Introducing the NHS App – eGPLearning Podblast

Welcome to our deep dive episode on the upcoming NHS app – which we cover multiple areas of primary care and patient care. A highly opinionated episode which we encourage your comments and feedback on.

1.00 Thank you Sponsor – HTN The Health Tech Newspaper (HTN)- an innovative daily news and opinion website for the health tech network.

1.40 Thank you to our followers: @SonaliKinra  @NottsLMC @NCGPANottm@Jacey_Melody @JThambyrajah @KalindiKrishna  @RcgpFaculties@2GPs_in_a_Pod , @DME_Health, @BenXGowland , @EvilGP and @drNickHarvey -creator of Digitalis

2.25 Andy has had a cold and been on a cruise

2.40 Gandhi has also had a holiday, working on TipThursday especially the Kardia Alivekor episode with a free resource on the episode available here.

3.30 Today we are talking about the upcoming NHS app

 

We are going to talk about the app. This was inspired by a great article by our friends at Gizmodo. http://www.gizmodo.co.uk/2018/08/exclusive-heres-what-the-new-nhs-app-will-look-like-and-why-it-could-have-been-so-much-worse/

The intentions behind the app are exactly what you might expect: Make it easier for patients to access healthcare services, cut down on administrative burden, and eventually provide a means to connect with other health apps, like Fitbit and Apple’s Health app.

Jeremy Hunt set out “8 challenges” for the app

  • (7.20) Symptom checking and triage (i.e. figuring out if you’re just being a hypochondriac or whether you should be in an ambulance right now)- eConsultation, webGP, babylon AI
  • (13.00) Access to your medical records and security issues.
  • (23.10) GP appointment booking
  • (28.20) Repeat prescription ordering
  • (29.50) Changing data sharing preferences
  • (31.38) Changing organ donation preferences
  • (33.38) Changing end of life care choices – DNAR medical decision
  • (38.50) Promoting “approved apps” to patients – see the NHS app libraryand @OrchaUK

(42.50) Summary of our views (including a compliment for Jeremy Hunt!!!!) including the issue of photo ID verification to use the app.

These are discussed in turn during the show…

(49.00) Sign off and next episode spoilers

Do let us know what you think?

 

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Thanks for listening…

Dr Damocles looks for a new partner

And I’m back!..

Following a break from blogging and sketching…

I return with this sketch to reflect on Dr Nigel Watson’s review of the GP Partnership model, Kindly commissioned by then Health Secretary Jeremy Hunt MP.

Dr Damocles searches for a new GP Partner… From a distance and to the untrained eye, his gilded position looks sound. He does great work for his his patients. He is valued by his community. He is respected. But, Dr A. Millennial is worried. Many swords hang by threads above head and there is a rising tide at their feet. And she has many other options…

 

Damocles of Syracuse https://en.wikipedia.org/wiki/Damocles

Ex Medica – A student documentary about AI in medicine

Three students from Vision West Nottinghamshire College  have made a short documentary about AI in medicine featuring an interview with yours truly.

They made contact through this blog having read some of my previous articles on AI in medicine and seeing that I was based near their college.

It was a pleasure to meet with Oliver, Lucy and Sam and be filmed at my surgery. They asked some great questions.

I was shocked in the film to see how much I say “erm”.

Must work on that…

We talked about how AI may soon be supporting, or even outperforming and replacing humans in certain tasks. Particularly those involving the understanding and weighing of complicated information, applying algorithmic rules to make predictions and draw conclusions, especially when consistency and low rates of error are important. This includes a large part of what doctors, health workers and many other professionals do on a day to day basis.

AI looks set to challenge humans in many of those professions which have traditionally been seen as a good bet by students for steady employability and decent pay.

I commented that in choosing to study, film, a field that draws on creativity and originality to entertain other humans, they might have made a smart choice in terms of their future job chances and pay.

Artistic and artisan pursuits require a human touch and a willingness to make mistakes. In order to truly have value for some people, others need to be challenged and to dislike.

 

“To err is human” and this has value. 

 

Perhaps there is hope for me and my “erms” after all.

 

eGPLearning PodBlast-  Dr Keith Grimes & Medical VR Interview

eGPLearning PodBlast-  Dr Keith Grimes & Medical VR Interview + Show Notes

In this episode of the eGPLearning Podblast, we interview Dr Keith Grimes, a GP and Medical Virtual Reality pioneer.

