use of AI in healthcare - better coding in the EPR!
Suggests AI could fix variable clinical coding in GP records — prompting missed codes, extracting codes from free text, and even transcribing consultations into coded entries.
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14 May 2018
Q Doctor unlike some appear to be working with general practice and have some great…
LinkedIn
Praises video consultation service Q Doctor for working with general practice, offering hourly rates and recording into the local EPR.
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11 May 2018
Does EMIS Web need new functionality to meet the Working at Scale agenda & to maintain being the system of choice as GPs get bigger and work together
Argues EMIS lacks a federated multi-practice view for shared reception, triage, typing and cross-organisation searches, and that this gap is holding back working at scale.
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10 May 2018
Could a new feature in EMIS/Sunquest ICE save the NHS >£1.5 Million a year?
Argues that letting staff batch-print Sunquest ICE blood forms for a whole clinic list would save admin time across thousands of practices, and asks why users have so little sway over EPRs.
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4 May 2018
Personal Productivity - Portrait Monitors and Dual Screens
LinkedIn
Practical productivity advice for GPs: dual monitors are cheap and transformative, and swivelling one into portrait mode fits a whole Docman letter without scrolling.
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27 Apr 2018
More EMIS wishes
Suggests improvements to the EMIS appointments module: default to the patient's usual doctor for continuity, show recent consultations, and better cross-organisation booking.
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27 Apr 2018
its time for my weekly thoughts on how to improve EMIS.
LinkedIn
Links to a blog post setting out further wishlist ideas for improving the EMIS clinical system.
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23 Apr 2018
Alivecors - great but a better app might be nice
Praises the AliveCor Kardia ECG device but argues its patient-focused app makes filing traces into GP records painful, calling for a custom NHS version.
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23 Apr 2018
Why wont EMIS let me search across shared data?
Shows how EMIS searches ignore shared community records — a palliative care report missed data on half its patients — and asks for a simple 'include shared data' option without paying for Enterprise S&R.
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19 Apr 2018
Disaster Recovery - UPS devices and More
Practical tips for keeping a GP practice running through power cuts: UPS devices on key PCs, charged laptops with EMIS, remote desktop access and printed patient summaries.
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16 Apr 2018
More thoughts on EMIS Mobile
Follow-up review of EMIS Mobile listing needed fixes: Touch ID logins, a better home-visit assignment workflow, bulk download of care home residents and redesigned data entry templates.
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16 Apr 2018
While I still think its great, it needs more development to be truly indispensable.
LinkedIn
Sets out his suggestions for developing EMIS Mobile into a tool clinicians would find genuinely indispensable.
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6 Apr 2018
Things my IT could do better - 2
A detailed rant about EMIS prescribing: unintelligent pop-up warnings, grey unreadable drug lists, clunky PA drug handling, a shared inbox muddle and no way to sync repeat medications.
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6 Apr 2018
Another end of the week reflection on where the UI of my main clinical system is sorely…
LinkedIn
An end-of-week reflection on how his clinical system's interface hampers safe working, asking for an improvement roadmap.
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26 Mar 2018
A lot of researchers are hoping Docman adds this feature!
LinkedIn
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26 Mar 2018
Docman needs Alerts!
Why Docman needs per-patient alerts: without them, GPs running clinical trials can miss the letters that trigger 24-hour serious adverse event reporting, as the Salford Lung Study found.
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22 Mar 2018
My latest digitalhealth.net blog: conference season
Compares a lacklustre EMIS National User Group with a school health-tech panel and the BCS Primary Health Care meeting, praising John Perry prize winner PatientLeaf's customisable UI over EMIS data.
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21 Mar 2018
Things my IT could do better - 1
A rant about the EMIS results screen: too little information, no medication or consultation context alongside results, and default SMS messages that mislead patients.
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19 Mar 2018
Just had a quick play and I'm seriously impressed.
LinkedIn
Reviews the new EMIS mobile app and considers tablets for home visits and nursing-home work.
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19 Mar 2018
I'm loving the new Emis Mobile app
An enthusiastic hands-on review of the matured EMIS Mobile app on iPad — full record access, offline mode, shared records and consultations — with a wish list including cross-organisation tasks.
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12 Mar 2018
An innovative IT start-up based in London called AccuRx is adding a much needed feature…
LinkedIn
Highlights how London start-up AccuRx is adding a much-needed feature to EMIS Web, with a link to a fuller blog post.
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12 Mar 2018
An innovative IT start-up based in London called AccuRx is adding a much needed feature to EMIS Web
Reviews accuRx's free SMS add-on for EMIS Web, which lets GPs text patients directly with templates and record-keeping — a gap EMIS itself has never filled.
