1388:, professor, School of Computing Science, University of Newcastle; Uday Reddy, professor, School of Computer Science, University of Birmingham; Peter Ryan, Professor of Computing Science, University of Newcastle; Geoffrey Sampson, professor, Department of Informatics, University of Sussex; Martin Shepperd, Professor of Software Technologies, Brunel University; Michael Smith, Visiting Professor, Department of Computer Science, University College London; Tony Solomonides, Reader in Computer Science and Medical Informatics, University of the West of England;
499:(LSP) was contracted to be responsible for delivering services at a local level. This structure was intended to avoid the risk of committing to one supplier which might not then deliver; by having a number of different suppliers implementing similar systems in parallel, a degree of competition would be present which would not be if a single national contract had been tendered. Four clusters were awarded in two tranches on 8 and 23 December 2003, with the fifth on 26 January 2004. However, in July 2007
1380:, Professor of Security Engineering, Cambridge University; James Backhouse, director, Information System Integrity Group, London School of Economics; David Bustard, Professor and Head of Computing and Information Engineering, University of Ulster; Ewart Carson, Professor of Systems Science, Centre for Health Informatics, City University; Patrik O'Brian Holt, professor, School of Computing, The Robert Gordon University; Roland Ibbett, professor, School of Informatics, University of Edinburgh;
1384:, Professor of Systems, The Open University; Achim Jung, professor, School of Computer Science, University of Birmingham; Frank Land, Emeritus Professor, Information Systems Department, London School of Economics; Bev Littlewood, Professor of Software Engineering, City University; John A McDermid, Professor of Software Engineering, University of York; Julian Newman, Professor of Computing, Glasgow Caledonian University;
757:
Accenture had written off $ 450m from its accounts because of 'significant delays' in the programme. iSOFT announced in March 2011 that trading in its shares would be suspended pending a corporate announcement. Subsequently, in April 2011, the company announced that it was recommending a cash offer from CSC. CSC acquired iSOFT in August 2011.
483:. A challenge facing both NHS CFH and Informing Healthcare was that the use of national systems previously developed by the NHS Information Authority were shared by both of these organisations and the Isle of Man. Separate provision needed to be made for devolution, while maintaining links for patients travelling across national borders.
201:, claimed "This is the biggest IT project in the world and it is turning into the biggest disaster." The report concluded that, despite a probable expenditure of 20 billion pounds "at the present rate of progress it is unlikely that significant clinical benefits will be delivered by the end of the contract period."
756:
announced its intention to withdraw from £2bn of 10-year contracts with NPfIT, which were taken over in
January 2007 by the CSC Alliance – both Accenture and CSC laid blame with iSOFT, although CSC has said it will be retaining iSOFT as its software provider for all its clusters. Earlier in the year
157:
A report by the Public
Accounts Committee in 2009 called the risks to the successful deployment of the system "as serious as ever", adding that key deliverables at the heart of the project were "way off the pace", noting that "even the revised completion date of 2014–2015 for these systems now looks
81:
repeatedly expressed serious concerns over its scope, planning, budgeting, and practical value to patients. As of
January 2009, while some systems were being deployed across the NHS, other key components of the system were estimated to be four years behind schedule, and others had yet to be deployed
663:
In May 2008 it was announced that following the failure to conclude renegotiation of the contract for the
Southern Cluster, CfH terminated the contract with Fujitsu. The majority of the Southern Cluster care systems were subsequently transferred to BT Health except for PACS which was transferred to
204:
In
September 2013, the Public Accounts Committee said that although the National Programme for IT had been effectively disbanded in 2011, some large regional contracts and other costs remained outstanding and were still costing the public dearly. It described the former National Programme for IT as
486:
NPfIT was focussed on delivering the NHS Care Record
Service to GPs, acute and primary hospitals, medical clinics and local hospitals and surgeries. While there were no immediate plans to include opticians or dentists in the electronic care record, services are delivered to these areas of the NHS.
