England has not come out smelling of roses in its dealings with COVID-19 since the start of the pandemic and it didn't get much better last week when it was revealed that the use of an old Excel file format meant almost 16,000 positive cases had been left off a list and up to 50,000 close contacts might have been missed.
The rest of the UK is looking a bit better, both in terms of infection rate and death rate, but when the numbers are combined the UK still has the highest rate of deaths in Europe due to some shocking bungling by its government and a silly error like the one discovered by Public Health England (PHE) has not helped much.
Telehealth was again in the news this week with a couple of surveys out looking at patient and clinician views on their experiences with telehealth. While one survey of patients found a pretty good reception from patients and the other of clinicians showing similar, there still remain some technical barriers that are likely to dog telehealth take-up in primary care, specifically video-based telehealth, for the foreseeable future.
There was some criticism of the value of both of these surveys in the comments, and we particularly liked one reader's description of “cyber utopian views” of telehealth that ignore the real problems faced by patients in regional areas and older patients. Her practice uses video conferencing as a last resort, Shona Gallagher says, listing a number of real-world examples of why. Victorian GP Andrew Baird is a student of all things telehealth, and he is keen to hear of other people's experiences with video consultations. We'd like to know more as well, especially if you too have experienced telehealth at Bunnings.
The New Zealand Ministry of Health released its roadmap towards interoperability recently with little fanfare, but we think they should have made a bit more of a big deal about it as the plan is pretty good overall.
Refreshingly free of jargon, the document sets out what the current state of play is, what the future state should be, how the health sector will get there and what is probably achievable in five years. The ministry's Health Information Standards Organisation (HISO) calls it a “living document” which will be regularly updated and reports on progress made quarterly.