a NoSQL DB might be better… In any event, trying to hard specify the data structure for the whole NHS gets you back to Mega Projects. Which always fail. And often die from requirements growing like K… (View Post)

Over a hundred years ago, OR professionals noted that organisations run at 99% of capacity had - poor productivity - poor worker retention - poor quality - workers start “soldiering” - just doing the… (View Post)

The NHS has (partially) digitised a lot of areas. The problem is incompatible systems and mix of digital with paper. Most GPs are digitised, IIRC The sane approach is a gradual building of bridges be… (View Post)

Their Molly isn’t looking good. Excerpts so far have her talking too much, the glasses look wrong. And she isn’t brutally efficient. Steppin’ Razor she should be. (View Post)

a RATM had a real, actual cause. See the long record of US policing, for example. (View Post)