1399:, 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;
510:(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
1391:, 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;
1395:, 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;
768:
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.
494:. 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.
212:, 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."
767:
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
168:
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
92:
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
674:
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
215:
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
497:
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.
192:
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
720:
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
869:
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
841:
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
697:
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
833:
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
140:
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
751:
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
105:
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
658:
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
650:
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
462:
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
1407:, 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
164:
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.
716:
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.
547:– 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.
775:
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.
469:
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
106:
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
664:
298:"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
1310:
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).
870:
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".
84:
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".
752:
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.
811:
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".
474:
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."
688:
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.
169:
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".
506:
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
736:
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
88:
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
153:, 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
560:
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
537:
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
219:
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
518:
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:
1216:"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"
2667:
873:
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.
655:, 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'.
636:
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
3289:
823:
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"
2140:
740:. 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".
2367:
2055:
3294:
442:. 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.
629:
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
1653:
728:
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.
3284:
2220:
125:, 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
193:
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
3324:
3314:
575:
In addition to these LSPs the programme appointed National Application Service Providers (NASPs) who were responsible for services that were common to all users,
458:, which uses data from patient records to provide anonymised and pseudonymised business reports and statistics for research, planning and public health delivery.
1092:
817:
724:
Concerns over confidentiality, and the security of medical data uploaded to the Spine have also led to opposition from civil liberties campaigners such as
3319:
3304:
3299:
1166:
942:
660:
644:
567:
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.
538:
372:
201:
89:
1418:
2003:
1188:
149:
The refusal of the Department of Health to make "concrete, objective information about NPfIT's progress available to external observers", nor even to
2426:
107:
70:
2886:
2339:
3248:
1215:
133:, West Yorkshire. By 2009, it was still managed nationally by CfH, with responsibility for delivery shared with the chief executives of the ten
2766:
1292:
953:
389:
189:
490:
was also running a national programme for service improvement and development via the use of information technology – this project was called
39:
2975:
582:
and the national elements of the NHS Care Records Service that supported the summary patient record and ensure patient confidentiality and
113:
In August 2018, NHS launched a healthcare finance innovation initiative to identify solutions which could streamline financial operations.
2059:
3258:
1661:
948:
309:
2449:
2144:
2694:
2373:
2167:
2092:
59:
2323:
1796:
1501:
1472:
2291:
1951:
3253:
3173:
2441:
1575:
339:
Take-up slow, system reliant on outdated technology, GPs dissatisfied, target of 90% of referrals on system by March 2007 missed
1851:
3044:
557:
1266:
2029:
1903:
1597:
838:
830:
287:
1977:
1770:
1362:
1445:
3309:
2419:
613:
522:
46:. It was part of the Department of Health Informatics Directorate, with the role to maintain and develop the NHS national
1313:"Theoretical and methodological considerations in evaluating large-scale health information technology change programmes"
813:
760:
176:, and subsequent reports by IT industry analyst Ovum among others have never been published nor made available to MPs.
69:
On 31 March 2013, NHS Connecting for Health ceased to exist, and some projects and responsibilities were taken over by
2744:
892:
826:
May 2008: Enfield PCT found that 272 elective operations were cancelled at the last minute for "non-clinical reasons"
2194:
2080:
1551:
1400:
1100:
887:
743:
Surveys in 2008 suggested that two-thirds of doctors would refuse to have their own medical records on the system.
561:
320:
70% of GPs and pharmacies had 1st release of software, but only 40% of prescriptions issued with readable barcodes
134:
1074:
3197:
927:
797:
126:
43:
62:(NHS) in England towards a single, centrally-mandated electronic care record for patients and to connect 30,000
3263:
2771:
2644:
2412:
1630:
1526:
1159:
1122:
922:
902:
860:
594:
283:
205:
2343:
803:
were unable to obtain vital data on patients awaiting operations and were obliged to delay 63 patients of the
3178:
3141:
3131:
2813:
2602:
2007:
1624:"The Way Forward for NHS Health Informatics: Where should NHS Connecting for Health (NHS CFH) go from here?"
