Welcome Guest | Login | Register | Why Register? |
Newsletter RSS Twitter
09 February 2010 | 16:08 GMT


HOME | NEWS | DOCUMENT LIBRARY | FEATURES | OPINION & ANALYSIS | EVENTS | RESEARCH REPORTS | CASE STUDIES | PODCASTS | VIDEO DIARIES

McKesson set for UK hospital return

Tags: Community   EPR   Government   iS   McKesson   Nicholson   NPfIT   Paragon   PAS   PAS   Strategic   US  

26 Mar 2009

McKesson logoMcKesson, the number two supplier of NHS patient administration systems, is weighing a return to the English hospital market - a sector it had been due to quit by March 2010.

E-Health Insider has learned that the company now looks set not just to extend support for customers beyond 2010 but to offer them a new strategic clinical product, anglicised using their existing NHS experience.

McKesson failed to be selected as a systems vendor for England’s National Programme for IT in the NHS during the 2003 procurement, at which point it was the number two supplier to the hospital sector.

In 2006, NHS Connecting for Health signed a deal with McKesson to extend support for the 23 NHS trusts using TotalCare and Star to 2010, the point by which NPfIT was to have been completed.

The uncertain future of these NHS trusts has long been seen as a risk, with a further extension of the contract expected.

But EHI has learned that in February, the company took soundings from its existing NHS hospital customers at a special meeting in London, at which it sought to gauge what support it would have for a re-entry into the NHS hospital sector.

Charmaine McDonald, UK MD of McKesson told E-Health Insider that the response of February’s user meeting had been encouraging.

“Our customers need to know that they have the assurance we will still be there, and I need to know whether there would be 10-20 customers who would want to continue to be supported on the legacy product.”

She added: “We also told them that given changes in the marketplace we have given some serious thought to whether there is an opportunity to offer the marketplace a new startegic clinical product. But we would only do it if we had sufficient interest from our existing customer base.”

If McKesson is to not gradually fade into the sunset in the the hospital PAS market, as originally envisaged by NPfIT, a new product will be required to replace the ageing TotalCare and Star systems.

“There will come a time you don’t want to extend the product any longer. Our customners, unfortunately, have some difficult decisions that have got to be made.”

The plan under consideration would see McKesson continue to support customers past the March 2010 deadline while working on adapting a new EPR product for the UK market.

McDonald declined to comment but EHI understands that the EPR product being considered is McKesson’s Paragon system, sold in the US as a community hospital solution.

McDonald did, however, make clear that any new product brought to the UK would have to be anglicised and available in a timley fashion “If that’s going to take four to five years, that’s not worth it.”

She said McKesson planned to take a formal decision by June on whether to re-enter the market. As well as requiring support from existing customers it would “depend on a range of other things.”

One of these things, she said, would be to ensure that such a move fitted with the government’s requirements.

An indication of the changing environment came earlier this month when NHS chief executive David Nicholson spoke of the need to find where additional expertise could be found to help deliver NHS IT modernisation.

McDonald made clear that the change in position was in part based on the changing nature of the NHS IT market and McKesson’s assessment of the opportunities that might now be available.

"We still need some pieces to fall into place. We are a very conservative company and very dependant on the NHS.”

The McKesson UK MD added that the company would not need to win a government contract to re-enter the market. “All I would need is a fairly small group of existing customers. I’d be happy with that.”

McDonald says that in the six years since McKesson has worked hard on customer satisfaction and shown its ability – albeit after a slow start - to deliver into every NHS trust through the national HR and payroll programme.

Related article

Trusts can keep McKesson PAS systems to 2010

Link

McKesson US Paragon EPR overview

Jon Hoeksma

© 2009 E-HEALTH-MEDIA LTD. ALL RIGHTS RESERVED.

Readers Comments
Add a comment
Readers Comments

1

Never Learn?

26 Mar 09 22:07

"...strategic clinical product, anglicised using their existing NHS experience...."

I stopped reading after I saw the word "Anglicised".....so - this will be another foreign product based on some very different business model to that of the UK healthcare model will it?

....the streets are strewn with examples of this kind of failure.

 

Why not just design the software from the bottom up based on the UK healthcare model?

....not rocket science - or is it?


2

Not rocket science?

davespod@yahoo.co.uk

01 Apr 09 20:18

Poster 1 commented:

> Why not just design the software from the bottom up based on > the UK healthcare model?

> ....not rocket science - or is it?

Perhaps not literally rocket science, but I hope you are not seriously suggesting this is simple, quick or easy. It would almost certainly take longer than the "four to five years" McKesson regard as unacceptable.

If McKesson are well-established in the UK, and have the second largest market share, is it not reasonable to consider the possibility they might have the genuine ability to develop an existing system to meet UK needs?

Designing a completely new system has also been tried before, and failed to deliver, on occasion! Maybe what matters is the competence of the solution designers, their understanding of the NHS, and their ability to capture requirements properly?


3

My take

02 Apr 09 08:00

The current state of healthcare software development is inadequate to supply  effective, timely, solutions to current problems. I suspect the failures arise at all levels in the process, and some may be effectively unsolvable.

Most of the initiatives discussed here are simply throwing money away.

I speak as a clincian, native code programmer, and web developer who began reading this forum a while ago with some interest and excitement. Grim.


4

UK Healthcare Experience

02 Apr 09 21:56

"..If McKesson are well-established in the UK, and have the second largest market share, is it not reasonable to consider the possibility they might have the genuine ability to develop an existing system to meet UK needs?"

Yes - I'd agree with this view - but this view assumes that McKesson have the experienced staff within the workforce to enable delivery. Sadly - as anyone who has worked for McKesson (as I have) - or as a customer of McKesson (as I am) will know that after several waves of redundancy over the years the experts have moved on - and their experience has moved on with them: If I saw McKesson investing and expanding their workforce then perhaps I might be more confident.

McKesson's customer engagement does currently seem to be somewhat worse than it used to be - particularly in the areas of software fault resolution and response times?

"No none is indispenseable" ?

 


5

My take 2

marvin_littlewood_426716@yahoo.co.uk

03 Apr 09 02:08

As an ex-clinician, software developer and university researcher, I would agree with the previous poster that the failures in health care software delivery lie at all levels of management. From personal experience - having been in the process - it appeared to me that the entire procedure was mired in ideas more appropriate to the first half of the 20th century than the 21st.

However I don't agree that the problems facing healthcare IT are effectively insoluble. My research suggests there is a very good route to a solution and further work suggests that there are methods of software development, which would result in products that meet the needs of their health care users.

The starting point of our approach is that unless an information system provides an adequate return on its investment, it serves no useful purpose to the public or to the private sector. At present, sadly for the taxpayer, there is scant evidence that any of the NPfIT projects provide a return on the sums invested. Indeed, internationally there is limited evidence of success in this regard, except perhaps, in the smallest of projects.

I speculate that the Government has been guilty of over-ambition and failure to recognise the immaturity of the industry. What makes this mistake unforgivable is the inappropriate structure it created to deliver NPfIT and its heavy-handed intervention in the health care IT industry.


6

McKesson Customer Satisfaction

mike.watling@mckesson.co.uk

07 Apr 09 11:23

 

McKesson endeavours to provide an excellent service to it’s customers as is reflective in our customer satisfaction results which average over 90% satisfaction each month.  However we do not remain complacent and continually strive to improve our service, based on customer feedback, to ensure our customers are provided with a quality service.

Search
News Features Jobs Newsletters
Most commented
Most commented
Tags
Tags
Top jobs
More
Top jobs

Featured_recruiters
Featured_recruiters