“As we enter the year 2027, the all knowing iNHS Super Intelligence – HUNT – H.ealth U.nder N.ew T.echnolgy, faces attacks and sabotage as out of work doctors, A.K.A. “Lub-Dub-ites”, continue to throw their stethoscopes into the gears…”
This week my attention was caught by this interesting Pulse article – “Artificial intelligence to replace call handlers in NHS 111 app”.
1.2 million patients in North London are to be offered assessment and advice via an Artificially Intelligent Chatbot using an App provided by Babylon, a private firm who already offer private video chat GP appointments for £25.
You can check out their app here – Apple Store, Google Play Store.
This news was met with sensible calls from Medical and Patient groups to ensure that the technology does not put patients at risk or overwhelm A&E and GP surgeries through inappropriate advice.
However, the news did get me wondering…
Are we on the cusp of a technological revolution in patient care?
… And if so, what does this mean for doctors?
Continue reading “Is AI coming for your doctor’s job?”
“This is the most mismanaged gp surgery I have ever had the displeasure to use. Difficult to get appointments, impossible to plan around work, rude receptionist…”
It is difficult to see how any surgery could use this sort of general criticism to achieve anything positive. More often I find that this sort of comment leaves staff demoralised and defensive.
The premise of NHS Choices sounds superficially sensible. Provide potential patients with honest, good quality testimonials about GP practices. These rational and informed consumers will then choose to take their business to the best practices. The good surgeries are rewarded with new business. The underperformers will respond to patient feedback and improve, or eventually lose patients and go broke.
In most industries and under normal circumstances this would make sense. But, General Practice is not a normal industry and these are strange times. In an environment of clinical staff shortages, many practices simply do not need or want to attract more patients. They simply cannot find or afford the staff they would need to look after them. In addition, due to practices boundary rules, patient choice may be limited to only a collection of equally poorly rated practices facing shared recruitment and demographic problems.
Feedback is powerful. Thoughtful feedback given with good intentions by a skilled tutor or friend can encourage a student to improve and excel. But, careless feedback can hurt, demoralise and block progress.
Feedback is a useful tool when applied in the right way to a suitable problem…
Continue reading “The trouble with NHS Choices… And a better way to do feedback?”
Working as a GP in the esteemed but overstretched british national institution which is the modern NHS can be tough at times. I felt this a little more than usual last week having just returned from my summer holiday in the artificial bubble and pinnacle of one of America’s own national institutions – Disney World – the “happiest place on earth”.
Since beginning this blog, I’m always on the lookout for innovative ideas. Free association of unrelated concepts is a great source of inspiration. So I kept my iPhone in hand to jot down any thoughts that might help improve life and care within General Practice or the wider NHS.
Continue reading “4 Things the NHS could learn from Disney”
Q. What do most want from life?
A. To be happy and successful.
Q. What should you do to achieve this?
A. Work hard, to achieve success, then feel happy.
The A-Level student knows they will be happy when they get into Medical School. The medical student will be happy when they graduate. The foundation doctor wants a good specialist training place. The specialist trainee will be happy when they complete training and find a permanent job. The GP/Consultant thinks they will be happy when they have saved enough money for early retirement….
Delayed gratification is certainly an essential part of the toolkit needed to achieve success. But, like me, you have probably learnt that there is more to actually being happy.
The obvious problem with the approach above is that happiness is all too often replaced by the next challenge. It is always in the future, when where we live is the present.
Evidence from the field of behavioural psychology suggests that this conventional wisdom about how to find happiness has even deeper flaws. And that the relationship between work, success and happiness is more complex than our instinctive, socially conditioned first thoughts might imply.
Shawn Achor, a Harvard Lecturer and psychologist, suggests in his book “The Happiness Advantage”, that the relationship between work, success and happiness actually runs in the opposite directions.
“People are smarter, more effective and resilient when they are happy”
Continue reading “Are NHS staff missing the Happiness Advantage?”
In the hope of providing some light relief, I sketched this whilst watching the diving last night.
Dubious quality but well intentioned.
Can you tell who inspired my athletes?