626:
154:
706:
for its plans to implement what would become the NPfIT. In 2004 the NPfIT won the "Most Appalling Project"
66:
to 300 hospitals, providing secure and audited access to these records by authorised health professionals.
671:. Accenture now retains only a small presence in the city for the delivery of its PACS responsibilities.
865:
711:
because of its plans to computerise patient records without putting in place adequate privacy safeguards
703:
173:
2755:
1576:"Another ministerial spokesperson for the NHS IT programme moves on (Tony Collins's IT Projects Blog)"
1242:"UK.gov finally pulls plug on National Programme for IT – But future unclear for Summary Care Records"
2683:
2243:
1744:
583:
491:
150:
63:
2081:
The National Programme for IT in the NHS: an update on the delivery of detailed care records systems
1929:
452:
is a summary of patient's clinical information, such as allergies and adverse reactions to medicine.
2808:
859:, responsible for procurement and delivery of a number of large scale IT programmes, including the
856:
808:
449:
228:
3057:
2384:
1715:
851:
The NHS appointed a management team, responsible for the delivery of the system: In October 2002,
2575:
2524:
912:
855:
the former Director General of IT for the NHS, took up his post before which he was a partner at
800:
647:
to the North-West/West-Midlands cluster was terminated, and they were replaced by GE Healthcare.
94:
2394:
2389:
342:
Mixed, around half of new appointments made using system, additional training and time required
121:
The programme was established in October 2002 following several Department of Health reports on
81:
Contracts for the NPfIT spine and five clusters were awarded in December 2003 and January 2004.
3077:
820:
were not isolated for up to 17 days, requiring six weeks work by staff to update them manually.
2269:
1344:
1192:
707:
699:
227:
charged them not £1bn, as the contract permitted, but just £63m. Granger's first job was with
137:. The programme represented a significant shift to national priorities over local priorities.
47:
3103:
3093:
3072:
3052:
2949:
2299:
1823:
1241:
3227:
1828:
1404:
1388:
1334:
1324:
431:
The Spine is a set of national services used by the NHS Care Record Service. These include:
3098:
3062:
2997:
2749:
528:
3126:
2793:
2672:
2617:
2327:
2168:"Daily Telegraph, 28 September 2006, 'IT providers left in the debris of NHS's 'Big Bang'"
2096:
932:
907:
852:
804:
590:
579:
331:
224:
188:
2.3 billion (bn) over three years, in June 2006 the total cost was estimated by the
2320:
2033:
1907:
1800:
792:
board minutes revealing a catalogue of errors. Difficulties with the system meant that:
172:
The initial reports into the feasibility of the scheme, known to have been conducted by
3219:
2941:
2931:
1981:
1955:
1877:
1774:
1339:
1312:
789:
737:
663:. As part of the handover process, around 300 Accenture personnel transferred under a
185:
161:
1296:
564:(SHAs). Connecting for Health retains responsibility for the contracts with the LSPs.
3278:
3232:
2926:
2911:
2901:
2699:
2630:
2554:
1396:
17:
2118:
3168:
3003:
2965:
2954:
2906:
2714:
1623:
897:
816:
found that problems with the system had meant potentially infectious patients with
465:
209:
194:
101:
1683:
1366:
759:
has been seriously affected by this process and is under investigation by the UK
667:
process to CSC, and CSC took over the leases for some of Accenture's premises in
3029:
2992:
2709:
2534:
2399:
882:
603:
1329:
2677:
2539:
2480:
2004:"Press release:NHSMail Service To Transition Onto Microsoft Exchange Platform"
439:
2141:"Doctor's support of NHS National Programme for IT declines, says new survey"
1052:
1027:
1002:
980:
2852:
2847:
2798:
2465:
764:
534:
511:
220:
2056:"E-Health Insider :: Fujitsu's £896m NHS IT contract to be terminated"
1348:
208:
issued a damning 175-page report on the programme. The Committee chairman,
784:
The first trusts in the London and Southern clusters to implement the new
3163:
3146:
3136:
3034:
2921:
2916:
2826:
2816:
2625:
2607:
2544:
2519:
2475:
2470:
1688:
1392:
917:
675:
the CSC Alliance, aligning with the technology deployed by each company.
