The National Programme For It In The Nhs
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The National Programme For It In The Nhs
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2011-05-18
The National Programme For It In The Nhs written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-05-18 with Medical categories.
The rate at which electronic care records systems are being put in place across the NHS under the National Programme for IT is falling far below expectations and the core aim that every patient should have an electronic care record under the Programme will not now be achieved. Even where systems have been delivered, they are not yet able to do everything that the Department intended, especially in acute trusts. Moreover, the number of systems to be delivered through the Programme has been significantly reduced, without a commensurate reduction in the cost. This report concludes that the £2.7 billion spent so far on care records systems does not represent value for money. And the NAO has no grounds for confidence that the remaining planned spending of £4.3 billion on care records systems will be any different. The systems the Department contracted its suppliers, BT and CSC, to deliver by 2010 are now not all expected to be in place until 2015-16. Progress in delivering care records systems varies dramatically between regions. And where care records systems are in place, they are not yet delivering what the Department had expected. In acute trusts, the systems are mainly providing administrative benefits, rather than the expected clinical ones, such as prescribing and administering drugs in hospitals. The Department has now moved away from its intention to replace systems wholesale, instead, building on and using trusts' existing systems. To do this will cost at least £220 million to get the systems to work together.
The National Programme For It In The Nhs
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Author : House of Commons Public Accounts Commi
language : en
Publisher: The Stationery Office
Release Date : 2009
The National Programme For It In The Nhs written by House of Commons Public Accounts Commi and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Political Science categories.
The National Programme for IT is dependent on the deployment of systems in an increasingly devolved NHS. This report examines the progress being made in delivering the Programme, including the termination of Fujitsu's contract as the Local Service Provider for the South. Some systems are being deployed across the NHS. The Care Records Service, however, is at least four years behind schedule, with the Department's latest forecasts putting completion at 2014-15. At 31 August 2008, new care records systems had been deployed in 133 of the 380 Trusts. Trusts in the North, Midlands and East have been receiving an interim system and will have to go through a further deployment in due course to implement Lorenzo, the care records software for the North, Midlands and East, which has suffered major delays. By the end of 2008, Lorenzo had not been deployed throughout any Acute Trust and in only one Primary Care Trust. Fujitsu's contract covering the South of England was terminated in May 2008. Negotiations to reset the contract had failed because the two sides were unable to agree on the price and commercial terms. The future arrangements for the South remain under discussion, but Trusts which have not yet implemented a new care records system will be allowed to choose between those offered by the two remaining Local Service Providers, BT and CSC. The estimated cost of the Programme is £12.7 billion, including £3.6 billion of local costs, although this figure remains uncertain. Keeping patient data secure is crucial to the reputation and success of the Programme, and the Department is confident that the mechanisms it is putting in place will provide a high level of security.
The National Programme For It In The Nhs
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Author : Great Britain. National Audit Office
language : en
Publisher: Stationery Office Books (TSO)
Release Date : 2008
The National Programme For It In The Nhs written by Great Britain. National Audit Office and has been published by Stationery Office Books (TSO) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Information technology categories.
Published alongside an overall progress report on the programme (HC 484-I).
The National Programme For It In The Nhs
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Author : Great Britain. National Audit Office
language : en
Publisher: Stationery Office Books (TSO)
Release Date : 2008
The National Programme For It In The Nhs written by Great Britain. National Audit Office and has been published by Stationery Office Books (TSO) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Information technology categories.
This is the second report by the National Audit Office on the Programme: the first (HC 1173, session 2005-06, ISBN 9780102938289) was followed by the Committee of Public Accounts report (HC 390 session 2006-07, ISBN 9780215033628) and Government response (in Cm. 7152, ISBN 9780101715225). This further study reviews the response to the Committee's conclusions and recommendations and examines more generally the progress being made in delivering the Programme. While some parts of the Programme are complete or well advanced, the original timescales for the Care Records Service - one of the key components of the Programme - have not been met. Currently it seems likely to take four years more than planned - until 2014-15 - before every NHS Trust has fully deployed the care records systems. The estimated cost of the Programme is currently £12.7 billion (at 2004-05 prices), which is broadly unchanged. It remains difficult to produce a reliable estimate of local costs. Some benefits from the Programme, including financial savings, are starting to emerge. Suppliers have largely met the targets for service availability and performance deductions have been applied where there have been service failures. The challenges to be managed for the successful delivery of the Programme are: achieving strong leadership and governance; maintaining the confidence of patients that their records will be secure; securing the support and involvement of NHS staff; managing suppliers effectively; deploying and using the systems effectively at local level. Overall, all elements of the Programme are advancing and some are complete. For the Care Records Service, the original timescales proved to be unachievable, raised unrealistic expectations and put confidence in the Programme at risk. While the Programme costs have largely held, the timetable for the Care Records Service has slipped. The original vision for the Programme nevertheless remains intact and still appears feasible.
The National Programme For It In The Nhs
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2006-06-16
The National Programme For It In The Nhs written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-06-16 with Medical categories.