181:
to be £12.4bn over 10 years, and the NAO also noted that "...it was not demonstrated that the financial value of the benefits exceeds the cost of the
Programme". Similarly, the British Computer Society (2006) concluded that "...the central costs incurred by NHS are such that, so far, the value for
709:
A January 2005 survey among doctors indicated that support for the initiative as an 'important NHS priority' had dropped to 41%, from 70% the previous year. There have been concerns raised by clinicians that clinician engagement has not been addressed as much as might be expected for such a large
858:
to be the highest paid civil servant, on a basic of £280,000 per year, £100,000 per year more than then-Prime
Minister Tony Blair. Granger announced on 16 June 2007 that he would leave the agency "during the latter part" of 2007. In February 2008 Granger left the programme . His credentials were
830:
said 12,000 patient records had to be manually amended over a three-week period due to the system, and noted that "The outpatient appointment centre has experienced a significant increase in the time taken to process individual patient appointment bookings. This has had a consequent and negative
686:
NPfIT has been criticised for inadequate attention to security and patient privacy, with the Public
Accounts Committee noting "patients and doctors have understandable concerns about data security", and that the Department of Health did not have a full picture of data security across the NHS. In
822:
blamed their failure over the preceding six months to meet targets for treating emergency patients within four hours on staff not being familiar with the new computer system. The same report cited "breaches of the two-week urgent cancer access guarantee" and delays in assessing 11 patients with
129:
The
Conservatives pledge £730 million to expand NHS mental health services in England, aiming to reduce welfare costs by helping more people return to work. Critics, including Labour and the Institute for Fiscal Studies, question the feasibility of the projected savings and effectiveness of the
740:
According to the Daily Telegraph, the head of NPfIT, Richard Granger, 'shifted a vast amount of the risk associated with the project to service providers, which have to demonstrate that their systems work before being paid.' The contracts meant that withdrawing from the project would leave the
94:
noted that the announcement from the Department of Health on 9 September, had been "part of a process towards localising NHS IT that has been under way for several years". In 2011 remaining aspects of the National Programme for IT were cancelled, and most of the spending would proceed with the
647:
In September 2006, the CSC Alliance, Accenture and Connecting for Health signed a tripartite agreement that as of January 2007, the CSC Alliance would take over the responsibility for the majority of care systems the North East and Eastern clusters from Accenture, with the exception of
639:
In July 2006, the London region started the contractual replacement of IDX (which had been bought out by GE Healthcare in January 2006) as its supplier. Systems for secondary care, primary care and community and mental health services are proposed by BT to be provided by
451:
The Spine also provides a set of security services, to ensure access to information stored on the Spine is appropriately controlled. These security measures were queried during the early stages of Spine development, with leaked internal memos seen by the
1396:, Professor of Computer Science, Swansea University; Martyn Thomas, Visiting Professor of Software Engineering, Computing Laboratory, Oxford University; Colin Tully, Professor of Software Practice, School of Computing Science, Middlesex University
153:
in 2007 also criticised the government's "apparent reluctance to audit and evaluate the programme", questioning their failure to develop an ICT strategy whose benefits are likely to outweigh costs and the poor evidence base for key technologies.
705:
The balance between the right to privacy and the right to the best quality care is a sensitive one. Also there are sanctions against those who access data inappropriately, specifically instant dismissal and loss of professional registration.
536:– had responsibility for the Southern cluster until May 2008 when their contract was terminated. Most of their responsibilities were subsequently transferred to BT Health except for PACS which was transferred to the CSC Alliance.
764:
was to be paid "hundreds of millions of pounds" in settlement of a legal dispute stretching back to the National Programme for IT when their £896 million contract was terminated. Substantial payments had also been made to CSC.
458:
mentioning "fundamental" design flaws. In addition, government spokeswoman Caroline Flint failed to dispel concerns regarding access to patients' data by persons not involved in their care when she commented in March 2007 that
95:
Department of Health seeking for local software solutions rather than a single nationally imposed system. On 31 March 2013, NHS Connecting for Health ceased to exist, and some projects and responsibilities were taken over by
653:
287:"Recent progress...very disappointing", completion date of 2014–2015 now looks unlikely following withdrawal of Fujitsu, arrangements for South region not resolved, Lorenzo still not live in a single acute Trust
1299:
Cresswell, Kathrin; Sheikh, Aziz; Franklin, Bryony Dean; Krasuska, Marta; Nguyen, Hung The; Hinder, Susan; Lane, Wendy; Mozaffar, Hajar; Mason, Kathy; Eason, Sally; Potts, Henry W. W.; Williams, Robin (2020).
859:
questioned by his own mother, a campaigner for the preservation of local health services in her area, who expressed her amazement at his appointment, criticising the whole scheme as "a gross waste of money".
73:
It was planned that patients would also have access to their records online through a service called HealthSpace. NPfIT was said by NHS CFH to be "the world's biggest civil information technology programme".
741:
providers liable for 50% of the value of the contract; however, as previously mentioned, when Accenture withdrew in September 2006, Granger chose not to use these clauses, saving Accenture more than £930m.
800:
hospitals. Further, 20 patients were not readmitted for treatment within 28 days towards the end of the year because the surveillance system for tracking them "was not operational in the new ... system".
463:
only those staff who are working as part of a team that is providing a patient with care, that is, those having a legitimate relationship with the patient, will be able to see a patient's health record."
677:
The 2009 Public Accounts Committee (PAC) report noted, that the NPfIT had provided "little clinical functionality... to-date". The PAC report of 18 July 2011 said it failed to deliver clinical benefits.
158:
doubtful in the light of the termination last year of Fujitsu's contract covering the South", and concluding "essential systems are late, or, when deployed, do not meet expectations of clinical staff".
