Lessons from the NHS National Programme for IT

@article{Coiera2007LessonsFT,
  title={Lessons from the NHS National Programme for IT},
  author={Enrico W. Coiera},
  journal={Medical Journal of Australia},
  year={2007},
  volume={186}
}
  • E. Coiera
  • Published 1 January 2007
  • Medicine, Political Science
  • Medical Journal of Australia
The size of this commitment makes the NHS NationalProgramme for IT (NPfIT), delivered by the NHS Connecting forHealth (CfH) agency, of major international importance. [] Key MethodThe NHS chose to procure systems centrally and implementthem locally. Procurements included NHS-wide systems (emailand Choose and Book), enterprise-wide agreements (eg, withMicrosoft), and five local service providers to implement theregional solutions. Local service providers are free to choose andchange subcontractors.Local…

IT and the NHS: Investigating Different Perspectives of IT using Soft Systems Methodology

It is argued that the failure to deliver systems that are fit for purpose is not value neutral but an ethical issue and the lessons for the broader UK national programme are argued.

Implementation and adoption of nationwide electronic health records in secondary care in England: qualitative analysis of interim results from a prospective national evaluation

Experiences from the early implementation sites indicate that delivering improved healthcare through nationwide electronic health records will be a long, complex, and iterative process requiring flexibility and local adaptability both with respect to the systems and the implementation strategy.

Research Paper: Building a National Health IT System from the Middle Out

  • E. Coiera
  • Political Science, Medicine
    J. Am. Medical Informatics Assoc.
  • 2009
The top-down approach of many national programs for healthcare information technology (IT) may be at the heart of their current problems, and as the new United States Administration has recently signalled a massive injection of funds into building a National Health Information infrastructure via the ARRA, what lessons can be learned from the past, and what strategic shape should the Federal intervention take?

Studies in Ethics , Law , and Technology IT and the NHS : Investigating Different Perspectives of IT using Soft Systems Methodology

It is argued that the failure to deliver systems that are fit for purpose is not value neutral but an ethical issue and the lessons for the broader UK national programme are argued.

Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in “early adopter” hospitals

Implementation of the NHS Care Records Service in “early adopter” sites proved time consuming and challenging, with as yet limited discernible benefits for clinicians and no clear advantages for patients.

UK's National Programme for IT welcomes recommendation for a more sociotechnical approach to evaluation: a commentary on the Greenhalgh evaluation of the summary care record.

The idea of sharing information to improve patient safety and make health services more efficient is sound, and reflects an international agenda set out in landmark reports.

Investigating and Learning Lessons from Early Experiences of Implementing ePrescribing Systems into NHS Hospitals: A Questionnaire Study

There is considerable interest in ePrescribing systems with ambitious timelines amongst those hospitals that are planning implementations, and there is a need for increased guidance in relation to implementation strategy, system choice and standards, as well as increased financial resources to fund local activities.

National health IT infrastructure through the media lens

What Happens When Digital Information Systems Are Brought Into Health and Social Care? Comparing Approaches to Social Policy in England and Australia

This review article offers a brief comparative overview of approaches to the application of public sector information systems in England and Australia, with particular reference to health and social

The Largest Admitted IT Project Failure in the Southern Hemisphere: A Teaching Case

This teaching case examines the case organization details, royal commission report, auditor general report and 118 witness statements pertaining to the Queensland Health implementation project to illustrate the factors that contributed to the project failure and to understand the broader applications of this project failure on state and national legislations as well as industry sectors.

References

SHOWING 1-10 OF 19 REFERENCES

Challenges to implementing the national programme for information technology (NPfIT): a qualitative study

The sociocultural challenges to implementing the NPfIT are as daunting as the technical and logistical ones and it is recommended that national programme managers prioritise strategies to improve communication with, and to gain the cooperation of, front line staff.

Viewpoint Paper: e-Consent: The Design And Implementation of Consumer Consent Mechanisms in an Electronic Environment

With a well-chosen consent design, it should be possible to balance the specific need for privacy of some of the population against the desire by others to err on the side of clinical safety, and clinicians desire to minimize the burden that an electronic consent mechanism would impose.

Should clinical software be regulated?

The evidence clearly leads towards a conclusion that HITH offers better health outcomes and a reduction in costs, and where HITH substitutes for inhospital care, and the service works at reasonable capacity, HITH is cheaper than hospital.

Keeping the NHS electronic spine on track

  • M. Cross
  • Medicine, Physics
    BMJ : British Medical Journal
  • 2006
The NHS's “digital nervous system” is going through a jittery phase. Its next test will be its acceptance by the public

The National Programme for IT in the NHS.

  • A. Hassey
  • Medicine, Political Science
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2005
The RCGP were recently asked by NPfIT, to list the 10 ways in which effective IT could add real value to the professional lives of GPs, as part of this process of clinical engagement.

Troubled iSoft hit by £344m loss

  • BBC News

5 Troubled iSoft hit by £344m loss

  • BBC News
  • 2006

21st century IT — can we deliver it

  • Br J Healthcare Comput Info Manage
  • 2003

Should clinical software be regulated [ editorial ] ?

  • BMJ
  • 2006

Focus: anatomy of a £15bn gamble

  • The Sunday Times
  • 2006