598:
353:
3024:
2788:
2781:
2724:
2195:"Daily Telegraph, 29 September 2006, 'Accenture pulls out of NHS deal'"
1191:(Press release). Department of Health. 9 September 2011. Archived from
958:
772:
698:
2000, the NHS Executive won the "Most Heinous Government Organisation"
544:
515:
406:
317:
Implementation began in early 2005, used for 8% of daily prescriptions
2321:
E-Health Insider :: Granger to leave in transition by end of 2007
3205:
3156:
3067:
2959:
2896:
2872:
2857:
2729:
2719:
2688:
2662:
2559:
2549:
2529:
937:
785:
652:
637:
607:
2368:"A guide to the National Programme for Information Technology" (PDF)
1502:"Our Future Health Secured? A review of NHS funding and performance"
438:, which stores demographic information about each patient and their
157:. On 6 October 2006 the same signatories wrote a second open letter
1123:"DoH: The NPfIT in the NHS – twentieth report of session 2006–2007"
2862:
2831:
2821:
2739:
2734:
2704:
2504:
2404:
2381:, Delivering three major contracts to the NHS as part of the NPfIT
756:
725:
668:
487:
130:
3008:
2867:
2803:
2760:
2221:"Government agrees multimillion settlement over IT contract row"
763:
for irregular accounting. On 28 September 2006, the consultancy
216:
one of the "worst and most expensive contracting fiascos" ever.
2408:
1527:"The National Programme for IT in the NHS: Progress since 2006"
1387:
Signatories of the open letter to the Health Select Committee:
1160:"The National Programme for IT in the NHS: progress since 2006"
295:"Real progress only just beginning", no go-live date specified
2378:
423:
in late 2004, before being reverted to NHSmail in April 2006.
239:
The programme was divided into a number of key deliverables.
1419:"NHS Focus: Open Letter: Questions that need to be answered"
1093:"Patients 'won't benefit from £12bn IT project' – Telegraph"
223:
withdrew in September 2006, then Director-General for NPfIT
1878:"Second contractor drops out of £12bn NHS computer upgrade"
42:
and was formed on 1 April 2005, having replaced the former
1633:
Health Informatics Forum Strategic Panel. 15 December 2006
1552:"House of Commons – Public Accounts – Minutes of Evidence"
1403:, professor, Computing Department, Lancaster University;
58:), an initiative by the Department of Health to move the
2385:
June 2006: NHS risks £20bn white elephant, say auditors
1267:"NHS launches healthcare finance innovation initiative"
1028:"Two LSP contracts announced, South delayed until 2004"
478:
The Spine was migrated to a new system in August 2014.
1293:"NHS Connecting for Health – How we started (Archive)"
1154:
1152:
1150:
1148:
1146:
1144:
1142:
981:"Reid Announces £2.7 billion of NHS IT contracts"
1978:"National programme says NHSmail was 'unacceptable'"
1684:"NHS IT system one of 'worst fiascos ever', say MPs"
1075:"NHS Connecting for Health – Service Implementation"
834:
possible cancer as being due to the computer system.
531:(formerly BT Capital Care Alliance) – London cluster
3241:
3218:
3196:
3189:
3116:
3086:
3043:
3017:
2985:
2974:
2940:
2885:
2840:
2654:
2643:
2616:
2592:
2568:
2512:
2503:
2496:
2489:
2458:
2440:
525:(CSC) – North, Midlands & Eastern (NME) cluster
241:
1871:
1869:
1745:"Health service IT boss 'failed computer studies'"
1086:
1084:
643:In early 2006, ComMedica's contract for supply of
129:, the organisation it replaced. CfH was based in
50:. It adopted the responsibility of delivering the
1716:"Accenture escapes £1bn penalty for NHS walk-out"
1363:"Tories promise £730m to end 'sick note culture'"
1797:"Connecting for Health fails to lead on Contact"
1654:"Bill for hi-tech NHS soars to £20 billion"
1605:, National Audit Office, 16 June 2006, p. 4
514:withdrew from their 2 clusters, and in May 2008
362:On schedule, with 98% of GP practices connected
1496:
1494:
1771:"Contact lost as NHS e-mail relaunch misfires"
2420:
2030:"NHS officially told of London Cerner switch"
1570:
1568:
1189:"The future of the National Programme for IT"
8:
3290:2013 disestablishments in the United Kingdom
2390:Times Online: Patient records go on database
2292:"Fat cats of the public sector take top pay"
2290:Grimston, Jack; Kirk, Jon (8 October 2006).