495:
The programme originally divided England into five areas known as "clusters": Southern, London, East & East Midlands, North West & West Midlands, and North East. For each cluster, a different
725:
As of 5 August 2005, research carried out across the NHS in England suggested that clinical staff felt that the programme was failing to engage the clinicians fully, and was at risk of becoming a
77:
The cost of the programme, together with its ongoing problems of management and the withdrawal or sacking of two of the four IT providers, placed it at the centre of controversy, and the Commons
142:, attracted significant criticism, and was one of the issues which in April 2006 prompted 23 academics in computer-related fields to raise concerns about the programme in an open letter to the
549:
announced the "National Programme, Local Ownership programme" (known as "NLOP") which dissolved the 5 clusters and devolved responsibility for the delivery of the programme to the ten English
526:
had full responsibility for the North East and East/East Midlands clusters until January 2007, when it handed over the bulk of its responsibilities to the CSC, retaining responsibility for
208:
The costs of the venture should have been lessened by the contracts signed by the IT providers making them liable for huge sums of money if they withdrew from the project; however, when
507:
had their contract terminated, meaning that half the original contractors had dropped out of the project. As of May 2008, two IT providers were LSPs for the main body of the programme:
1205:"Scrapping the National Programme for IT: a journey not a destination – The government's apparent ending of the NHS IT programme leaves NHS CfH and its BT and CSC contracts unaffected"
2652:
862:
In 2009, overall leadership of CfH was described by the Public Accounts Committee as having been "uncertain" since the announcement that Richard Granger would be leaving the project.
644:, INPS (formerly in Practice Systems) and CSE Healthcare Systems, part of the CSE-Global group of companies, respectively. This is subject to contractual negotiation known as 'CCN2'.
625:
IDX Systems Corporation was removed from the Southern Cluster Fujitsu Alliance in August 2005 following repeated failure to meet deadlines. They were replaced in September 2005 by
3274:
812:
April 2008: Enfield PCT found that the system had failed to flag up possible child-abuse victims entering hospital to key staff, "leaving the responsibility to the receptionist"
2129:
729:. The Public Accounts Committee observed in 2009 that "the current levels of support reflect the fact that for many staff the benefits of the Programme are still theoretical".
2352:
2044:
3279:
431:. Patients cannot opt-out from this component of the spine, although they can mark their record as 'sensitive' to prevent their contact details being viewed by 831,000 staff.
618:
had their 10-year contract to supply the NHSMail service terminated. On 1 July 2004, Cable and Wireless were contracted to provide this service, which was initially renamed
1642:
717:
the anti-database state pressure group and The Big Opt Out who provide patients with a letter to send to their doctor so that their records are withheld from the database.
3269:
2209:
114:, and on 1 April 2005 a new agency called NHS Connecting for Health (CfH) was formed to deliver the programme. CfH absorbed both staff and workstreams from the abolished
182:
money from services deployed is poor". Officials involved in the programme have been quoted in the media estimating the final cost to be as high as £20bn, indicating a
3309:
3299:
564:
In addition to these LSPs the programme appointed National Application Service Providers (NASPs) who were responsible for services that were common to all users,
447:, which uses data from patient records to provide anonymised and pseudonymised business reports and statistics for research, planning and public health delivery.
1081:
806:
713:
Concerns over confidentiality, and the security of medical data uploaded to the Spine have also led to opposition from civil liberties campaigners such as
3304:
3289:
3284:
1155:
931:
649:
633:
556:
Under NLOP, staff employed by CfH in the clusters had their employment transferred to the SHAs, with some being recruited to revised national CfH posts.
527:
361:
190:
78:
1407:
1992:
1177:
138:
The refusal of the Department of Health to make "concrete, objective information about NPfIT's progress available to external observers", nor even to
2411:
96:
59:
2871:
2324:
3233:
1204:
122:, West Yorkshire. By 2009, it was still managed nationally by CfH, with responsibility for delivery shared with the chief executives of the ten
2751:
1281:
942:
378:
178:
479:
was also running a national programme for service improvement and development via the use of information technology – this project was called
28:
2960:
571:
and the national elements of the NHS Care Records Service that supported the summary patient record and ensure patient confidentiality and
102:
In August 2018, NHS launched a healthcare finance innovation initiative to identify solutions which could streamline financial operations.
2048:
3243:
1650:
937:
298:
2434:
2133:
2679:
2358:
2156:
2081:
48:
2308:
1785:
1490:
1461:
1940:
3238:
3158:
2426:
1564:
328:
Take-up slow, system reliant on outdated technology, GPs dissatisfied, target of 90% of referrals on system by March 2007 missed
1840:
3029:
546:
1255:
2018:
1892:
1586:
827:
819:
276:
1966:
1759:
1351:
1434:
3294:
2404:
602:
511:
35:. It was part of the Department of Health Informatics Directorate, with the role to maintain and develop the NHS national
1302:"Theoretical and methodological considerations in evaluating large-scale health information technology change programmes"
802:
749:
165:, and subsequent reports by IT industry analyst Ovum among others have never been published nor made available to MPs.
58:
On 31 March 2013, NHS Connecting for Health ceased to exist, and some projects and responsibilities were taken over by
2729:
881:
815:
May 2008: Enfield PCT found that 272 elective operations were cancelled at the last minute for "non-clinical reasons"
2183:
2069:
1540:
1389:
1089:
876:
732:
Surveys in 2008 suggested that two-thirds of doctors would refuse to have their own medical records on the system.
