Comments for Digital Health https://www.digitalhealth.net News | Networks | Intelligence Wed, 20 Sep 2023 15:47:45 +0000 hourly 1 https://wordpress.org/?v=6.2.2 Comment on Is the Federated Data Platform too expensive to cancel? by Joe Mcdonald https://www.digitalhealth.net/2023/09/is-the-federated-data-platform-too-expensive-to-cancel/#comment-141605 Wed, 20 Sep 2023 15:47:45 +0000 https://www.digitalhealth.net/?p=161445#comment-141605 The one in Dave Kelsall’s cpmment

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Comment on Is the Federated Data Platform too expensive to cancel? by Andrea Chipman https://www.digitalhealth.net/2023/09/is-the-federated-data-platform-too-expensive-to-cancel/#comment-141603 Wed, 20 Sep 2023 14:49:27 +0000 https://www.digitalhealth.net/?p=161445#comment-141603 In reply to Joe Mcdonald.

Which link is broken?

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Comment on Is the Federated Data Platform too expensive to cancel? by Joe Mcdonald https://www.digitalhealth.net/2023/09/is-the-federated-data-platform-too-expensive-to-cancel/#comment-141599 Wed, 20 Sep 2023 13:36:06 +0000 https://www.digitalhealth.net/?p=161445#comment-141599 Thanks Dave, broken link.

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Comment on ‘Time released to care’ should not be the main measure of digital’s success by Rachel https://www.digitalhealth.net/2023/09/time-released-to-care-should-not-be-the-main-measure-of-digitals-success/#comment-141589 Tue, 19 Sep 2023 21:15:26 +0000 https://www.digitalhealth.net/?p=161197#comment-141589 ]]> Great blog. I enjoyed reading this and found myself nodding along. I wonder if we hope to get more clinical buy-in if we say ‘more time to care’ is a benefit. Unfortunately then we don’t ensure the work via training is done to maximise the system benefit that may at some point improve patient care. Great working with you @bjeeves 😉

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Comment on Is the Federated Data Platform too expensive to cancel? by John Farenden https://www.digitalhealth.net/2023/09/is-the-federated-data-platform-too-expensive-to-cancel/#comment-141585 Tue, 19 Sep 2023 20:20:07 +0000 https://www.digitalhealth.net/?p=161445#comment-141585 I’m with Joe on this.

When FDP started there was clear water between FDP and shared care records – ShCRs were for direct care, FDP for analytics. Any bridge between the two had to have a clear legal basis with CAG – the Confidentiality Advisory Group – guarding that bridge.

Somehow over time that’s changed and the FDP comms narrative now states “the main use of the Federated Data Platform will be for individual care, so the data for everyone who receives care in England will go into the platform, regardless of whether you have a national data opt-out in place”.

So details of your abortion, your mental health crisis, whatever will go into the FDP database with the patient not having any say, except if they ask the professional caring for them that it not be shared, placing the onus – and the burden – on them to make that call. Of course there will be controls on who can then access it, but if even the PSNI and the Met Police can’t keep their data secure…..

We simply do not learn from our past. Trust takes years to build but can be broken in a moment. The exemplary work of OneLondon public engagement programme showed that well informed patients understand the value of sharing for both direct care and analytics and are generally content but only if they can control whether to share. They may never exercise that control, but the fact that it’s there builds trust.

And although I absolutely get the potential value of data, at a time when we have crumbling RAAC buildings, a workforce taking industrial action over pay and some antiquated basic IT, is it really the best use of scare resources when we already have invested in tools which can do the job ?

Joe recalls TRS2; I’m left here thinking HS2, with a sprinkling of PPE.