2244:"Chaos as £13bn NHS computer system falters"
2223:. Health Service Journal. 12 September 2018
1952:"Granger terminates EDS's NHSmail contract"
1738:
1736:
1709:
1707:
3295:Government databases in the United Kingdom
3193:
2982:
2651:
2509:
2500:
2493:
2427:
2413:
2405:
1854:. Health Service Journal. 5 September 2015
1852:"NHS core IT system migration a 'success'"
1824:"Computer loophole hits hi-tech NHS trial"
1003:"Granger secures commitment to fund NPfIT"
943:Picture archiving and communication system
755:The programme's largest software provider
539:Picture archiving and communication system
373:Picture Archiving and Communication System
3285:2005 establishments in the United Kingdom
1338:
1328:
1047:
1045:
1022:
1020:
975:
973:
108:Health and Social Care Information Centre
71:Health and Social Care Information Centre
2395:Computer loophole hits hi-tech NHS trial
1822:Jonathan Carr-Brown (14 November 2004).
1599:The National Programme for IT in the NHS
1446:"Signatories to health committee letter"
3325:Medical databases in the United Kingdom
3249:List of biomedical cybernetics software
2370:, NHS Connecting for Health, April 2005
2193:Moulds, Josephine (29 September 2006).
2166:Moulds, Josephine (28 September 2006).
1904:"Hunt spells out local ownership moves"
969:
863:. In October 2006, he was suggested by
771:In September 2018 it was reported that
436:The Personal Demographics Service (PDS)
384:Performance management of primary care
2374:NHS Connecting for Health History Page
2270:"Top Team – NHS Connecting for Health"
2143:. PublicTechnology.net. Archived from
2006:. Cable & Wireless. Archived from
954:Quality Management and Analysis System
586:. As of October 2005, the NASPs were:
571:National Application Service Providers
390:Quality Management and Analysis System
3315:Discontinued custom software projects
1473:"Experts strike new NHS warning note"
861:Congestion Charging Scheme for London
401:Central e-mail and directory service
7:
684:Failure to deliver clinical benefits
502:Clusters and local service providers
3259:List of open-source health software
2340:"Granger era ends as DG leaves CfH"
1479:. Reed Business Information Limited
1452:. Reed Business Information Limited
1425:. Reed Business Information Limited
1091:Hope, Christopher (17 April 2007).
949:NHS Electronic Prescription Service
842:effect on call-answer performance."
814:Buckinghamshire Hospitals NHS Trust
310:NHS Electronic Prescription Service
2450:Bar code medication administration
2342:. E-Health Insider. Archived from
2032:. E-Health Insider. Archived from
1980:. E-Health Insider. Archived from
1954:. E-Health Insider. Archived from
1906:. E-Health Insider. Archived from
1799:. E-Health Insider. Archived from
1773:. E-Health Insider. Archived from
1214:SA Mathieson (22 September 2011).
788:system found it problematic, with
427:The Spine (including PDS and PSIS)
25:
3320:Electronic health record software
3305:Science and technology in England
3300:National Health Service (England)
1471:Collins, Tony (10 October 2006).
3254:List of freeware health software
2400:NHS IT upgrade success 'at risk'
2093:"The 2000 UK Big Brother Awards"
1652:Fleming, Nic (12 October 2004).
456:The Secondary Uses Service (SUS)
325:Electronic appointments booking
277:Integrated care records service
231:, which later became Accenture.
2242:Jamie Doward (10 August 2008).