550:
309:
70% of GPs and pharmacies had 1st release of software, but only 40% of prescriptions issued with readable barcodes
123:
1063:
3182:
916:
786:
115:
32:
51:(NHS) in England towards a single, centrally-mandated electronic care record for patients and to connect 30,000
3248:
2756:
2629:
2397:
1619:
1515:
1148:
1111:
911:
891:
849:
583:
272:
194:
2328:
792:
were unable to obtain vital data on patients awaiting operations and were obliged to delay 63 patients of the
3163:
3126:
3116:
2798:
2587:
1996:
1613:"The Way Forward for NHS Health Informatics: Where should NHS Connecting for Health (NHS CFH) go from here?"
615:
143:
695:
for its plans to implement what would become the NPfIT. In 2004 the NPfIT won the "Most Appalling Project"
55:
to 300 hospitals, providing secure and audited access to these records by authorised health professionals.
660:. Accenture now retains only a small presence in the city for the delivery of its PACS responsibilities.
854:
700:
because of its plans to computerise patient records without putting in place adequate privacy safeguards
692:
162:
2740:
1565:"Another ministerial spokesperson for the NHS IT programme moves on (Tony Collins's IT Projects Blog)"
1231:"UK.gov finally pulls plug on National Programme for IT – But future unclear for Summary Care Records"
2668:
2232:
1733:
572:
480:
139:
52:
2070:
The National Programme for IT in the NHS: an update on the delivery of detailed care records systems
1918:
441:
is a summary of patient's clinical information, such as allergies and adverse reactions to medicine.
2793:
848:, responsible for procurement and delivery of a number of large scale IT programmes, including the
845:
797:
438:
217:
3042:
2369:
1704:
840:
The NHS appointed a management team, responsible for the delivery of the system: In October 2002,
2560:
2509:
901:
844:
the former Director General of IT for the NHS, took up his post before which he was a partner at
789:
636:
to the North-West/West-Midlands cluster was terminated, and they were replaced by GE Healthcare.
83:
2379:
2374:
331:
Mixed, around half of new appointments made using system, additional training and time required
110:
The programme was established in October 2002 following several Department of Health reports on
70:
Contracts for the NPfIT spine and five clusters were awarded in December 2003 and January 2004.
3062:
809:
were not isolated for up to 17 days, requiring six weeks work by staff to update them manually.
2258:
1333:
1181:
696:
688:
216:
charged them not £1bn, as the contract permitted, but just £63m. Granger's first job was with
126:. The programme represented a significant shift to national priorities over local priorities.
36:
3088:
3078:
3057:
3037:
2934:
2280:
1812:
1230:
3212:
1817:
1393:
1377:
1323:
1313:
420:
The Spine is a set of national services used by the NHS Care Record Service. These include:
3083:
3047:
2982:
2734:
517:
3111:
2778:
2657:
2602:
2312:
2157:"Daily Telegraph, 28 September 2006, 'IT providers left in the debris of NHS's 'Big Bang'"
2085:
921:
896:
841:
793:
579:
568:
320:
213:
177:
2.3 billion (bn) over three years, in June 2006 the total cost was estimated by the
2305:
2022:
1896:
1789:
781:
board minutes revealing a catalogue of errors. Difficulties with the system meant that:
161:
The initial reports into the feasibility of the scheme, known to have been conducted by
3204:
2926:
2916:
1970:
1944:
1866:
1763:
1328:
1301:
778:
726:
652:. As part of the handover process, around 300 Accenture personnel transferred under a
174:
150:
1285:
553:(SHAs). Connecting for Health retains responsibility for the contracts with the LSPs.
3263:
3217:
2911:
2896:
2886:
2684:
2615:
2539:
1385:
2107:
3153:
2988:
2950:
2939:
2891:
2699:
1612:
886:
805:
found that problems with the system had meant potentially infectious patients with
454:
198:
183:
90:
1672:
1355:
748:
has been seriously affected by this process and is under investigation by the UK
656:
process to CSC, and CSC took over the leases for some of Accenture's premises in
3014:
2977:
2694:
2519:
2384:
871:
592:
1318:
2662:
2524:
2465:
1993:"Press release:NHSMail Service To Transition Onto Microsoft Exchange Platform"
428:
2130:"Doctor's support of NHS National Programme for IT declines, says new survey"
1041:
1016:
991:
969:
2837:
2832:
2783:
2450:
753:
523:
500:
209:
2045:"E-Health Insider :: Fujitsu's £896m NHS IT contract to be terminated"
1337:
197:
issued a damning 175-page report on the programme. The Committee chairman,
773:
The first trusts in the London and Southern clusters to implement the new
3148:
3131:
3121:
3019:
2906:
2901:
2811:
2801:
2610:
2592:
2529:
2504:
2460:
2455:
1677:
1381:
906:
664:
the CSC Alliance, aligning with the technology deployed by each company.