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1 Mar 2018
EMIS Web for Community Pharmacists
LinkedIn
Welcomes EMIS software giving community pharmacists GP record access, seeing potential for meaningful medication reviews, drug monitoring and chronic disease management.
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23 Feb 2018
Personal Productivity – Portrait Monitors and Dual Screens
Practical advice on boosting GP productivity with dual monitors, and a reminder that cheap swivelling portrait-mode screens make reading Docman letters far easier.
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7 Jun 2017
Another View: of the Cyberattack
A first-hand account of the WannaCry ransomware attack hitting a GP surgery — flying blind by 5pm — and the case for backup kit, better patching and a more diverse NHS IT ecosystem.
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18 Oct 2016
Another View: of Handling Letters
On taking admin off GPs: practice pharmacists, medical assistants, a five-practice letter-processing hub saving GPs 40 minutes a day, and how cloud-based Docman 10 could enable shared admin teams.
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3 Sept 2016
I'm speaking at this years EMIS NUG on the Thursday - come support me!
LinkedIn
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23 Aug 2016
Another View: of Appointments, Texts and Email
On the gaps in online GP services: prescription requests need separating, booking needs triage, and secure patient messaging via MJog, iPlato or beyond awaits proper IG safeguards.
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21 Jun 2016
Quite a lot going on
A round-up of local primary care IT: patient wi-fi, why video consultations aren't taking off, Horizon remote access, Slack trials, NHSmail woes and Technomed's reported ECG service.
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6 Apr 2016
Funding Innovation
On investors circling NHS IT without understanding it, and why clinicians' ideas need platform-style clinical systems, seed funding and Google-style 20% time to get built.
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8 Mar 2016
IT Check-ups
Findings from in-depth IT health checks across two GP federations: training by Chinese whispers, unused Docman and Lexacom features, and the case for federations employing IT teams.
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11 Feb 2016
anyone know of a simple (CHEAP) app that will run on my desktop and allow me to text a…
LinkedIn
Seeks a cheap desktop app to text patients, ideally pulling their mobile number from EMIS Web via the NHS SMS gateway.
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16 Dec 2015
Another View: of Progress (or Otherwise)
A year-end whinge at GP IT's lack of progress: obsolete browsers and hardware, password overload, poor team messaging, glacial order comms and prescribing warnings that cry wolf.
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2 Mar 2015
Another View: Mind the Gap
On the 'implementation gap' in NHS IT: simple wins like EMIS EPR Viewer for a mental health consultant or remote access for GPs stall while university IT just works.
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26 Feb 2015
Great meeting with Pauline Chisnall from EMIS today - really helped us out on several…
LinkedIn
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14 May 2014
Email a receptionist just sent me about Emis Web: Any news on a changing systems or…
LinkedIn
Shares a receptionist's frustrated email about EMIS Web problems - a broken touchscreen, no appointment slips and persistent slowness.
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24 Mar 2014
Just informed EMIS Web is sticking for up to 20 secs everytime reception make an…
LinkedIn
Highlights EMIS Web freezing for up to 20 seconds per booking, costing the 700-appointments-a-day practice over three hours daily.
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6 Mar 2014
2nd time in 2 weeks that EMIS Web has just stopped in the middle of a surgery 10 docs…
LinkedIn
Reports EMIS Web crashing mid-surgery for the second time in a fortnight, with ten doctors and a full waiting room.
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5 Feb 2014
Another View: Twenty Eight
Asks whether GP system suppliers should be broken up, separating patient data from the software that records it, and pins hopes on GPSoC2's mandated APIs to open the market.
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11 Jul 2013
Another View: Twenty One
GPs' gripes after upgrading to EMIS Web — a confusing tasks system, clunky medication requests and tiny fonts — plus password woes and a wish for automatic note redaction.
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10 Apr 2013
Having my first play with EMIS mobile - just superb !!!
LinkedIn
Notes EMIS Mobile still needs development but shows how district nurses could work, with hopes pinned on a rumoured version two.
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10 Apr 2013
First day with EMIS web - some annoyances and some flashes of brilliance - really missing…
LinkedIn
Gives first impressions of EMIS Web, mixing frustrations with highlights, chiefly the loss of familiar keyboard shortcuts.
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10 Apr 2013
Upgrade to EMIS web went well today!
LinkedIn
Reports a smooth EMIS Web upgrade at the practice, with thanks to EMIS, Cheshire ICT and practice staff.
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19 Mar 2013
Another View: Eighteen
Defends Tim Kelsey's idea of teaching clinicians to code, arguing programming literacy helps users challenge IT departments, and calls for open APIs and macro tools in clinical systems.
