Do you ever wonder about that phrase “local needs”?
It made me wonder whether say Facebook had ever been asked to do a local needs version.
It’s just that we are responding to tenders issued by different CCGs, which are remarkably different given that I thought patients had roughly the same range of diseases wherever they live.
Essential requirement A: “Is able to fully triage the patient and signpost to the most appropriate service with no GP intervention”
Essential requirement B: “The system should not perform an automated triage that gives a disposition”
Imagine a pharma procurement where A specifies that it shall raise the patient’s blood pressure, and B that it shall lower it.
There’s a national specification for online consultations and question of what the computer actually does with the patient request seems central to the whole scheme… you couldn’t make it up.
Whether it’s more surprising or saddening I don’t know, but there is now a subastantial body of evidence of what doesn’t work in online consultations, and it includes much of what is being specified:
– no safe & economic automated triage has been invented
– lengthy questionnaires lead to very low usage, under 1%
– there is no evidence of online channels reducing oveall demand.
Despite all this, specifications are full of wishful thinking which will simply result in more taxpayers’ money being flushed down the toilet.
But perhaps what’s less well known is the evidence of what does work.
We’re just about to release a new video case study which is an inspiration. Final checks are being done, and I’ll tell you all about it tomorrow.
PS the GP in question wrote to me yesterday “I am laughing and dancing” When you see the video you might assume we paid them for it. No, they pay us from their own partner income, just a regular customer.