Feeds

Slow start for Choose and Book

0.007 per cent take-up

Choosing a cloud hosting partner with confidence

Take-up of the NHS' Choose and Book system by GPs is off to an extremely slow start.

A report by the membership magazine of the British Medical Association, BMA News says only 67,820 referrals have been made by GPs in England out of an estimated yearly total of 10 million.

The figures are from data collected by the Department of Health (DoH) from Strategic Health Authorities (SHA) across England by December 23, 2005.

They indicate that "Choose and Book had barely registered in some parts of the country" and even when patients are offered a menu of choices for booking treatment, it is still being done manually.

The Counties of Bedfordshire and Hertfordshire registered a combined 46 referrals before Christmas. This compares with figures of 288 in Cumbria and Lancashire, and 374 in Essex.

Efforts by the DoH to boost usage of Choose and Book have seemingly had little effect. NHS director of access Margaret Edwards wrote to all SHA chief executives over a year ago calling for them to push Choose and Book as the primary channel, "in preference" to interim manual solutions.

Financial incentives have also had minimal impact. Primary Care Trusts were offered £100,000 if they could demonstrate that 50 per cent of its GP referrals had been made through Choose and Book by October 2005. Durham Dales was the only successful PCT.

A number of issues have compounded the problem.

VK Singh, chairman of Leicestershire and Rutland LMC (local medical committee), says low staffing levels in city-based GP offices, where referral levels tend to be higher, is the main cause preventing implementation.

Avon LMC chief executive Steve Mercer says his LMC has been "vigorously opposing" both Choose and Book, and manual choice, "while there remain appreciable unknowns about workload, financing, systems and functionality."

GPs have also experienced delays in making the referrals with one Liverpool GP taking 57 minutes to refer three patients.

According to Bedfordshire and Hertfordshire LMCs Chief Executive Peter Graves many GPs are ambivalent about Choose and Book, saying that "it has barely registered."

Choose and Book is a service that for the first time offers doctors and patients the opportunity to choose which hospitals they are referred to and to select convenient appointment times. It is one of the key systems that will help the government deliver its patient choice agenda.

The latest implementation goal is for 90 per cent of GP referral to be made through the system by March 2007.

Copyright © eGov monitor Weekly

eGov monitor Weekly is a free e-newsletter covering developments in UK eGovernment and public sector IT over the last seven days. To register go here.

Secure remote control for conventional and virtual desktops

More from The Register

next story
Bono apologises for iTunes album dump
Megalomania, generosity and FEAR of irrelevance drove group to Apple deal
Facebook, Apple: LADIES! Why not FREEZE your EGGS? It's on the company!
No biological clockwatching when you work in Silicon Valley
Doctor Who's Flatline: Cool monsters, yes, but utterly limp subplots
We know what the Doctor does, stop going on about it already
Arab States make play for greater government control of the internet
Nerds told to get lost in last-minute power grab bid at UN meeting
Apple SILENCES Bose, YANKS headphones from stores
The, er, Beats go on after noise-cancelling spat
Zippy one-liners, broken promises: Doctor Who on the Orient Express
Series finally hits stride, but Clara's U-turn is baffling
Don't bother telling people if you lose their data, say Euro bods
You read that right – with the proviso that it's encrypted
10 Top Tips For PRs Considering Whether To Phone The Register
You'll Read These And LOL Even Though They're Serious
prev story

Whitepapers

Forging a new future with identity relationship management
Learn about ForgeRock's next generation IRM platform and how it is designed to empower CEOS's and enterprises to engage with consumers.
Win a year’s supply of chocolate
There is no techie angle to this competition so we're not going to pretend there is, but everyone loves chocolate so who cares.
Why cloud backup?
Combining the latest advancements in disk-based backup with secure, integrated, cloud technologies offer organizations fast and assured recovery of their critical enterprise data.
High Performance for All
While HPC is not new, it has traditionally been seen as a specialist area – is it now geared up to meet more mainstream requirements?
Saudi Petroleum chooses Tegile storage solution
A storage solution that addresses company growth and performance for business-critical applications of caseware archive and search along with other key operational systems.