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12 Feb 2013
Free text messaging in EMIS web for appointments and results looks great - we are keen to…
LinkedIn
Welcomes EMIS Web's free appointment and results texting, noting the practice must first collect and validate patients' mobile numbers.
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12 Feb 2013
Some of our concerns re our impending EMIS web upgrade look to be going away with the…
LinkedIn
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12 Feb 2013
really keen to beta test Qadmission from JHC(Qrisk) and EMIS if i can - should complement…
LinkedIn
Expresses eagerness to beta-test the QAdmission risk tool from JHC and EMIS, seeing it as a complement to the CCG's Eclipse system.
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23 Jan 2013
Another View: Sixteen
On the problems of GPs and district nurses using separate EMIS Web and Community Web systems: security, messaging, prescribing and reception headaches from a flawed procurement.
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12 Dec 2012
My latest article http://lnkd.in/6s-Q2U will the new EMIS mobile app have bigger…
LinkedIn
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11 Dec 2012
Another View: Fifteen
A first look at the EMIS Mobile app, arguing tablets could be a game changer for home visits, nursing home rounds and perhaps replacing the desktop PC.
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13 Nov 2012
Another View: Fourteen
Praises EMIS's electronic fit note and ICE order comms, asks why HGV medicals and insurance reports aren't automated too, and worries how many anonymised copies of GP data exist.
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22 Feb 2012
Read code help needed'
LinkedIn
Asks colleagues which Read code marks patients on digoxin or amiodarone as appropriately treated but without atrial fibrillation.
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14 Feb 2012
Another view: Four
A round-up of practice IT developments: a postponed EMIS Web migration delaying ETP, NHSmail quota frustrations, USB stick rules, voice recognition pricing and a website upgrade.
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7 Feb 2012
Quite a lot going on: a practice IT update
GP magazine
Rounds up a busy practice IT year, taking in a delayed EMIS Web migration, electronic prescribing plans, Docman trouble, NHSmail frustrations and a new website.
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31 Jan 2012
It now looks like our upgrade to EMIS web has been delayed from last December to may 2013!
LinkedIn
Notes the practice's EMIS Web upgrade has slipped from December to May 2013 and questions the reason for the delay.
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25 Jan 2012
For ages ive been complaining that the reason for a test isn't showing on our standard…
LinkedIn
Notes that EMIS Web has stopped showing the reason a test was requested, which he sees as a step backwards from EMIS LV.
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10 Jan 2012
Another View: Three
How a hunt for cholecalciferol exposed EMIS's unforgiving drug search and misspelt hospital letters, prompting calls for medical spell-checkers and electronic prescribing links from consultants.
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8 Nov 2011
What is the cloud?
GP magazine
Explains software as a service in plain terms and weighs what cloud computing could mean for GP practices, from cheaper terminals to connection risks.
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1 Jun 2011
From the consulting room: Making information free to be useful
Microsoft NHS Resource Centre
Sets out a vision for a tablet-based home-visit system with offline sync, and argues GP system suppliers should open their APIs to third-party add-ons as Apple and Facebook do.
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8 Mar 2011
From the consulting room: A design democracy
Microsoft NHS Resource Centre
After a column prompted EMIS to promise local Read codes, suggests suppliers adopt Dropbox-style Votebox idea boards so users can propose and vote on features, and trials Ideascale for GP wish lists.
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25 Feb 2011
Do you get the most from Microsoft Word?
GP magazine
Highlights underused Word features - styles, forms, medical dictionaries, AutoCorrect, AutoText and mail merge - that can save time in a busy practice.
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8 Feb 2011
From the consulting room on EMIS Web
Microsoft NHS Resource Centre
On worries ahead of migrating to EMIS Web: rumours it drops local and associate codes threaten how practices track vasectomy follow-ups, research visits and referral activity.
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5 Dec 2010
Getting your practice ready for EMIS Web
GP magazine
Practical advice on preparing practice staff for the switch to EMIS's new system, using scenario-based training rather than unstructured play.
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26 Nov 2010
Our EMIS web GP summary info in A&E pilot has made the news.
LinkedIn
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22 Nov 2010
My verdict on Emis Web
Impressions of EMIS Web at its launch event: faster receptionist workflows, macros and protocols look strong, with performance questions over hosting and N3's future.
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18 Oct 2010
EMIS are at the practice demonstrating the latest version of their software - how will it…
LinkedIn
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18 Oct 2010
From the consulting room on local shared records schemes
Microsoft NHS Resource Centre
Advice from a project giving A&E and out-of-hours a view of the GP record via EMIS Web: name it honestly, verify consent, and let patients see who has accessed their notes.
