Patient data could power the NHS. Much of it is still stuck on paper
There was an extremely depressing article in the FT last week about how data ‘could power the NHS’ and how revolutionary the NHS app will be. I am trying hard to avoid the obvious conclusion: GPT doesn’t know what it is talking about. Snuck within, were the following paragraphs which are still damaging my wellbeing.
Charlotte Refsum, director of health policy at the Tony Blair Institute for Global Change, said: “The traditional argument is that having all your data in one place makes it easier for a doctor to provide care, but I think there is an added imperative in the AI era.”
“The reason a unity of records is important is that AI is eroding the asymmetry of information that exists between doctors and patients . . . you need somewhere to hold all that information in one place,” she added.
“One of the unique features of AI is it enables you to predict — and if you can predict, you can prevent. So for the first time AI is allowing us to move from an era of ‘see and treat’ to ‘predict and provide’.”
Note the ‘AI era’ that ends the first para and the invocation of ‘imperative’. We now know we are dealing with insider dealing. Read on.
The clue is the facile availability of the ‘Get Brexit Done’ aphorisms. They are the pathognomonic mark of the KPMG/EY/PW/McKinsey professional services bullshitter. They are used because the target is not patients or doctors but their own executives and politicians. As Alan Kay almost once said, the three word epithets are necessary because the C suite has difficulty with anything longer. Context — or even reality— doesn’t fit on the ‘deck’.
AI or complex information processing is at least 70 years old. AI is not unique in the ability to predict future events; a range of statistical approaches do this very well. For some narrow domain areas modern machine learning / AI technology is wonderful and may supplant or usefully augment human performance.
Just because you can predict, does not mean you can prevent. We know a lot about the pattern of human mortality but this does not mean we can stop everybody dying. You can predict who will get Huntingdon’s (and you don’t need AI to do this) but sadly this does not mean we can stop the development of this awful disease. Same goes for the weather.
And what are we to make of the claim that AI moves us from ‘see and treat’ to ‘predict and provide’. Why such weaselly words? Vapourware.
At least the final paragraph of the FT article had a touch of Private Eye about it. I suspect the journalist, too, was making a statement.
With the stakeholder engagement process still under way, officials were unable to say who would create the new system, when it would launch and how it would be rolled out.