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  • victoria

    NHS for geeks

    victoria 11:36 am on 4 January, 2010 | 4 Permalink | Reply
    Tags: broadband, ,

    The decision to open up the NHS to online access e.g. to book appointments, request repeat prescriptions and even to read medical records is a headline grabber. But there are hidden downsides.  

    Anyone who has ever been involved in any of the big NHS IT projects will cross their fingers as so many of these projects have failed to deliver and run over budget and time. But worse, people who do not use online services will, once again, miss out.  

    For example, 70% of people over 65 have never used the internet let alone are savvy enough to book appointments.  Similarly, nearly a quarter of people in routine / manual occupations have never used the internet, compared with less than 6% of people in professional and managerial occupations.  Yet older people and people on low incomes are precisely those who have the poorest health and make the greatest use of the NHS.  

    I am sure this idea will prove very convenient for those in office jobs with freedom to do personal business via the works PC, or with the internet at home.  But for the thousands of people who don’t, it is yet another IT initiative that penalises the poor and reinforces health inequalities.

     
  • victoria

    Faster or fairer broadband

    victoria 12:25 pm on 30 July, 2009 | 2 Permalink | Reply
    Tags: broadband,

    Once again, the problems facing rural communities in Wales wishing to access broadband have been highlighted, based on a report by Ofcom.  Tomos Livingstone, writing in the Western Mail, says:

    “The findings are the latest in a series of investigations suggesting a growing digital divide between urban and rural areas as more and more services are offered online.”

    But work the Bevan Foundation has just published paints a different picture. Yes, broadband speeds might not be what they could be, but there is a bigger problem – the 40% or so who do not have broadband at all.  Typically people without broadband are older, on low incomes and have fewer educational qualifications than those with broadband - people in managerial and professional jobs are more than twice as likely to have broadband than people in routine and manual occupations. Not having broadband is more than just not being able to blog or check out all the newspapers in the morning – it excludes people from cheap fuel deals, from the latest information about swine flu, from applying for a job and from the day-to-day social ‘glue’ this is increasingly digital – Facebook, Bebo, iTunes and all.

    Arguments for more and more investment in faster and faster links are all very well, but if a large chunk of the population have no broadband at all – for whatever reason – then the already deep social and economic divisions in society will only get worse. 

    It seems that this is choice time – faster speeds for the few or more access for all.  Which is it to be?

     
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