2119:"Privacy foes named and shamed"
1743:Revill, Jo (12 November 2006).
1444:Collins, Tony (11 April 2006).
1417:Collins, Tony (12 April 2006).
1240:John Oates (9 September 2011).
347:Underpinning IT infrastructure
839:Royal Free Hampstead NHS Trust
831:Barts and The London NHS Trust
1:
1930:"NPfIT to go local by August"
1876:Wray, Richard (29 May 2008).
1365:. 8 June 2024. Archived from
732:Reservations of medical staff
523:Computer Sciences Corporation
446:The Summary Care Record (SCR)
52:NHS National Programme for IT
1317:BMC Health Services Research
761:Financial Services Authority
621:Changes to service providers
562:strategic health authorities
184:Originally expected to cost
135:strategic health authorities
38:) agency was part of the UK
1932:. ZDNet.co.uk. 15 June 2007
893:Citizen Information Project
556:In the first half of 2007,
3341:
1330:10.1186/s12913-020-05355-7
1053:"South awarded to Fujitsu"
888:National Identity Register
2777:NHS Connecting for Health
2326:27 September 2011 at the
1167:Public Accounts Committee
928:NHS-wide Clearing Service
367:Medical imaging software
202:Public Accounts Committee
127:NHS Information Authority
123:IT Strategies for the NHS
90:Public Accounts Committee
44:NHS Information Authority
32:NHS Connecting for Health
3264:Category:Health software
2772:NHS Care Records Service
2756:Microtest Open Evolution
2298:. London. Archived from
2121:. BBC News. 29 July 2004
1660:. London. Archived from
1631:British Computer Society
1099:. London. Archived from
923:NHS Care Records Service
903:Universal Child Database
595:NHS Care Records Service
419:*NHSmail was renamed to
284:NHS Care Records Service
3142:Psychtoolbox for MATLAB
1532:. HMSO. 14 January 2009
303:Electronic prescribing
155:Health Select Committee
60:National Health Service
747:Impact on IT providers
508:Local Service Provider
261:Original delivery date
704:Privacy International
190:National Audit Office
64:general practitioners
18:Connecting for Health
3310:Databases in England
2147:on 28 September 2007
1958:on 28 September 2007
1803:on 28 September 2007
1299:on 5 September 2007.
584:information security
541:(PACS) rollout only.
492:Informing Healthcare
354:New National Network
40:Department of Health
3000:Practice Management
2809:Summary Care Record
2684:Certify HealthLogix
2199:The Daily Telegraph
2172:The Daily Telegraph
2062:on 8 September 2012
1692:. 18 September 2013
1658:The Daily Telegraph
1097:The Daily Telegraph
857:Deloitte Consulting
693:Data security risks
610:– Choose & Book
450:Summary Care Record
229:Andersen Consulting
200:In April 2007, the
117:Structure and scope
95:primary care trusts
93:outside individual
3087:Patient engagement
2955:athenaCommunicator
2767:NextGen Healthcare
2036:on 22 October 2006
1477:ComputerWeekly.com
1450:ComputerWeekly.com
1423:ComputerWeekly.com
1271:Healthcare IT News
1055:. E-Health Insider
1030:. E-Health Insider
1005:. E-Health Insider
983:. E-Health Insider
913:Health Informatics
638:Cerner Corporation
614:Cable and Wireless
141:proposed reforms.
3272:
3271:
3214:
3213:
3112:
3111:
2881:
2880:
2639:
2638:
2588:
2587:
2584:
2583:
2346:on 6 January 2009
1578:. Computer Weekly
1507:. The King's Fund
1195:on 7 January 2013
1169:. 27 January 2009
708:Big Brother Award
700:Big Brother Award
417:
416:
197:of 440% to 770%.
