You would be surprised what I see and know about what goes on.
You have probably never been on a ward where they do cancer or transplants so have no idea, your comments indicate you have no idea. Maybe you retired 30 years ago and have no idea about current practices.
You don't even know that the standard contract for CT scanners is that they are replaced every seven years.
As for you working in a computer department I wouldn't brag about it they are probably the worst bit of the NHS.
guess what, they still do. you put a lure lock syringe on the end of the cannula and extract the blood.
"Not every disability is a visible one"
Very true. My local system can store your details and mobile phone number, but not your email address. And email is an ideal way for sending you documents that would otherwise have to be printed and sent by snail mail. It did being odd being asked if I had email so they could send stuff. Each time, and every time. It also seems your scans and so on can't be stored electronically along with your other records.
Do you actually know what a vacutainer system is ?.
(More to the point, you clearly have no idea how this system has been improved since its first incarnation in the 1970's)
Here it is on Wiki, complete with a pretty picture for those who struggle with words.
There should be no need to use those more expensive versions on people with perfectly obvious veins, but the NHS loves pissing away taxpayers money.
Wrong. The haematology dept at Barts had exclusive use of two entire specialist wards, Dalziel and Annie-Zunz.
In the 1970's if you had any sort of myeloproliferative disorder anywhere from Cornwall to Kent, that is probably where you ended up. (If you were lucky. You wouldn't have survived long in most other hospitals in that era).
When you are in hole stop digging.
As a member of the uninformed public, you wouldn't know about the six hospitals that were specially funded in the 1960's onwards to investigate the application of computers to the daily admin of a hospital (not research). Money came directly from the Dept Of Health and not out of the hospitals budget.
St Thomas's had a rank Xerox IBM 360 clone QE Birmingham and The London Hospital has Univac 418-III's
The other 3 I have forgotten.
All sites had VDU's and printers around the hospital (which required digging up all the public roads around Whitechapel to take the Univac cabling in the early 1970s).
Despite being a hot bed of extreme left wing activism, the London Hosp with loads of people from Essex uni wrote a complete Online transaction processing system, with logical transactions, pre and post journalling, which ran all day as a permanent batch job, with the hundred or so pseudo-relational 'files' mapped onto the 15 files that Univac RTOS knew about.
There were 96 terminals around the hospital allowing tests to be requested onlinje and results viewed on the ward. The computer centre ran overnight batch jobs to print the pre-named sticky labels for blood tests and distributed to the wards.
Patient admin, Obs and gynae booking, waiting lists were written in univac assembler, like the core transaction processing system.
The haematology and biochemistry analysers were connected to an in-lab CTL-mod1 minicomputer which buffered the output before passing it directly to continuous batch jobs on the Univac.
Did you even know what a logical transaction was in the 1970s' ?. Few commercial programmers did.
The QE Birmingham system took some of the London Hospitals code, but they never developed theirs to anything like the level of complexity.
Tony Blair effectively scrapped it when NuLab embarked on the massive multi-billion pound NHS computerisation scheme (scam?) in the noughties. We all know how that ended.
Indeed. And the proportion of results which will be flagged up using all this "very expensive equipment" 24/7 will, all other things being equal be exactly the same as would be produced using it only 7 or 8 hours a day.
In other words - 3 times as many tests will be generated working 24/7 which will require a clinical decision to be made by a qualified doctor as would result from only working 7 or 8 hours..
The fact that, as you're so insistent on pointing out 3 times as many tests will also result which will require no further action is totally irrelevant to the point I've been making all along. Which is the shortage of qualified doctors.
In 2018 there were unfilled vacancies for around 11,500 doctors throughout the NHS. Running expensive equipment 24/7 so as to "get the best use out of it" is not going to help remedy that particular situation. Where are the extra doctors going to come from, to look at all the extra results, 3 times as many, which are going to be flagged up ?
To be honest with you Andrew, I'm having great difficulty in trying understand what makes it so hard for you to see this simple point.
michael adams
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I don't need wiki to know, you obviously do.
Oh look you know I know what the system is or you wouldn't be able to post about what I said.
Maybe if you buy 2 million of them rather than 1/2 million of one sort and 1 1/2 million of another they are cheaper?
You aren't doing yourself any favours by quoting public information about failed computer systems. Like I said the computer departments in the NHS are probably the worst departments going. You should be proud to have helped screw them up.
BTW I was designing computers to run telephone exchanges in the early seventies not just cruddy software. Do you know how to roll back a system if there is a software fault or how to switch which IO system to use in the even of a fault? Or even how to detect a software fault in the first place?
I have decided its kinsey. As such I will post nothing more for the idiot to contradict.
plenty of people seem happy to depart/return from holiday in the wee small hours ... why not be as flexible for something (hopefully) less frequent such as a scan?
But that may well be to get a cheaper fare.
Because that would make it much harder to staff the scanner and much harder for those that need to get someone to take them to the scan and home after.
This is not how my many blood tests have been done
I get a canula for many samles Not a single needle per sample device
And some 20 years down the line, still leaves a lot to be desired. Despite your favourite right wing government being in power for half that time.
You seem to be rather typical. Quick to blame others where it suits you.
The fact is the majority of people work to live, rather than live to work.
I've worked nights on occasions. Not something I'd choose to do.
And if you had hospitals running fully 24/7, all the infrastructure like PT would have to too.
The standard vacutainer system means one needle which is screwed into the holder and as many sample tubes as required are pressed into the back of the needle after a vein has been punctured. The variant with a short length of flexible tubing is the same, but not required for routine blood tests on otherwise healthy adults.
Unlikely.
And even more unlikely to be anything that even vaguely resembles on-line transaction processing.
You are comparing apples with lemons with that statement, in that era the GPO was still a decade or more before system X came along, and GEC and other private companies did that work.
Utterly irrelevant, even if it was correct.
Some GP positions are difficult to fill, and occasionally there are delays filling other vacancies, but there definately are NOT 11,500 empty 'doctor' positions in NHS path labs. What Utter nonsense.
In 2018 the NHS only employed 4,234 medical staff in all pathology specialties, and of those 1,600 are defined as haematology.
Quite where your absurd claim of 11,500 'vacancies' comes from I cannot imagine. You can use google to find the NHS spreadsheets holding these figures yourself.
The number of NHS consultants has more than doubled since 1995, and most of that increase is since 2001 when NuLab started hosing (borrowed) money at the NHS. One thing the NHS is not short of, it is a) money and b) total staff. Clearly if you create a huge number of possibly unnecessary posts, then the vacancy rates will rise too.
The vast majority of blood tests are simple pre-op Hb, Rbc, Wbc, Platelet count (possibly) and a basic chemical pathology screen. Most routine surgical procedures don't required any blood to be x-matched and a maybe a post-op check too. Neither of these need a 'doctor' (in the lab) to look at the results, so the lab staff just send the results out. The nurses and junior doctors on the ward will see them anyway (and many results go back to a GP).
These sort of tests (the bulk of them) could be handled in regional path labs 24/7 without any issue.
Given System X was in use by the early 80s it would be obvious it was worked on in the 70s. And parts of what was to become it very likely earlier.
It was a joint venture between the GPO, Plessy, and STC. And in those days the GPO did have research and design departments, as did the BBC.
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