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No prizes for guessing the big news story on E-Health Insider in the week that the Public Accounts Committee issued its second report on the National Programme for IT in the NHS. In the event, the committee's report was short and measured. It was left to PAC chair Edward Leigh and long-term critic Richard Bacon to express the sheer frustration that many now feel with the national programme.

The lack of progress on electronic records can be judged by the fact that although the PAC's report was based on an evidence session in June, there has been just one subsequent deployment of Lorenzo, to one ward of one hospital in Barrow-in-Furness. And the deployment of Millennium in London has gone from a projection of 15 acute trusts to none.

As EHI editor Jon Hoeksma says in this week's Insider View, the big question now is how long the programme can be allowed to remain on its "pivotal point" – and who is going to make a decision about its future one way or another? With Christine Connelly's review no nearer to publication, the answer may be trusts. Worthing and Southlands is apparently thinking of ditching an NPfIT system.

System C

PAC gives NPfIT six months to deliver CRS
The National Programme for IT in the NHS should be given six months to get effective care record systems into acute trusts, the House of Commons Public Accounts Committee has concluded.

Worthing may dump Cerner Millennium
Worthing and Southlands Hospitals NHS Trust may ditch its brand new Cerner Millennium system in favour of a 20-year old legacy patient administration system.

Call to re-tender for Fujitsu replacement
Conservative health minister Stephen O'Brien has called for a "proper" tendering process to replace Fujitsu as local service provider in the South of England.

Detailed Care Records for 3.5m patients
More than 3.5m patients in Yorkshire and the Humber now have a Detailed Care Record for primary and community care, in one of the lesser-known success stories of the National Programme for IT in the NHS.

ContactPoint goes live
The government has launched its national children's database, ContactPoint, which will provide demographic data on every child in the country plus the name and address of any professional working with them.

Barts virus attack ‘avoidable'
The Mytob worm attack on the Barts and the London NHS Trust network was "entirely avoidable", an independent review has concluded.

King's adds VitalPAC to EPR system
King's College Hospital NHS Foundation Trust has successfully integrated The Learning Clinic's vital signs recording system, VitalPAC, into its iSoft iCM-based electronic patient record.

Insider view: Jon Hoeksma
E-Health Insider's editor says the Public Accounts Committee's latest report shows it's time to take some tough decisions about NPfIT.

Business Intelligence
Daloni Carlisle looks at the tools on offer and the use that trusts are making of them.


Devon ChemoCare Consortium goes live with ChemoCare
The Devon ChemoCare Consortium has gone live with a ChemoCare chemotherapy prescribing solution from CIS Oncology Limited. The consortium initiated a procurement for an electronic prescribing system for adult and paediatric, solid tumour and haematological chemotherapy for South Devon Healthcare NHS Foundation Trust, in collaboration with the Royal Devon and Exeter NHS Foundation Trust and North Devon Healthcare NHS Trust. The procurement took five months from OJEU advert to project kick-off, with the first go-live at Torbay Hospital.

Walsall file tagging project reports success
Six months into a project to electronically tag its paper files to reduce the number being lost in transit between departments, Walsall Manor Hospital has reported considerable progress. Eighty tracking points have been installed and 75,000 files tagged as they become active. A new reporting system has been introduced, which can trigger an alert if a file spends longer than it should in a particular position or fails to be recorded. Staff can use handheld devices to search for files without calling or emailing the record library. Frank Myers, partner of MCP Systems Consultants, which masterminded the installation in partnership with suppliers 3M, said it had attracted a "glowing set of testimonials."

Diary
Towards the end of the evidence session on which this week's Public Accounts Committee report was based, MP Don Touhig complimented David Nicholson on his CBE and suggested it must have been awarded for courage. Anybody prepared to go on Radio 4's Today programme and say the NHS Care Records Service was "considerably more secure than internet banking is recklessly courageous," he said. Nicholson said he didn't think so. For a start, confidentiality was "hard wired" into people working in the NHS, he claimed. How hard wired? Next up was Professor Michael Thick, chief clinical officer of NHS Connecting for Health, who cheerily told the committee that with "manual records, it was a favourite sport in secondary care hospitals for people to look up relatives' records and members of staffs' records and we had absolutely no way of checking whether or not it had been done" - whereas electronic records came with an audit trail. Not that hard wired, then.

"In its current form, the programme is in deep trouble from which it is unlikely to recover."
MP and PAC member Richard Bacon.

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