48:IT infrastructure
27:Former NHS agency
16:(Redirected from
3332:
3228:Microsoft Amalga
3194:
2983:
2652:
2510:
2501:
2494:
2429:
2422:
2415:
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2309:
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2296:The Times Online
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2137:
2131:
2130:
2128:
2126:
2115:
2109:
2108:
2106:
2104:
2095:. Archived from
2089:
2083:
2078:
2072:
2071:
2069:
2067:
2058:. Archived from
2052:
2046:
2045:
2043:
2041:
2026:
2020:
2019:
2017:
2015:
2010:on 29 April 2008
2000:
1994:
1993:
1991:
1989:
1974:
1968:
1967:
1965:
1963:
1948:
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1837:
1829:The Sunday Times
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1408:
1405:Harold Thimbleby
1385:
1379:
1378:
1376:
1374:
1359:
1353:
1352:
1342:
1332:
1307:
1301:
1300:
1295:. Archived from
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1283:
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1103:on 19 April 2007
1088:
1079:
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999:
993:
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977:
866:The Sunday Times
529:BT Health London
256:Name of software
242:
206:House of Commons
160:A report by the
21:
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3334:
3333:
3331:
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3329:
3275:
3274:
3273:
3268:
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3185:
3174:Clinical trials
3108:
3082:
3039:
3013:
2977:
2970:
2942:Patient portals
2936:
2888:
2877:
2836:
2794:Practice Fusion
2673:athenaClinicals
2646:
2635:
2612:
2580:
2564:
2485:
2454:
2436:
2435:Health software
2433:
2364:
2359:
2349:
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2338:
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2333:
2328:Wayback Machine
2319:
2315:
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2100:
2099:on 12 June 2008
2091:
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2079:
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2065:
2063:
2054:
2053:
2049:
2039:
2037:
2028:
2027:
2023:
2013:
2011:
2002:
2001:
1997:
1987:
1985:
1984:on 29 July 2012
1976:
1975:
1971:
1961:
1959:
1950:
1949:
1945:
1935:
1933:
1928:
1927:
1923:
1913:
1911:
1910:on 29 July 2012
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1777:on 28 July 2012
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1401:Ian Sommerville
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1273:. 8 August 2018
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986:
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971:
967:
933:Choose and Book
908:Medical privacy
879:
853:Richard Granger
849:
847:Management team
837:July 2008: the
782:
749:
734:
695:
686:
681:
625:In March 2004,
623:
580:Choose and Book
573:
558:David Nicholson
554:
552:Local ownership
504:
484:
429:
332:Choose and Book
237:
225:Richard Granger
182:
147:
119:
79:
28:
23:
22:
15:
12:
11:
5:
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2962:Patient Portal
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2932:Sapio Sciences
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2647:health records
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2362:External links
2360:
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2313:
2302:on 4 June 2011
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790:hospital trust
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3233:Mirth Connect
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2986:Comprehensive
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2912:LabKey Server
2910:
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2898:
2897:Cerner CoPath
2895:
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2632:
2631:Florida Probe
2629:
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3220:Transmission
3179:Oracle Argus
3169:Folding@home
3132:Presentation
3058:Radix Health
3004:OpenHospital
2776:
2715:EpicCare EMR
2603:CommonGround
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235:Deliverables
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195:cost overrun
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102:The Guardian
100:
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3123:Behavioral
3030:Open Dental
2993:ClearHealth
2907:Epic Beaker
2841:Terminology
2745:INPS Vision
2618:Odontologic
2535:Ginkgo CADx
2490:Diagnostics
1725:28 February
883:Megaproject
604:Atos Origin
486:The NHS in
359:March 2002
246:Deliverable
162:King's Fund
3279:Categories
3045:Scheduling
2978:management
2889:management
2887:Laboratory
2678:Centricity
2645:Electronic
2593:Heuristics
2540:InVesalius
2497:Bioimaging
2481:Micromedex
2227:11 October
1714:Kablenet.
1637:27 January
1609:16 October
1511:27 January
1483:1 November
1456:1 November
1429:1 November
1323:(1): 477.
1199:13 January
1173:27 January
1059:22 October
1034:22 October
1009:22 October
987:22 October
965:References
829:May 2008:
809:Chase Farm
679:Criticisms
482:Exceptions
472:in general
440:NHS number
3198:Assistive
3078:Dentaltap
3018:Specialty
2853:SNOMED CT
2848:Read code
2799:PrognoCIS
2763:WebEHR2.0
2655:Platforms
2466:Epocrates
2459:Databases
2442:Barcoding
2379:BT Health
2254:11 August
1858:3 October
765:Accenture
721:project.
