hi,
On 22/07/2023 17:36, bap--- via GLLUG wrote:
It turns out that he’s an old skool Linux and BSD hacker. He would like
Any chance you could share names ?
to make more use of open-source software. Of course he doesn’t have
freedom to kick MS into touch but would be willing and able to
But MS does not engage with the NHS directly, past the platform services
- its their ISV's and the ecosystem that rallies around it. And in the
same space as MS, there are other vendors with some traction, admittedly
not enough. So I think its important its clarified as to which end of
what spectrum is being addressed here.
Elsewhere in the world every country has similar healthcare issues and
in the third-world that sometimes means running software on ancient
hand-me-down computers, often running old versions of Windows. They
could do with some help too. The USA is looking at universal healthcare
but it’s not going to happen unless the Democrats gain enough power to
amend the constitution or someone comes up with a way to enable
individual states to agree a nationwide strategy. Hell might freeze over
first.
Healthcare is a complex industry, it might make sense to double down on
local, focused domains. As has been pointed out in the thread, GPs are
largely an autonomous entity who can chose and work through their own
systems. I believe there are multiple vendors in this space, disrupting
that end of the spectrum with open source, open standards and enablement
would be good start. Next, the Dentists. Followed by the pharmacists.
These are the smallest, but complete, execution domains in the space -
efficiency wins here directly map to impact for mass population.
If you can make a positive impact on the consumer end of the scale, you
may well find that institutional support becomes morere likely.
Or you could find specific focal areas to improve - faster ambulance
response times, better training optimisation, diagnostic support and
evidence collection etc - harder, than just general purpose inventory
and reporting that GP, Pharmacists and Dentists need.
Keep in mind that the healthcare data is one of the most heavily managed
with compliance, privacy and certifications. Even more so than taxation
systems. And you are going to need a lot of domain knowledge who are
effectively working against £££ and capitalism.
There are many initiatives of this nature that have started and had
varying levels of success; I would highly recommend finding and reaching
out to some of these efforts and people to either learn from them or to
offer collaboration.
So here’s a plan:
1. Create an open-source healthcare discussion group.
2. Create an international standards body for backbone systems
3. Along with the NHS design and develop primary/secondary/tertiary
healthcare management tools
1. To build a free-as-in-beer system for healthcare administration
in the third-world
2. Introduce more free-as-in-speech software to the NHS and government
4. In a mutual backscratching exercise persuade the NHS to use their
management and development resources to take over maintenance for
some of the orphaned open-source utility and infrastructure projects.
5. By working with the NHS and third-world healthcare providers develop
a consultancy arm of the NHS to co-ordinate international systems
integration. Open-source by default.
6. By making the NHS the go-to people for large-scale healthcare
systems position them as the obvious people to implement universal
healthcare in the USA when the time is right
7. Make the NHS revenue-neutral.
i guess my tldr; here is - its good to have vision, but execution might
need to start smaller than 'change the dynamics of mankind'.
All the best! and I look forward to hearing more as you make progress.
- KB
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