We talk about how Keith became interested in VR and how he has been using it in his clinical practice. We discuss the potential for VR in healthcare and also some of the pitfalls. Keith describes some of the projects and studies he is involved in.

Keith also explains how he built his skills to use social media to promote and build a community around his interest in Medical VR, and his tips for combining a career in health care with another interest or passion.

This is a great listen for your commute, on the treadmill or relaxing at home.

Enjoy…


Show Notes…

How to contact Keith and get involved in the Medical VR community:

Keith’s first experience with VR was through the arcade version of  Dactyl Nightmare:

Modern VR products such as the Oculus Rift are a much superior experience

Project CAR – Oculus Rift:

Keith describes the 5 use categories for Medical VR

  1. VR as adjunct to existing treatments – To improve pain and reduce anxiety during interventions
  2. VR as a form of therapy – e.g. to treat phobias, anxiety, mental health problems
  3. VR as a diagnostic tool – Eye tracking and assessing responses during simulations – e.g. eye tracking to diagnose Autistic Spectrum Disorders
  4. VR for education and training
    1. Medical Realities: https://www.medicalrealities.com
    2. Shafi Ahmed: @ShafiAhmed5
  5. VR expanding a patient’s understanding – empathy – living in someone else’s shoes. What’s it like to have dementia.

Downsides and Risks of VR in medicine:

  • Nausea and sickness – patients may unable to tolerate VR
  • Intensity of experience not suitable for some
  • Minimum Age, perhaps as low as 7 yrs
  • Many application involve simulated violence – unsuitable for some
  • Infection control – equipment needs to be sterilised between users

Keith’s current projects:

  • PREVENT ICU DeliriumPsychological Resilience Using Virtual Reality Exposure as a Novel Therapy to reduce ICU Delirium
    • Does VR pre-experience of intensive care unit reduce incidence and severity of postoperative delirium – about to begin small scale study.
  • “See What I See” – Kent and Surrey trial service
    • Use of “Expert Eye” based on Google Glass, to allow Doctors to remotely visit care homes. Carer wears smart glass and is provided with remote expert support by a GP.

Entry level equipment to get a taste of VR and start using it:

Equipment to take things to the “next level”:

Programming and developing VR tools

 

eGPLearning PodBlast Episode 3 December 2017

On 21st December @DrGandalf52 and I donned our Christmas jumpers and met up to record more content for the eGPLearning Podlast.

It (was) Christmas!!!

We talked about Headspace and NHS Quicker apps and about the recent NHS Ideas Hackathon.

Please listen in at  home, in the car or on your commute.


SHOW NOTES:

Introductions and declaration of interests:

Dr Andrew Foster:

  • GP Partner Nottingham
  • Director NCGPA – Nottingham GP Federation
  • Creator of SignpostingHealth.com
  • RCGP Vale of Trent Faculty Honorary Secretary
  • Blog – www.avoidingpuddles.com
  • Twitter – @DrAWFoster

Dr Hussain Gandhi:

  • GP Partner Nottingham
  • Former Chair RCGP Vale of Trent Faculty
  • Treasurer GP Survival
  • Owner SystmOne Facebook User Group
  • Owner www.eGPLearning.co.uk
  • Twitter – @DrGandalf52

Thanks to listeners for feedback and comment from episode 1:

  • @SonaliKinra
  • @NCGPANottm
  • @AnnieMeakin
App Reviews

Headspace APP

In the news

NHS ideas “hackathon” 2017

NHS quicker app

Next interview…

Next time we will be interviewing Amon Arora a GP, health education innovator and owner of Arora Medical education. He is a pioneer in the use of video and social media in GP training.

Check out Aman and his activities, @aman999arora, http://www.aroramedicaleducation.co.uk


Thanks for reading/listening and look out for the next exciting episode…

If you enjoyed the podcast then please share on your favourite social media platform…

eGPLearning PodBlast Ep. 2: Interview with Zoomdoc founder Dr Kenny Livingstone

Back for episode 2. Improved and shorter at 17 minutes. Perfect for your commute.

In this episode, Dr Gandhi Husein interviews Dr Kenny Livingstone, the founder and CEO of Zoomdoc. Zoomdoc is a smartphone app designed to connect patients with local GPs in their area for home visits. They discuss Kenny’s journey to date creating the app, the challenges faced by medical entrepreneurs and what his plans are for the service in the future.

Listen below. Enjoy!