iHelpMe Blog

24th September 2009 — Demo Video Recording

Thursday 24th September was the day we all had been waiting for. It was the day of the first video shoot for iHelpMe and the kick-off of the production of a series of health care video clips aimed at being training material for clinicians as well as information videos for the public. The preparations for the day had been going on for a while and we had arranged to meet up with our video production team from CreationVideo Limited at Sami’s GP Surgery. CreationVideo is a small video production company with highly skilled and professional staff that helped us out and provided invaluable feedback all day. Video scripts had been written and reviewed over and over before we all were happy with the content.

Rakshan started off in front of the camera with talks about contraception in general and emergency contraception specifically. What else to say... Ian followed on in front of the camera, with his full attention on the auto-cue where the script was rolling, with a talk about fever symptoms in children and how to manage them according to NICE guidelines. At the end of a long day it was Sami’s turn to take seat in front of the camera to record videos related to management of diabetes.

After a long and in many ways exhausting day that ended close to midnight the team from CreationVideo took the recorded material back to their studio for editing and the result can be viewed here.

Sami in front of the camera.

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30th September 2010 — Five Stages of Bereavement










As a practicing General Practitioner, with a background in Health IT, I have often thought about the way Health Care Professionals and Patients react to changes in the Primary Care environment.

I have made considerable observations on the way patients and colleagues particularly react to changes in business processes such as are enabled by Information and Communication Technologies.  There has been an explosion in “Clinical Transformation” with the National Program for IT and also ongoing local IT changes.

I have been pondering this whilst on train journeys (which I find as the only time I get to totally separate myself from the trade I have chosen…besides of course holidays) and could not help but see the similarities between the “Five Stages of Bereavement” by Kubler-Ross…which are, Denial, Anger, Bargaining, Depression, Acceptance…and those felt by colleagues and I when change is thrust upon us.

With Kubler-Ross as an inspiration I started to think about the way one feels when confronted by new technology and or other changes in the Health IT environment.

Therefore I have come up with my adapted Kubler-Ross version of the different stages of “emotions” one feels when working business processes change.

(1)Resistance: I will not change the way I work…it works for me and I know how it works with all its supposed weaknesses…they did not ask me whether I want it change…I was not involved…

(2) Anger: Why are they making me change…I will have to learn to do something new…what happens if I make a mistake…work is already stressful enough…they are just making life more difficult for me…

(3)Bargaining: The old system is gone…I have no choice…I still do not like it…the old system had shortcuts I learnt over years…the old system was much better…what a waste of money and time…

(4)Acceptance: This new system works quite well…more useful then previous system…no choice but to get on with it…did not know I could do that so quickly now…

(5) Frustration: This new system is better than the old one…but it should be able to do more…why can it not also do this…they should have asked me when they were developing it and it would have been much better…they need to upgrade it to be more useful for me…

So maybe…just maybe…we should adjust Project Development processes to manage these emotional responses as people bereave their old ways of working, we should expect this, plan well for the training and support required, and manage expectations.


Dr Sami Ansari BSc(Hon), MRCGP

General Practitioner
Member of British Computer Society
Director of Medical IT Consultancy Ltd

Kubler-Ross Bereavement

System change e.g. IT

1. Denial

1. Resistance

2. Anger 

2. Anger

3. Bargaining

3. Bargaining

4. Depression

4. Acceptance

5. Acceptance

5. Frustration