Online access to medical records: Patients and clinicians voice some of their concerns.

We shop, bank, socialise and work via the internet. Online healthcare seems a natural progression in our heavily technology dominated lifestyles. There could be many benefits to being able to engage with our healthcare via the internet and it may help to create more flexibility and convenience in our increasingly hectic schedules.

But some people have genuine concerns about this sort of technology being implemented. Perhaps we should all have some concerns, as there may be points in our lives when circumstances change, we become older, and the implications for online healthcare could become greater. Continue reading “Online access to medical records: Patients and clinicians voice some of their concerns.”

Safer systems in the home: How a plug and a box changed my life

I am a well-controlled type 1 diabetic, but there are certain situations where even well-controlled diabetics can find themselves in tricky situations. One of these is during pregnancy and the period afterwards. Changing insulin requirements and pressures to keep low blood sugars during pregnancy and breastfeeding can dramatically increase the risk of hypoglycaemia. Continue reading “Safer systems in the home: How a plug and a box changed my life”

Engaging potentially vulnerable client groups. Referrals and signposting. What’s the difference?

When training clinicians about IRIS (the General Practice domestic abuse service) they would sometimes tell me that they had made many referrals into the IRIS service that year. Occasionally this would happen at a practice from which I had received no referrals at all.

Intrigued by this discrepancy I would ask more questions. It transpired that the clinicians thought that they were referring into the service (IRIS) but in fact, what they were actually doing was signposting to the service. This ‘difference’ made all the difference, and the intended recipient was usually lost in the process. Continue reading “Engaging potentially vulnerable client groups. Referrals and signposting. What’s the difference?”

ELECTRONIC PERSONAL HEALTH RECORDS. There are many benefits but what about the risks?

Many of us are already using online healthcare facilities. ‘Patient Access’ has been available for some time. I use it myself for convenient repeat prescriptions. The area of digital health technology is growing at a phenomenal rate as it is being incorporated into apps and internet access. Government policy intends that ‘electronic personal health records’ will eventually be accessible to every adult in the UK via the internet and are supporting an NHS app to help create this future vision. This means that patient investigation results, prescriptions, health files and appointment booking facilities will be available for the general population to access from their personal computers and smartphones. Continue reading “ELECTRONIC PERSONAL HEALTH RECORDS. There are many benefits but what about the risks?”

Are you afraid? Identifying victims of domestic abuse. Ask the question but don’t always expect a straightforward answer

The SafeLives Dash is the most commonly used risk assessment tool available to help professionals assess the risk of serious harm and homicide for domestic abuse victims. It has been absolutely invaluable in my work.

When risk assessing women who experienced domestic abuse, I have always asked the question ‘Are you very frightened?’ It is question number two on the DASH. Fairly frequently, they would respond to the question by saying ‘No, I’m not feeling frightened.’

I would continue the assessment. ‘Have you ever been raped?…. Have you ever been strangled?’ They would sometimes reply ‘Yes’ despite having just told me that they were not feeling afraid.

Continue reading “Are you afraid? Identifying victims of domestic abuse. Ask the question but don’t always expect a straightforward answer”