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Breaking up is hard to do: why we're switching from EMIS to SystmOne

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Throughout our lives there are times when we have to make difficult decisions and sometimes have to make the choice whether to continue in a long term relationship or make the break and move on.

As the Neil Sedaka song goes, Breaking Up Is Hard To Do and despite all best efforts, guilty feelings pervade

Much like the song, the final conversation about switching systems was only two minutes and 16 seconds long. Now don’t get me wrong, this was not an impulsive decision. In fact we had been talking about it for almost four years (some might say we were dragging our feet, but at my practice we like to mull over things a bit). But at a recent practice meeting after our final brief discussion, we decided to end our 16-year relationship with EMIS and sign up to TPP SystemOne.

So why the change?

Despite GP Systems of Choice (GPSoC) we had been under considerable pressure for some time to change. We had plans to migrate from EMIS LV to EMIS Web this year, safe in the knowledge GPSoC allowed us to do this despite all our locality practices being with SystmOne.

As time went by, however. it was increasingly obvious both we and our patients were being disadvantaged as our out-of-hours provider, district nurses, diabetic clinic and even the local A&E department were either using or had access to SystmOne patient records.

We found ourselves out on a limb and despite the promise of interoperability this was way too far in the future to be of any practical value.  Other practices had immediate access to what was happening to their patients and we had to rely on faxed forms, and not everyone was even filling those in.

The sad fact is if ‘interoperability’ were a fact rather than a distant pipe dream, with GPSoC we could have stayed with EMIS and gone with EMIS Web.

So, we have made our choice and we hope to build a new relationship with SystmOne, and we hope the relationship will be as positive as the one with EMIS has been. I’ll keep you updated how the changeover goes.

Dr Hadrian Moss is a GP in Kettering, Northamptonshire. You can tweet him at @DrHMoss.

Readers' comments (7)

  • We have had SystmOne for years without any issues, only thing is I see more of it than my wife and children. DONT be tempted to get the home version or you WILL get divorced.

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  • That's quite true :) I've got the home version though and it allows me to do work on sunday afternoon whilst everyone else is having a post lunch nap, rather than at 9pm on Friday night.

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  • Hadrian Moss

    I think I might give the home version a miss.
    Though an iPad version sounds fun.....

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  • Easily the best system by far.

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  • It would be nice if people wree to evidence why they think their system is best not just assert its better than what they had before!!

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  • Every system has its positive and negative points, but I have to say that having migrated quite a lot of practices to SystmOne, the outcome is always positive. I would recommend, make use of the Chat room built into the system if you have queries, some very helpful people in there. Best of luck!

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  • Everyone does have their own opinion but moving to S1 was the worst decision the GPs I work for have made - by their own admission. The trouble with 1 record philosophy is that we get quickly tired of seeing all the dressings and other community rubbish cluttering up an otherwise clear consultation screen. Yes there are filters but in all, S1 is poorly designed and showing it's age. There's no support other than what our CCG can offer us and you can never just talk to someone for a bit of advice over the phone. A nearby practice to ours gets regular visits from their EMIS local rep and their support is light years ahead. For us, EMIS at the time was playing catch up but they've done that, overtaken TPP and left them far in the distance. I wonder for the future of S1 with EMIS Web having almost 5k users and S1 stagnate at around 1500 which was a similar number to that quoted to us when we had our demo from TPP three years ago. The fact they've gone from saying they're the number 1 system to admitting they're having to work with EMIS to interoperate to prevent them from losing more customers goes further to demonstrate the initial substance doesn't now hold any water. Shame my GPs were blinded by M&S vouchers and offers of tea at the Ritz.

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