587:
342:
3009:
2773:
2766:
2709:
2184:"Daily Telegraph, 29 September 2006, 'Accenture pulls out of NHS deal'"
1180:(Press release). Department of Health. 9 September 2011. Archived from
947:
761:
687:
2000, the NHS Executive won the "Most Heinous Government Organisation"
533:
504:
395:
306:
Implementation began in early 2005, used for 8% of daily prescriptions
2306:
E-Health Insider :: Granger to leave in transition by end of 2007
3190:
3141:
3052:
2944:
2881:
2857:
2842:
2714:
2704:
2673:
2647:
2544:
2534:
2514:
926:
774:
641:
626:
596:
2353:"A guide to the National Programme for Information Technology" (PDF)
1491:"Our Future Health Secured? A review of NHS funding and performance"
427:, which stores demographic information about each patient and their
146:. On 6 October 2006 the same signatories wrote a second open letter
1112:"DoH: The NPfIT in the NHS – twentieth report of session 2006–2007"
2847:
2816:
2806:
2724:
2719:
2689:
2489:
2389:
2366:, Delivering three major contracts to the NHS as part of the NPfIT
745:
714:
657:
476:
119:
2993:
2852:
2788:
2745:
2210:"Government agrees multimillion settlement over IT contract row"
752:
for irregular accounting. On 28 September 2006, the consultancy
205:
one of the "worst and most expensive contracting fiascos" ever.
2393:
1516:"The National Programme for IT in the NHS: Progress since 2006"
1376:
Signatories of the open letter to the Health Select Committee:
1149:"The National Programme for IT in the NHS: progress since 2006"
284:"Real progress only just beginning", no go-live date specified
2363:
412:
in late 2004, before being reverted to NHSmail in April 2006.
228:
The programme was divided into a number of key deliverables.
1408:"NHS Focus: Open Letter: Questions that need to be answered"
1082:"Patients 'won't benefit from £12bn IT project' – Telegraph"
212:
withdrew in September 2006, then Director-General for NPfIT
1867:"Second contractor drops out of £12bn NHS computer upgrade"
31:
and was formed on 1 April 2005, having replaced the former
1622:
Health Informatics Forum Strategic Panel. 15 December 2006
1541:"House of Commons – Public Accounts – Minutes of Evidence"
1392:, professor, Computing Department, Lancaster University;
47:), an initiative by the Department of Health to move the
2370:
June 2006: NHS risks £20bn white elephant, say auditors
1256:"NHS launches healthcare finance innovation initiative"
1017:"Two LSP contracts announced, South delayed until 2004"
467:
The Spine was migrated to a new system in August 2014.
1282:"NHS Connecting for Health – How we started (Archive)"
1143:
1141:
1139:
1137:
1135:
1133:
1131:
970:"Reid Announces £2.7 billion of NHS IT contracts"
1967:"National programme says NHSmail was 'unacceptable'"
1673:"NHS IT system one of 'worst fiascos ever', say MPs"
1064:"NHS Connecting for Health – Service Implementation"
823:
possible cancer as being due to the computer system.
520:(formerly BT Capital Care Alliance) – London cluster
3226:
3203:
3181:
3174:
3101:
3071:
3028:
3002:
2970:
2959:
2925:
2870:
2825:
2639:
2628:
2601:
2577:
2553:
2497:
2488:
2481:
2474:
2443:
2425:
514:(CSC) – North, Midlands & Eastern (NME) cluster
230:
1860:
1858:
1734:"Health service IT boss 'failed computer studies'"
1075:
1073:
632:In early 2006, ComMedica's contract for supply of
118:, the organisation it replaced. CfH was based in
39:. It adopted the responsibility of delivering the
1705:"Accenture escapes £1bn penalty for NHS walk-out"
1352:"Tories promise £730m to end 'sick note culture'"
1786:"Connecting for Health fails to lead on Contact"
1643:"Bill for hi-tech NHS soars to £20 billion"
1594:, National Audit Office, 16 June 2006, p. 4
503:withdrew from their 2 clusters, and in May 2008
351:On schedule, with 98% of GP practices connected
1485:
1483:
1760:"Contact lost as NHS e-mail relaunch misfires"
2405:
2019:"NHS officially told of London Cerner switch"
1559:
1557:
1178:"The future of the National Programme for IT"
8:
3275:2013 disestablishments in the United Kingdom
2375:Times Online: Patient records go on database
2281:"Fat cats of the public sector take top pay"
2279:Grimston, Jack; Kirk, Jon (8 October 2006).
2233:"Chaos as £13bn NHS computer system falters"
2212:. Health Service Journal. 12 September 2018
1941:"Granger terminates EDS's NHSmail contract"
1727:
1725:
1698:
1696:
3280:Government databases in the United Kingdom
3178:
2967:
2636:
2494:
2485:
2478:
2412:
2398:
2390:
1843:. Health Service Journal. 5 September 2015
1841:"NHS core IT system migration a 'success'"
1813:"Computer loophole hits hi-tech NHS trial"
992:"Granger secures commitment to fund NPfIT"
932:Picture archiving and communication system
744:The programme's largest software provider
528:Picture archiving and communication system
362:Picture Archiving and Communication System
3270:2005 establishments in the United Kingdom
1327:
1317:
1036:
1034:
1011:
1009:
964:
962:
97:Health and Social Care Information Centre
60:Health and Social Care Information Centre
2380:Computer loophole hits hi-tech NHS trial
1811:Jonathan Carr-Brown (14 November 2004).
1588:The National Programme for IT in the NHS
1435:"Signatories to health committee letter"
3310:Medical databases in the United Kingdom
3234:List of biomedical cybernetics software
2355:, NHS Connecting for Health, April 2005
2182:Moulds, Josephine (29 September 2006).
