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<p class=MsoNormal style='margin-bottom:12.0pt'><b><font size=2 face=Tahoma><span
lang=EN-US style='font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</span></font></b><font
size=2 face=Tahoma><span lang=EN-US style='font-size:10.0pt;font-family:Tahoma'>
Tony Naggs [mailto:tony.naggs@googlemail.com] <br>
</span></font><br>
TN: I am not familiar with "SystemOne", and it is not clear from the
article what the Android application would be used for. Clearly managing one's
calendar, accessing email or editing patient notes have different
confidentiality issues.<br>
<br>
<o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>MH: SystmOne (TPP and
supplied under the CSC LSP – Local Service Provider – contract is a
“one record per patient” (SSEPR Single Shared Electronic Patient
Record) electronic record system designed to be the record of prime entry for
not only GP practices but also other primary care and other organisations e.g. community
nursing, child health services, speech and language therapy etc.: it has even
been used for a referrals management centre. The organisations using the record
share content on a security level: every consultation is given a security level
of 1-5 (1 low, 5 high) and the default for most things is 3. The sharing and
security level need not be reciprocal. <o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>It is being aggressively
promoted in the areas where CSC holds the LSP contract – Northe, <st1:place
w:st="on">Midlands</st1:place> and East.<o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>The app referred to is
one to directly access the individual live patient record which is held on a
central server.<o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><br>
TN: In principle an Android tablet could access a smartcard, as the SIM card in
an Android phone is a form of Smartcard - but I have not noticed any tablet
computers advertised with Smartcard slot. Also some Android phones are starting
to have NFC (Near Field Communications) interfaces that could talk to
Smartcards that work wirelessly (similar to an Oyster card).<br>
<br>
I am also concerned about how whether the data is securely encrypted when sent
over the the WiFi or 3G data network.<br>
<br>
<br>
MH: I hope the data is encrypted (it is normally sent over the N3 network) but
I don’t have any information one way or the other. I believe contactless
smartcards have been discussed for use in secondary care, but sorry, no
information on that either!<o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>The article seems to
envisage using any Android tablet – so unless there is a universal means
of getting an Android tablet to recognise a smartcard (using Gem
Authenticate) and this can be incorporated into the app, I do not see how a
smartcard can be used – and how the user can be authenticated to the
level the NHS has been saying is necessary to prevent illegitimate access to
patient records.<o:p></o:p></span></font></p>
<div>
<p><i><font size=5 color=blue face="French Script MT"><span style='font-size:
18.0pt;font-family:"French Script MT";color:blue;font-style:italic'>Mary
Hawking</span></font></i><font color=blue><span style='color:blue'> <br>
</span></font><font size=1 color=blue face=Arial><span style='font-size:7.5pt;
font-family:Arial;color:blue'>"thinking - independent thinking - is to
humans as swimming is to cats: we can do it if we really have to."
Mark Earles on Radio 4. </span></font><font color=blue><span
style='color:blue'><o:p></o:p></span></font></p>
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12.0pt;font-family:Arial;color:blue'><o:p> </o:p></span></font></p>
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