Posts Tagged ‘patient information’

2012: What changes can we expect in the NHS?

Thursday, January 12th, 2012

Like a late Christmas present, this week the NHS Future Forum published its report with recommendations on four key issues within the NHS: integration, public health, information and education. Most striking was the proposal that HCPs should make ‘every contact count’ by questioning patient lifestyle choices at every opportunity.

The Government’s response has been to fully accept the report’s suggestions, as many tie in with the general programme of reforms set out in the Health and Social Care Bill. However, much like many of the proposals we saw outlined in the Bill and put into practice over the past year, other groups have been less enthusiastic. For example, Dr Clare Gerada, chair of the RCGP, has voiced concerns at the lack of evidence base for public health proposals, and that questioning patients at every opportunity may even be detrimental to the patient/physician relationship.

This is the first report of what will likely be many throughout 2012 both supporting reform and condemning it in equal measure. But what changes within the NHS can be expected in the coming year? Here are a few points that the Virgo HEALTH team will be looking out for…

First and foremost, the Health and Social Care Bill will receive Royal Assent, with most proposals likely to be still intact. Even so, there are lingering questions over Andrew Lansley’s position within the Cabinet. Will he continue to serve as Secretary of State into 2013? In all likelihood, yes – but nothing is certain.
As the Government progresses with the reforms throughout 2012, we will see the further dismantlement of current NHS structures and consolidation of new bodies such as the NHS Commissioning Board and Clinical Commissioning Groups in their place. However, there will continue to be plenty of debate over the composition and size of these groups, and the role traditional commissioners from PCT and SHA backgrounds can play in them. 2012 should therefore provide more answers as to the future these managers have within the new NHS.

The DH published figures at the end of December confirming that it was on track to deliver the savings required for the year 2011/12 as set out in the Budget, recording savings of £2.5 billion in the first 6 months of the efficiency challenge. Many argue that the easy cuts have been already been made, and that the NHS will be facing an increasingly difficult challenge to try and find further savings. We will see whether the figure of £6 billion for the year is achieved in the summer, and towards the end of the year, whether it is still on track to hit its final target.

Finally, ‘no decision about me, without me’ as an underpinning principle behind the reforms will begin to come to the fore. Can we expect to see patients taking more interest in their care, as more choice is provided, and information becomes available? Andrew Lansley has stated this week that ‘blacklisting’ of NHS drugs needs to be ended to stop the current ‘postcode lottery’, but also to avoid the threat of legal action from patients who know their rights.

We are sure you will be following developments in the NHS like us, during a year which will undoubtedly be crucial for the success of the reforms and economic future of the NHS.

A review of medical regulation for patient interaction online

Thursday, September 1st, 2011

The topic has been discussed at length over the last few years, but only in the last couple of months have professional medical organisations begun to draw up online codes of conduct.

Most notably, the British Medical Association (BMA) issued guidance to its 140,000 members advising doctors and medical students to steer clear of activities that could compromise public confidence in the profession, with specific recommendations to adopt high privacy settings, reject friend requests from patients and avoid work discussions, particularly those involving patients or colleagues, online. Essentially anything that might breach patient confidentiality or, with employers increasingly using the web to screen applicants, jeopardise career prospects.

The BMA recommendations came just days after the Nursing and Midwifery Council (NMC) guidance for its 660,000 members. This guidance, which was developed in response to an increasing number of enquiries about online misconduct and the fact that some nurses and midwives have been investigated and struck off for improper use of Facebook, stresses that ‘virtual’ incidents will be treated as seriously as ‘real’ ones and urges members to make a clear distinction between their professional and personal lives online.

Interestingly, a recent poll of nearly 1,000 Nursing Times readers suggests that healthcare professionals (HCPs) themselves believe there is a need for this type of regulation. More than 40% of nurses surveyed said a colleague had inappropriately posted details of patients or colleagues on Facebook or Twitter, while 32% of respondents felt nurses were sharing too much information about work issues.

Despite the fact that HCPs are encouraged to use social media to build professional networks and patients are happy to disclose personal stories and health data on information-sharing websites like PatientsLikeMe and the IBM Patient Empowerment System, the BMA and NMC guidelines appear to be based on the age-old advice not to mix business with pleasure. In the same way that the General Medical Council (GMC) has always cautioned doctors against treating friends and family for fear that personal relationships could cloud clinical judgement, the latest recommendations seem to stem from concerns about maintaining objectivity when the HCP and the patient know one another.

While doctor-patient communication could often be improved, it is often most appropriate for this to take place face-to-face in a secure environment. But any suggestion that HCPs should not be able to discuss health issues with patients online could be missing the bigger picture. If the end goal is to improve health outcomes surely no route should be totally blocked to ensuring progress for all? Whether doctors actually want to interact with patients online is another thing altogether…

Musings from this week’s #HCA Digital Forum: Can Britain lead the way?

Friday, May 20th, 2011

Twice this week industry commentators have heralded the UK as a leader in social media regulation, both at the GLOBALHealthPR summit and at the HCA Digital Forum. American speakers at the first event said the FDA is dragging its heels with guidance still unpublished after months of it being promised. While the recent PMCPA guidance may not be considered as clear as some people would like, many see it comparatively as being ahead of the curve.

Okay, so the picture above is an exaggeration, but it reframes the whole UK pharma social media debate a little. As Neil Crump said in his recent blog post, the guidance is all about conducting projects in the spirit of the code. Furthermore, as Janssen’s @alex__butler tweeted, people hoping that regulation will solve problems of social media in pharma is like hoping the Wizard of Oz will give you a heart, courage and a brain…

The main point with all this is that we can do most things within the social media sphere that you can do in traditional communications activities, it’s just about getting all those folks on the company side on board and included in what will be done and how, all based on having a good rationale/ethical approach and clear processes for moderation when it comes to user-generated content.

