14/07/2026
The serious impact of the migration to the Vision clinical system has been highlighted by Glasgow LMC Medical Director Dr John Ip in The Times- https://t.co/Wt0gZl4nZ1 .
Routine clinical and administrative tasks are taking significantly longer on Vision leading to some practices having to cancel or reduce appointments. Practices have described delays after mouse clicks, more complicated workflows, difficulty locating important clinical information and problems accessing less commonly prescribed medicines.
Dr Ip told the newspaper that using Vision could feel “like wading through treacle”, with the system both slower and less intuitive than the previous EMIS PCS software.
The article also highlighted concerns about prescribing safety. The number of alerts generated during prescribing can create warning fatigue, increasing the risk that an important alert may be overlooked among multiple lower-value warnings.
These problems have consequences beyond staff frustration. Time lost navigating a slow or inefficient clinical system is time taken away from direct patient care. Where practices have to block appointment slots to manage the resulting workload safely, the migration is directly reducing general practice capacity.
The LMC recognises that any major IT migration will involve a period of adjustment. However, practices should not be expected to absorb sustained productivity losses, additional staffing costs or clinical risk arising from system performance and design problems.
The Scottish Government and those responsible for the programme must ensure that reported problems are investigated promptly, that practices receive responsive technical support and that improvements are demonstrated in real clinical settings. There must also be consideration of additional resources for practices experiencing significant disruption.
The LMC will continue to gather evidence from practices and raise concerns through local and national GP IT governance structures.
The new Vision IT system is so slow it has led to patient appointment slots being cancelled, say family doctors