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Comment on Is the Federated Data Platform too expensive to cancel? by Ed Charles https://www.digitalhealth.net/2023/09/is-the-federated-data-platform-too-expensive-to-cancel/#comment-141579 Tue, 19 Sep 2023 19:26:53 +0000 https://www.digitalhealth.net/?p=161445#comment-141579 FDP is more than just a data privacy issue. FDP is core to the implementation of the Integrated Care Boards. You may have been shown how to suck eggs at some pointlesssly expensive management consultants powerpoint presentation. ICB’s are central to the further privatisation of the NHS under the Health and Social Care Act 2022. ICB’s are a secretive disaster happening as you held your debate. https://calderdaleandkirklees999callforthenhs.wordpress.com/2023/09/16/we-do-not-like-these-ics-we-think-theyll-kill-our-nhs/comment-page-1/#comment-7899

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Comment on Is the Federated Data Platform too expensive to cancel? by Dave Kelsall https://www.digitalhealth.net/2023/09/is-the-federated-data-platform-too-expensive-to-cancel/#comment-141577 Tue, 19 Sep 2023 19:05:35 +0000 https://www.digitalhealth.net/?p=161445#comment-141577 Joe,

That’s a great article, the only thing I’d argue with is “However well-intentioned the FDP undoubtedly is”.
Why would anyone assume that the FDP is well-intentioned – at least when all the dice seem loaded in favour of one potential bidder?
From the perspective of so many people outside the UK Central Government, Palantir is a data-mining solution from a company with dodgy links to elements within the USA’s espionage and law enforcement communities.
Let’s not forget that this is the same solution which has prompted this sort of article in the US
https://d1wqtxts1xzle7.cloudfront.net/56430372/Palantir_has_secretly_been_using_New_Orleans_to_test_its_predictive_policing_technology_-_The_Verge-libre.pdf?1524772881=&response-content-disposition=inline%3B+filename%3DPalantir_has_secretly_been_using_predict.pdf&Expires=1695153487&Signature=FRmEvnEdt50bd0B3EreBIGB7PununcVtXAJtm6RL9CbxX9dcD6sVkWA0pQiM5yNnP7josjapWWF8O9dLUliKZTwZod7J-kaO9rvjLyT~Lbl2VWg1A549PB-3Q2zoTrivuPxoaepUPx5SuYOPQDfG4ZAGv6lPGVhasgbcOisPy1yfbV0LKQQNRg0clk1NNADDLc13~NesWpIQVgxzB0FHRD7iOo~CyzomfWXvprFSAHPbO54fp0EPOdPifQqk7Ix~VRa8KxsFNegr-9PjFgNSpWu6oAhz23npLau1T-6qhXDMU3VdbccHdD6XDuea3RkF4~LCnuol71jz2VhoBnERTg__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA

Best wishes
Dave

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Comment on Digital Health Networks webinar debates Federated Data Platform by Ed Charles https://www.digitalhealth.net/2023/09/digital-health-networks-webinar-debates-federated-data-platform/#comment-141569 Tue, 19 Sep 2023 11:00:32 +0000 https://www.digitalhealth.net/?p=161405#comment-141569 Well that FoI leaves us pretty much as confused as ever. The myriad number of exceptional circumstances adn opaque use of data by third parties especially when that data has left the Data Controllers environment does absolutely nothing to reassure any body. Here is a scandal of gargamtuan size. The government intends to keep the entire population totally uninformed of FDP untill implementation is well underway. https://data.parliament.uk/DepositedPapers/Files/DEP2023-0696/Brine2.pdf

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Comment on Digital Health Networks webinar debates Federated Data Platform by Dr Neil Bhatia https://www.digitalhealth.net/2023/09/digital-health-networks-webinar-debates-federated-data-platform/#comment-141567 Tue, 19 Sep 2023 10:01:33 +0000 https://www.digitalhealth.net/?p=161405#comment-141567 Well, if you’re interested in the FDP opt-out….

https://www.whatdotheyknow.com/request/fdp_and_ndoo#incoming-2414189

Neil

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Comment on ‘Time released to care’ should not be the main measure of digital’s success by Claire https://www.digitalhealth.net/2023/09/time-released-to-care-should-not-be-the-main-measure-of-digitals-success/#comment-141497 Fri, 15 Sep 2023 11:52:54 +0000 https://www.digitalhealth.net/?p=161197#comment-141497 Great piece Ben, certainly lots of great points well made 🙂

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