The National Programme for Information Technology in the NHS (the Programme) is a ten year programme to use information technology (IT) to reform the way the NHS in England uses information, and hence to improve services and the quality of patient care. The core of the Programme will be the NHS Care Records Service, but other elements include x-rays accessible by computer, electronic transmission of prescriptions, and booking of first outpatient appointments. The Programme was launched in 2002, and is now run by an agency, NHS Connecting for Health. This report examines: the progress made in delivering the systems against the original plans and costs (part 1); steps taken by the Department of Health, the agency and the NHS to deliver the Programme (part 2); how the IT systems have been procured (part 3); how the NHS is preparing to use the systems (part 4). The NAO estimates the gross cost of the Programme will be £12.4 billion to 2013-14. Although the pilot NHS Care Records Service will not be in place until late 2006, almost two years late, and other milestones have been deferred, the NAO reports substantial progress with the Programme. Management systems are in place, contracts were placed quickly and achieved large reductions in prices from bidders, and contract terms include important safeguards to secure value for money. Deployments of operational systems have begun, and several additional tasks have been delivered that were outside the original brief. Three key areas are identified which present significant challenges to the successful implementation of the Programme: ensuring IT suppliers continue to deliver systems that meet the needs of the NHS, to agreed timescales without further slippage; ensuring NHS organizations play a full part in implementing the systems; winning the support of NHS staff and the public in making the best use of the systems to improve services. The NAO report makes a number of recommendations for future management of the Programme.
Department Of Health
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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2007-04-17
Department Of Health written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-04-17 with Medical categories.
The National Programme for IT in the NHS ("the Programme") was set up to utilise information technology to help provide high quality services to patients, using centrally managed procurement to provide impetus to the uptake of IT and to secure economies of scale. Expenditure on the Programme is expected to be £12.4 billion over ten years to 2013-14. Following a National Audit Office report (HC 1173, session 2005-06, ISBN 9780102938289), the Committee examined progress made by the Department of Health in implementing the Programme, particularly the current status of the shared electronic patient clinical record; the costs of the Programme; the local management and implementation of the systems within the NHS; the extent to which clinicians were involved in developing the systems; the management of suppliers; and patient confidentiality. Four overall conclusions are drawn: (1) the piloting and deployment of the shared electronic patient clinical record is already running two years behind schedule and no firm implementation date exists; (2) the suppliers to the Programme are clearly struggling to deliver (one of the largest, Accenture, has now withdrawn), and the Department is unlikely to complete the Programme anywhere near its original schedule; (3) the Department has much still to do to win hearts and minds in the NHS, especially among clinicians, and needs to show that it can deliver on its promises, supply solutions that are fit for purpose, learn from its mistakes, and respond constructively to feedback from users in the NHS; (4) there is still much uncertainty about the costs of the Programme for the local NHS and the value of the benefits it should achieve.
The Nhs It Project
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Author : Sean Brennan
language : en
Publisher: CRC Press
Release Date : 2022-01-26
The Nhs It Project written by Sean Brennan and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-01-26 with Medical categories.
The emphasis on primary care in health service development requires both academics and professionals involved in research to apply the highest standards in qualitative and quantitative methodology. This book provides accurate and up to date information in an easy to follow and clear way. Guidance is given on appropriate methods specialist advice and where to find it. All chapters include exercises to relate the reader's own experiences and review understanding. Primary Care Research series is aimed at developing the knowledge expertise and skills of all practitioners in primary care. Each book is based on contributions from experts in their field and is supported by practical facts personal insight support and advice. They enable all primary care practitioners to realise the potential of exploring information used in everyday working practice.
Supporting Care
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Author : National Health Service
language : en
Publisher:
Release Date : 2008
Supporting Care written by National Health Service and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
House Of Commons Committee Of Public Accounts The Dismantled National Prorgamme For It In The Nhs Hc 294
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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2013-09-18
House Of Commons Committee Of Public Accounts The Dismantled National Prorgamme For It In The Nhs Hc 294 written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-18 with Medical categories.
Although officially 'dismantled', the National Programme for IT in the NHS continues in the form of separate component programmes which are still racking up big costs. The original contracts with CSC totalled £3.1 billion for the setting up of the Lorenzo care records system in trusts in the North, Midlands and East. Despite the contractor's weak performance, the Department of Health is itself in a weak position in its attempts to renegotiate the contracts. It couldn't meet the contractual obligation to make enough trusts available to take the system. We still don't know what the full cost of the National Programme will be. The Department's latest estimate of £9.8 billion leaves out the future costs of Lorenzo or the potential large future costs arising from the Department's termination of Fujitsu's contract for care records systems in the South of England. Parliament needs to be kept informed not only of what additional costs are being incurred, but also of exactly what has been delivered so far. The Department estimates £3.7 billion of benefits to March 2012, just half of the costs incurred. There is still a long way to go before government departments can honestly say that they have learned and properly applied the lessons from previous contracting. Given the Department's track record with the National Programme, it is very hard to believe that the paperless NHS towards which the Department is working has much chance of being achieved by the target date of 2018
The National Programme For It In The Nhs
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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2011-08-03
The National Programme For It In The Nhs written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-08-03 with Medical categories.
The National Programme for IT in the NHS is an ambitious £11.4 billion programme of investment. This report is concerned with a central part of the Programme, where the aim was to create a fully integrated electronic care records system, which is expected to cost around £7 billion in total The Department has failed to demonstrate the benefits achieved for the £2.7 billion spent to date on care records systems and has accepted it is unable to deliver its original vision. It is now relying on individual NHS trusts to develop systems compatible with those in the Programme. Furthermore the Department could not explain how potential inconsistencies would be dealt with or what it will cost local NHS organisations to connect up. The Department has not got the best out of its suppliers, despite having paid them some £1.8 billion so far. One supplier, CSC, has yet to deliver the bulk of the systems it is contracted to supply and has instead implemented a large number of interim systems as a stopgap. The Department has been in negotiations with CSC for over a year, but conceded that it may be more expensive to terminate the contract than to complete it. The Department has also revised its contract with BT reducing the number of systems and increasing the price for each system delivered. This has resulted in BT being paid £9 million to implement systems at each NHS site, even though the same systems have been purchased for under £2 million by NHS organisations outside the Programme. The Committee is further concerned about the problems in getting timely and reliable information from the Department. Information provided has frequently been late, has contained inconsistencies and has contradicted other evidence.