2155:Moulds, Josephine (28 September 2006).
1893:"Hunt spells out local ownership moves"
958:
852:. In October 2006, he was suggested by
760:In September 2018 it was reported that
425:The Personal Demographics Service (PDS)
373:Performance management of primary care
2359:NHS Connecting for Health History Page
2259:"Top Team – NHS Connecting for Health"
2132:. PublicTechnology.net. Archived from
1995:. Cable & Wireless. Archived from
943:Quality Management and Analysis System
575:. As of October 2005, the NASPs were:
560:National Application Service Providers
379:Quality Management and Analysis System
3300:Discontinued custom software projects
1462:"Experts strike new NHS warning note"
850:Congestion Charging Scheme for London
390:Central e-mail and directory service
7:
673:Failure to deliver clinical benefits
491:Clusters and local service providers
3244:List of open-source health software
2325:"Granger era ends as DG leaves CfH"
1468:. Reed Business Information Limited
1441:. Reed Business Information Limited
1414:. Reed Business Information Limited
1080:Hope, Christopher (17 April 2007).
938:NHS Electronic Prescription Service
831:effect on call-answer performance."
803:Buckinghamshire Hospitals NHS Trust
299:NHS Electronic Prescription Service
2435:Bar code medication administration
2327:. E-Health Insider. Archived from
2021:. E-Health Insider. Archived from
1969:. E-Health Insider. Archived from
1943:. E-Health Insider. Archived from
1895:. E-Health Insider. Archived from
1788:. E-Health Insider. Archived from
1762:. E-Health Insider. Archived from
1203:SA Mathieson (22 September 2011).
777:system found it problematic, with
416:The Spine (including PDS and PSIS)
14:
3305:Electronic health record software
3290:Science and technology in England
3285:National Health Service (England)
1460:Collins, Tony (10 October 2006).
3239:List of freeware health software
2385:NHS IT upgrade success 'at risk'
2082:"The 2000 UK Big Brother Awards"
1641:Fleming, Nic (12 October 2004).
445:The Secondary Uses Service (SUS)
314:Electronic appointments booking
266:Integrated care records service
220:, which later became Accenture.
2231:Jamie Doward (10 August 2008).
2108:"Privacy foes named and shamed"
1732:Revill, Jo (12 November 2006).
1433:Collins, Tony (11 April 2006).
1406:Collins, Tony (12 April 2006).
1229:John Oates (9 September 2011).
336:Underpinning IT infrastructure
828:Royal Free Hampstead NHS Trust
820:Barts and The London NHS Trust
1:
1919:"NPfIT to go local by August"
1865:Wray, Richard (29 May 2008).
1354:. 8 June 2024. Archived from
721:Reservations of medical staff
512:Computer Sciences Corporation
435:The Summary Care Record (SCR)
41:NHS National Programme for IT
1306:BMC Health Services Research
750:Financial Services Authority
610:Changes to service providers
551:strategic health authorities
173:Originally expected to cost
124:strategic health authorities
27:) agency was part of the UK
1921:. ZDNet.co.uk. 15 June 2007
882:Citizen Information Project
545:In the first half of 2007,
3326:
1319:10.1186/s12913-020-05355-7
1042:"South awarded to Fujitsu"
877:National Identity Register
2762:NHS Connecting for Health
2311:27 September 2011 at the
1156:Public Accounts Committee
917:NHS-wide Clearing Service
356:Medical imaging software
191:Public Accounts Committee
116:NHS Information Authority
112:IT Strategies for the NHS
79:Public Accounts Committee
33:NHS Information Authority
21:NHS Connecting for Health
3249:Category:Health software
2757:NHS Care Records Service
2741:Microtest Open Evolution
2110:. BBC News. 29 July 2004
1649:. London. Archived from
1620:British Computer Society
1088:. London. Archived from
912:NHS Care Records Service
892:Universal Child Database
584:NHS Care Records Service
408:*NHSmail was renamed to
273:NHS Care Records Service
3127:Psychtoolbox for MATLAB
1521:. HMSO. 14 January 2009
292:Electronic prescribing
144:Health Select Committee
49:National Health Service
736:Impact on IT providers
497:Local Service Provider
250:Original delivery date
693:Privacy International
179:National Audit Office
53:general practitioners
3295:Databases in England
2136:on 28 September 2007
1947:on 28 September 2007
1792:on 28 September 2007
1288:on 5 September 2007.
573:information security
530:(PACS) rollout only.
481:Informing Healthcare
343:New National Network
29:Department of Health
2985:Practice Management
2794:Summary Care Record
2669:Certify HealthLogix
2188:The Daily Telegraph
2161:The Daily Telegraph
2051:on 8 September 2012
1681:. 18 September 2013
1647:The Daily Telegraph
1086:The Daily Telegraph
846:Deloitte Consulting
682:Data security risks
599:– Choose & Book
439:Summary Care Record
218:Andersen Consulting
189:In April 2007, the
106:Structure and scope
84:primary care trusts
82:outside individual
3072:Patient engagement
2940:athenaCommunicator
2752:NextGen Healthcare
2025:on 22 October 2006
1466:ComputerWeekly.com
1439:ComputerWeekly.com
1412:ComputerWeekly.com
1260:Healthcare IT News
1044:. E-Health Insider
1019:. E-Health Insider
994:. E-Health Insider
972:. E-Health Insider
902:Health Informatics
627:Cerner Corporation
603:Cable and Wireless
130:proposed reforms.