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15 Sept 2010
Another View: One
On EMIS Web's roll-out approval and the confusion around data sharing agreements and patient consent, urging EMIS to produce clear guidance before a mess ensues.
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20 Jul 2010
From the consulting room on Emis Web (first look)
Microsoft NHS Resource Centre
A first look at EMIS Web from its Reebok Stadium launch — impressed by faster workflows and protocols, with questions over hosting performance, N3 and partners like Docman.
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8 May 2010
Had a play with an iPad yesterday!
LinkedIn
A PCTI proof-of-concept demo of Docman running on an iPad sparks enthusiasm for tablets in general practice.
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25 Nov 2009
Five Priorities for Primary Care IT
Sets out five local priorities agreed with Cheshire ICT: reliable desktops, better telephony, electronic documents both ways between hospitals and GPs, and structured training.
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22 Oct 2009
How Swine Flu affected our IT
How the 2009 swine flu outbreak forced doctors into shared downstairs rooms, exposing slow logins and making the case for remote desktops, fast user switching and macros.
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2 Sept 2009
How CfH could make my Day
Applies 'nudge' theory to NHS Connecting for Health, arguing single sign-on and a unified master inbox for a GP's dozen message streams would win over users better than mandates.
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9 Jun 2009
Our Website could do so much more.
A 2009 call for practices to reclaim their websites: single log-in front doors offering tailored patient information, data capture, phone-queue status and hospital links.
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1 Jun 2009
Review: Nuance's Dragon 10 Medical
GP magazine
A hands-on review of Nuance's Dragon 10 Medical voice recognition software, weighing impressive dictation against poor integration with GP systems.
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27 Jul 2008
Numed Capture: patient photos straight into your clinical system
GP magazine
An early look at Numed's Capture, a desktop camera that saves annotated patient photos directly into EMIS, tested in dermatology and the leg ulcer clinic.
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2 Jun 2008
Why can't we access patient records on home visits?
GP magazine
Asks why, despite billions spent on NHS IT, GPs still cannot reliably reach records when visiting their most vulnerable patients, and recounts a mixed trial of a 3G laptop.
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25 Feb 2008
The Frustrations of GP E-mail
A 2008 rant about NHS email overload: pointless all-staff messages, badly handled attachments, too many inboxes, NHSmail's limits and the case for proper training.
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2 Nov 2007
From the consulting room on keeping stuff up to date
Microsoft NHS Resource Centre
On the chaos of software patching in a 2007 GP practice — EMIS, Frontdesk, Docman and Office all updating differently — and a call for a standard, automated NHS update process.
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30 Oct 2007
Docman: document management that just works
GP magazine
A review of Docman v7, describing how one practice scans, routes and codes hospital letters electronically and uses the system as a practice intranet.
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27 Sept 2007
What do you want from your IT?
GP magazine
A call for GPs to say what they want from their practice IT, with a wish list including working voice recognition and electronic hospital letters.
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11 Oct 2005
Why go to the EMIS user group conference?
GP magazine
A report from the EMIS National User Group conference explaining what a practice gains from attending, including news of the planned move to PCS web.
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10 May 2005
Choose and Book: my first impressions
GP magazine
An early adopter's candid account of the NHS e-booking system - the training, the clunky software and the practical headaches of going live.
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9 May 2004
Switching from EMIS LV to FrontDesk for Windows
GP magazine
Reports on a practice's first months after swapping the EMIS LV appointment book for FrontDesk, covering training, LED call boards, home visits and reports.
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3 Jun 2003
Beta testing the new EMIS Access module
GP magazine
Reports on a practice's experience beta testing EMIS Access, covering patient registration, security, online appointment booking and early patient feedback.
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18 Mar 2003
ViewMed: getting investigation reports into the record without paper
GP magazine
Compares virtual printer drivers, including Numed's ViewMed, for filing ECG, spirometry and ambulatory blood pressure reports straight into GP clinical systems.
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23 Jun 2002
Accessing your practice network from home
GP magazine
A guide to dialling into the practice network from home in the pre-broadband era, covering RAS, security tokens, dial-back and NHSnet access.
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20 May 2002
A brief guide to using rules in Outlook
GP magazine
Explains how Outlook's rules wizard can sort incoming mail into folders, auto-forward messages and cut down on interruptions during surgery.
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20 May 2002
My top ten tips in EMIS
GP magazine
Shares keyboard shortcuts and settings picked up over two years of daily EMIS LV use, covering practice notes, appointments, prescribing and lab results.