There will be no more guidance and there doesn’t need to be any need for it at all. As a traditional Englishman might say, it’s all about just applying a bit of common sense and decency!

Content isn’t the only King: How presentation can make ALL the difference

Wednesday, March 16th, 2011

Once upon a time, in a certain village, there lived a little country girl – the prettiest creature who was ever seen. Her mother was excessively fond of her and her grandmother doted on her still more. This good woman had a little red riding hood made for her. It suited the girl so extremely well that everybody called her Little Red Riding Hood.

Cast yourself back to the seventeenth century (or just rewind a couple of years!) and no doubt you’d have had the ol’ bedtime tale read aloud to you. We all know how the story goes but, in my eyes, gone are the days where we rely solely on emotive and elaborative text to carry the word – we demand an increasingly vibrant and/or exciting and engaging mode of presentation…

 

Slagsmålsklubben – Sponsored by destiny from Tomas Nilsson on Vimeo.

 

Admittedly, this video might be taking the use of modern tools one step too far. However, it does illustrate how ideas, thoughts and concepts can be shared in a visually engaging and stimulating way, thereby placing the user at the centre of the experience.

In an era where iPads are the new sliced bread and children are practically logged in from the womb, we need to embrace new ways to channel our communications and fuel two-way dialogue.

Presentation is key. More of us are on the move and living a faster pace of life than ever before. Information needs to be shared in both a digestible, innovative format thereby capturing readers’ attention and allowing us to hold on to the ultimate aim of kick-starting discussion and allowing it to thrive.

More often than not, it’s not the overarching principles which differ but the way in which we present ideas. We need to embrace our creativity and where there is an appropriate opportunity to contribute, imaginatively empower people to prioritise and personalise their health. After all, isn’t that what it’s all about?

The more technology we have, the more we want the ‘human’ touch

Friday, March 11th, 2011

Have you noticed recently how the more old fashioned and Grandad-like something is, the more popular it is becoming? It seems to be more than just the revolving cycle of fashion but a genuine trend that’s been sticking around recently. It’s been something that’s been knocking around at the back of my mind for a while and only really surfaced when I saw this viral video doing the rounds:

 

The clip was first posted on Mashable as a calming antidote to the excitement and hype around the iPad2 launch as “basically the most soothing thing ever” (who can disagree?).  But apart from being a lovely interlude to your day, it seems to touch on something consumers are increasingly seeking. Namely elements of the tactile, the nostalgic, the honest, the home-made and the retro. You only have to walk around London’s trendy East End to see how this is influencing fashion. Nobody’s really sure whether it’s ironic or not anymore, but wearing dubious knitwear is a big deal for this not insignificant youth sub-culture…

 

I suppose what I’m getting at is that while people are becoming increasingly technology-literate across the generations, they are also increasingly looking for the human touch in their experience. And despite what you are told, largely by people with a financial incentive, not everyone wants to immerse themselves in new technology. A manifestation of this can be seen in the way people are abandoning search engines to access online content and clicking through links their peers have recommended to them through Facebook or other social networks. My point is that ‘human’ interaction and genuine engagement is more important than ever if you want to make people really sit up and listen.

Also, looking for the ‘next big thing’ in technology might just prevent you from fully grasping the current one, both as a consumer of online content and as a provider of it. It goes back to that old chestnut of what the point of investing in a bells and whistles website or forum is if there is already an active community just around the corner? Wouldn’t it be far better to listen to that community in an attempt to understand the interests and concerns of those people, and perhaps even engage with them yourself, before even thinking about launching a me-too marketing or awareness initiative to them?

And what about the technology itself and the healthcare setting? Yes, there are numerous new apps and opportunities to optimise technology for healthcare purposes, whether it’s a disease information app or a platform to help doctors manage their patients. But these are no good without fully and truly understanding the audiences that use them. For example, you might think of using Twitter to communicate to a group of young adults about contraception. But the average Twitter user is more likely to be in their 30s than tweeting in school, and unless they ‘choose’ to follow you may be tweeting to yourself!

The worst thing you can do is assume that just because something is new and shiny, people will like it. In fact, the worst thing you can do is make assumptions at all. So why not take a long hard look at that expensive looking digital media proposal and ask the question, is all this technology relevant? If the answer is ‘yes’ then all you have to do is put your best foot forward down the intended path. If the answer is ‘no’ then you should congratulate yourself on your honesty, go back to listening to the people you want to engage with and then get thinking about what you have to bring to the party.

Why EU restrictions on health information are good for pharma AND patients

Wednesday, December 8th, 2010

Last week a huge majority of MEP votes signalled a change to the provision of information on prescription drugs to patients in EU member states. While direct-to-consumer advertising is quite rightly already banned in the EU, there was a lack of consistency in the way rules on patient information provision were interpreted by individual countries. As a result of the vote, two key changes were proposed:

- Broadcast and print media will be banned by law from providing information on prescription medicines (though there is a caveat to this below)

- Healthcare professionals will not publicly be able to give any information on prescription drugs to patients unless they declare links with pharmaceutical companies.

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EU to liberalise drug info for patients?

Monday, January 25th, 2010

The incoming EU Commissioner for Health and Consumer Policy, John Dalli, has said “patients have the right to proper information on prescribed medicines” and pledged to re-assess the current directive to “bring more patient’s perspective in the proposal”. While there are opponents of the move to liberalise patient information in France, Germany and Spain, several other EU member states approve, including the UK, Denmark and Sweden. So what are the hurdles?

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