Karanbir, great to see you on here again. Your post is very insightful.
On Mon, 24 Jul 2023 at 11:08, Karanbir Singh via GLLUG < gllug@mailman.lug.org.uk> wrote: > 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 > > -- > GLLUG mailing list > GLLUG@mailman.lug.org.uk > https://mailman.lug.org.uk/mailman/listinfo/gllug >
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