Ian Haywood wrote:

Individual certificates are seriously bad. They are totally unworkable in a public hospital scenario and probably not workable in GP-land, plus the OS lockin with the dongles, plus the totally insane contract that goes with them.
Keep printing until the policy is changed seems the only real option here.

perhaps the best bet is to
1)      give the patient the letter (printed)
2) request a reply via e-mail on the letter, including your public key - so the specialist can stack their database over time 3) send the initial referral electronically as a reply to the specialist's letter (?automagically) if they send you their key

i didn't note any official requirement for the reply to use hesa keys, and the secure "reply" referral would save the specialist scanning and filing; they could collect the initial paper referrals in a large chronological file and park them securely offsite for audit requirements, thus making access for them easy, and follow up for m*c* painfully ridiculous

this may be the best way of ignoring a stupid requirement

just my lateral 0.02

ash
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