3257:
3256:
3199:
3198:
3097:
3096:
2866:
2865:
2624:
2623:
2573:
2572:
2569:
2568:
2331:on 6 January 2009
1567:. Computer Weekly
1496:. The King's Fund
1184:on 7 January 2013
1158:. 27 January 2009
697:Big Brother Award
689:Big Brother Award
406:
405:
186:of 440% to 770%.
37:IT infrastructure
16:Former NHS agency
3317:
3213:Microsoft Amalga
3179:
2968:
2637:
2495:
2486:
2479:
2414:
2407:
2400:
2391:
2341:
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2338:
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2321:
2315:
2303:
2297:
2296:
2294:
2292:
2285:The Times Online
2276:
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2255:
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2179:
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2143:
2141:
2126:
2120:
2119:
2117:
2115:
2104:
2098:
2097:
2095:
2093:
2084:. Archived from
2078:
2072:
2067:
2061:
2060:
2058:
2056:
2047:. Archived from
2041:
2035:
2034:
2032:
2030:
2015:
2009:
2008:
2006:
2004:
1999:on 29 April 2008
1989:
1983:
1982:
1980:
1978:
1963:
1957:
1956:
1954:
1952:
1937:
1931:
1930:
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1926:
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1878:
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1853:
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1848:
1837:
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1828:
1826:
1818:The Sunday Times
1808:
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1403:
1397:
1394:Harold Thimbleby
1374:
1368:
1367:
1365:
1363:
1348:
1342:
1341:
1331:
1321:
1296:
1290:
1289:
1284:. Archived from
1278:
1272:
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1246:
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1099:
1097:
1092:on 19 April 2007
1077:
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1024:
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988:
982:
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979:
977:
966:
855:The Sunday Times
518:BT Health London
245:Name of software
231:
195:House of Commons
149:A report by the
3325:
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3319:
3318:
3316:
3315:
3314:
3260:
3259:
3258:
3253:
3222:
3195:
3170:
3159:Clinical trials
3093:
3067:
3024:
2998:
2962:
2955:
2927:Patient portals
2921:
2873:
2862:
2821:
2779:Practice Fusion
2658:athenaClinicals
2631:
2620:
2597:
2565:
2549:
2470:
2439:
2421:
2420:Health software
2418:
2349:
2344:
2334:
2332:
2323:
2322:
2318:
2313:Wayback Machine
2304:
2300:
2290:
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2256:
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2139:
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2127:
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2113:
2111:
2106:
2105:
2101:
2091:
2089:
2088:on 12 June 2008
2080:
2079:
2075:
2068:
2064:
2054:
2052:
2043:
2042:
2038:
2028:
2026:
2017:
2016:
2012:
2002:
2000:
1991:
1990:
1986:
1976:
1974:
1973:on 29 July 2012
1965:
1964:
1960:
1950:
1948:
1939:
1938:
1934:
1924:
1922:
1917:
1916:
1912:
1902:
1900:
1899:on 29 July 2012
1891:
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1766:on 28 July 2012
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1390:Ian Sommerville
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1262:. 8 August 2018
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1007:
997:
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989:
985:
975:
973:
968:
967:
960:
956:
922:Choose and Book
897:Medical privacy
868:
842:Richard Granger
838:
836:Management team
826:July 2008: the
771:
738:
723:
684:
675:
670:
614:In March 2004,
612:
569:Choose and Book
562:
547:David Nicholson
543:
541:Local ownership
493:
473:
418:
321:Choose and Book
226:
214:Richard Granger
171:
136:
108:
68:
17:
12:
11:
5:
3323:
3321:
3313:
3312:
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2947:Patient Portal
2942:
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2917:Sapio Sciences
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2632:health records
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2348:
2347:External links
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2250:
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2174:
2147:
2121:
2099:
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2010:
1984:
1958:
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1358:on 9 June 2024
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779:hospital trust
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769:Implementation
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2971:Comprehensive
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2900:
2898:
2897:LabKey Server
2895:
2893:
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2883:
2882:Cerner CoPath
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2617:
2616:Florida Probe
2614:
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3205:Transmission
3164:Oracle Argus
3154:Folding@home
3117:Presentation
3043:Radix Health
2989:OpenHospital
2761:
2700:EpicCare EMR
2588:CommonGround
2333:. Retrieved
2329:the original
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1871:The Guardian
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1742:. Retrieved
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1737:
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1709:The Register
1708:
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887:Cost overrun
861:
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188:
184:cost overrun
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3108:Behavioral
3015:Open Dental
2978:ClearHealth
2892:Epic Beaker
2826:Terminology
2730:INPS Vision
2603:Odontologic
2520:Ginkgo CADx
2475:Diagnostics
1714:28 February
872:Megaproject
593:Atos Origin
475:The NHS in
348:March 2002
235:Deliverable
151:King's Fund
3264:Categories
3030:Scheduling
2963:management
2874:management
2872:Laboratory
2663:Centricity
2630:Electronic
2578:Heuristics
2525:InVesalius
2482:Bioimaging
2466:Micromedex
2216:11 October
1703:Kablenet.