616:– NHSmail
535:Accenture
512:Accenture
286:(NCRS) /
221:Accenture
3190:Surgical
3164:DreamLab
3147:PsyScope
3137:PsychoPy
3117:Research
3035:SoftDent
2976:Practice
2922:STARLIMS
2917:MEDITECH
2827:VITAband
2817:SystmOne
2710:EMIS Web
2626:Cybermed
2608:EuResist
2599:Bestbets
2545:ITK-SNAP
2520:3DSlicer
2476:Medscape
2471:Lexicomp
2324:Archived
2250:. London
2201:. London
2174:. London
1884:. London
1832:. London
1751:. London
1689:BBC News
1393:Ray Ison
1349:32460830
1277:9 August
918:N3 (NHS)
877:See also
174:McKinsey
97:(PCTs).
3242:Related
3153:Cancer
3104:Vezeeta
3094:AbbaDox
3073:Vezeeta
3053:AbbaDox
3025:Dentrix
2966:MyChart
2950:AbbaDox
2927:webLIMS
2789:OpenMRS
2782:OpenEMR
2725:GaiaEHR
2661:Apache
2576:Orthanc
2569:Servers
2525:Drishti
2513:General
1340:7254705
959:NHSmail
798:Enfield
773:Fujitsu
631:Contact
545:Fujitsu
516:Fujitsu
421:Contact
407:NHSmail
392:(QMAS)
375:(PACS)
288:Lorenzo
204:of the
145:Reviews
77:History
3206:HipNav
3157:Caisis
3068:Zocdoc
2960:Cerner
2873:RxNorm
2858:MEDCIN
2730:GNUmed
2720:EviMed
2695:COSTAR
2689:Cerner
2663:cTAKES
2560:Voreen
2550:OsiriX
2530:GIMIAS
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2306:31 May
2275:31 May
2205:20 May
2178:20 May
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2125:31 May
2103:31 May
2066:31 May
2040:31 May
2014:31 May
1988:31 May
1962:31 May
1936:31 May
1914:31 May
1888:29 May
1836:20 May
1807:31 May
1781:31 May
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1668:31 May
1629:. The
1582:29 May
1557:29 May
1373:9 June
1347:
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1131:31 May
1107:29 May
945:(PACS)
938:OPCS-4
805:Barnet
796:2007:
786:Cerner
653:Cerner
608:Cerner
448:. The
3099:Kareo
3063:Kareo
2998:Kareo
2863:LOINC
2832:ZEPRS
2822:VistA
2750:Kareo
2740:HOSxP
2735:GPASS
2705:EMIAS
2700:Datix
2668:AHLTA
2505:DICOM
1627:(PDF)
1603:(pdf)
1530:(PDF)
1505:(pdf)
1163:(PDF)
1126:(PDF)
757:iSOFT
726:NO2ID
702:from
669:Leeds
488:Wales
356:(N3)
350:2002
336:2005
328:2002
314:2007
306:2002
292:2004
280:2002
251:Since
180:Costs
131:Leeds
56:NPfIT
3127:PEBL
3009:RXNT
2902:ELab
2868:UCUM
2804:RXNT
2761:MTBC
2352:2008
2308:2008
2277:2008
2256:2008
2229:2018
2207:2010
2180:2010
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2127:2008
2105:2008
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2042:2008
2016:2008
1990:2008
1964:2008
1938:2008
1916:2008
1890:2008
1860:2014
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1783:2008
1757:2008
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1639:2009
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1559:2008
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1431:2006
1375:2024
1345:PMID
1279:2018
1253:2011
1227:2011
1201:2014
1175:2009
1133:2008
1109:2008
1061:2013
1036:2013
1011:2013
989:2013
818:MRSA
807:and
665:TUPE
661:PACS
645:PACS
606:and
597:and
577:e.g.
30:The
2814:TPP
2752:EHR
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