4 ms·

Which is idiotic. e.g. if you get tests done in one country and move to another they cannot access your scans/x-rays and end up just doing them again. Waste of

Which is idiotic. e.g. if you get tests done in one country and move to another they cannot access your scans/x-rays and end up just doing them again. Waste of money but more importantly the case history is getting distorted as you're repeating it and likely missing notes the original doctors had made.

vertex-four 10y ago
On the other hand... for a lot of things, NHS Scotland handles long-term healthcare better than NHS England. NHS England essentially got forced into creating a watered-down version of the Gender Reassignment Protocol a few years after Scotland implemented theirs, and from my understanding it's incredibly difficult to get anyone to follow it. I wouldn't give up NHS Scotland for the English system - and I think many Scots would agree. (And I voted No to independence!)
- digi_owl 10y ago
  As an outsider my understanding is that one of the first things Scotland did after getting the ability to do so, was to roll back may of the recent changes to the NHS. This to the point that Norwegian politicians, the nation going through something akin to the Thatcher-Blair process, went visiting.
- zigzigzag 10y ago
  Scotland can do this partly because it is heavily subsidised by the English. If the subsidies vanished I think NHS Scotland's performance would be significantly worse.
  - pjc50 10y ago
    This is difficult to do the accounting on, but almost certainly not true.
arethuza 10y ago
Well, that's the UK for you - we don't have single legal or educational systems either!
- k-mcgrady 10y ago
  I didn't really put my point across properly. Separation is important so citizens in each country can tailor services to their specific needs but data sharing should still be possible and automatic.
digi_owl 10y ago
UK for all intents and purposes, is four nations sharing a crown. Not unheard of in European history, just look at the likes of Denmark-Norway, but perhaps the only one that has lasted to the present day.
kalleboo 10y ago
And I imagine the long-term goal would be to share the records among EU countries (well, not the UK anymore) since healthcare is valid across the union, but language barriers make that pretty difficult
niels_olson 10y ago
Health data, including imaging and genomics, should be held by third party custodians and delivered as needed to registered providers. The data can be handled by the provider's viewing system. The cost can be covered by charging the system providing the care a fee: part transmission, part long-term storage. This is already starting to happen, but is still regionalized and very fragmented.

vertex-four 10y ago

On the other hand... for a lot of things, NHS Scotland handles long-term healthcare better than NHS England. NHS England essentially got forced into creating a watered-down version of the Gender Reassignment Protocol a few years after Scotland implemented theirs, and from my understanding it's incredibly difficult to get anyone to follow it. I wouldn't give up NHS Scotland for the English system - and I think many Scots would agree. (And I voted No to independence!)

digi_owl 10y ago
As an outsider my understanding is that one of the first things Scotland did after getting the ability to do so, was to roll back may of the recent changes to the NHS. This to the point that Norwegian politicians, the nation going through something akin to the Thatcher-Blair process, went visiting.
zigzigzag 10y ago
Scotland can do this partly because it is heavily subsidised by the English. If the subsidies vanished I think NHS Scotland's performance would be significantly worse.
- pjc50 10y ago
  This is difficult to do the accounting on, but almost certainly not true.

arethuza 10y ago

Well, that's the UK for you - we don't have single legal or educational systems either!

k-mcgrady 10y ago
I didn't really put my point across properly. Separation is important so citizens in each country can tailor services to their specific needs but data sharing should still be possible and automatic.

digi_owl 10y ago

UK for all intents and purposes, is four nations sharing a crown. Not unheard of in European history, just look at the likes of Denmark-Norway, but perhaps the only one that has lasted to the present day.

kalleboo 10y ago

And I imagine the long-term goal would be to share the records among EU countries (well, not the UK anymore) since healthcare is valid across the union, but language barriers make that pretty difficult

niels_olson 10y ago

Health data, including imaging and genomics, should be held by third party custodians and delivered as needed to registered providers. The data can be handled by the provider's viewing system. The cost can be covered by charging the system providing the care a fee: part transmission, part long-term storage. This is already starting to happen, but is still regionalized and very fragmented.