1626:27 January
1598:16 October
1500:27 January
1472:1 November
1445:1 November
1418:1 November
1312:(1): 477.
1188:13 January
1162:27 January
1048:22 October
1023:22 October
998:22 October
976:22 October
954:References
818:May 2008:
798:Chase Farm
668:Criticisms
471:Exceptions
461:in general
429:NHS number
3183:Assistive
3063:Dentaltap
3003:Specialty
2838:SNOMED CT
2833:Read code
2784:PrognoCIS
2748:WebEHR2.0
2640:Platforms
2451:Epocrates
2444:Databases
2427:Barcoding
2364:BT Health
2243:11 August
1847:3 October
754:Accenture
710:project.
605:– NHSmail
524:Accenture
501:Accenture
275:(NCRS) /
210:Accenture
3175:Surgical
3149:DreamLab
3132:PsyScope
3122:PsychoPy
3102:Research
3020:SoftDent
2961:Practice
2907:STARLIMS
2902:MEDITECH
2812:VITAband
2802:SystmOne
2695:EMIS Web
2611:Cybermed
2593:EuResist
2584:Bestbets
2530:ITK-SNAP
2505:3DSlicer
2461:Medscape
2456:Lexicomp
2309:Archived
2287:. London
2239:. London
2190:. London
2163:. London
1873:. London
1821:. London
1740:. London
1678:BBC News
1382:Ray Ison
1338:32460830
1266:9 August
907:N3 (NHS)
866:See also
163:McKinsey
86:(PCTs).
3227:Related
3138:Cancer
3089:Vezeeta
3079:AbbaDox
3058:Vezeeta
3038:AbbaDox
3010:Dentrix
2951:MyChart
2935:AbbaDox
2912:webLIMS
2774:OpenMRS
2767:OpenEMR
2710:GaiaEHR
2646:Apache
2561:Orthanc
2554:Servers
2510:Drishti
2498:General
1329:7254705
948:NHSmail
787:Enfield
762:Fujitsu
620:Contact
534:Fujitsu
505:Fujitsu
410:Contact
396:NHSmail
381:(QMAS)
364:(PACS)
277:Lorenzo
193:of the
134:Reviews
66:History
3191:HipNav
3142:Caisis
3053:Zocdoc
2945:Cerner
2858:RxNorm
2843:MEDCIN
2715:GNUmed
2705:EviMed
2680:COSTAR
2674:Cerner
2648:cTAKES
2545:Voreen
2535:OsiriX
2515:GIMIAS
2335:31 May
2291:31 May
2264:31 May
2194:20 May
2167:20 May
2140:31 May
2114:31 May
2092:31 May
2055:31 May
2029:31 May
2003:31 May
1977:31 May
1951:31 May
1925:31 May
1903:31 May
1877:29 May
1825:20 May
1796:31 May
1770:31 May
1744:29 May
1657:31 May
1618:. The
1571:29 May
1546:29 May
1362:9 June
1336:
1326:
1120:31 May
1096:29 May
934:(PACS)
927:OPCS-4
794:Barnet
785:2007:
775:Cerner
642:Cerner
597:Cerner
437:. The
3084:Kareo
3048:Kareo
2983:Kareo
2848:LOINC
2817:ZEPRS
2807:VistA
2735:Kareo
2725:HOSxP
2720:GPASS
2690:EMIAS
2685:Datix
2653:AHLTA
2490:DICOM
1616:(PDF)
1592:(pdf)
1519:(PDF)
1494:(pdf)
1152:(PDF)
1115:(PDF)
746:iSOFT
715:NO2ID
691:from
658:Leeds
477:Wales
345:(N3)
339:2002
325:2005
317:2002
303:2007
295:2002
281:2004
269:2002
240:Since
169:Costs
120:Leeds
45:NPfIT
3112:PEBL
2994:RXNT
2887:ELab
2853:UCUM
2789:RXNT
2746:MTBC
2337:2008
2293:2008
2266:2008
2245:2008
2218:2018
2196:2010
2169:2010
2142:2008
2116:2008
2094:2008
2057:2008
2031:2008
2005:2008
1979:2008
1953:2008
1927:2008
1905:2008
1879:2008
1849:2014
1827:2010
1798:2008
1772:2008
1746:2008
1716:2008
1687:2013
1659:2008
1628:2009
1600:2011
1573:2008
1548:2008
1527:2012
1502:2009
1474:2006
1447:2006
1420:2006
1364:2024
1334:PMID
1268:2018
1242:2011
1216:2011
1190:2014
1164:2009
1122:2008
1098:2008
1050:2013
1025:2013
1000:2013
978:2013
807:MRSA
796:and
654:TUPE
650:PACS
634:PACS
595:and
586:and
566:e.g.
19:The
2799:TPP
2737:EHR
2676:EHR
2665:EMR
1324:PMC
1314:doi
790:PCT
616:EDS
140:MPs
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