1

Can this really be a question?

04 Aug 09 15:29

How in mid-2009 can this even be a question?  The LSPs and partners Cerner and iSoft have failed to deliver the next-gen systems the NHS awarded contracts for.  They must be part of the answer but not all of it.  Primary care shows what can be achieved with choice and accredited systems.

Who else thinks so?  Well the US health IT rests on the idea of supplier-led certification and accreditation  http://www.cchit.org/.

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1

Can the NHS survive the cuts

24 Jul 09 13:36

I think the more pertinent question is whether the NHS will survive in anything like its current form from the coming squeeze.  There is a lot of noise at the moment about co-payments and rationing treatments. 

While we have a duty to spend public money well, more people need to make the case that health expenditure is good for the economy, creating good jobs and is the mainstay of huge swathes of the UK economy. Cut at your peril!

1

Sad but true?

njames@gotadsl.co.uk

09 Jul 09 20:23

These look almost like low cost virtually open source solutions so will never do. No we should, need to, must, absolutely must have throw multi millions at creating an equally flawed monolithic national solution.

I'm sure that the eventual home grown solution will follow our national trend, we are without doubt brilliant at dreaming up new ideas but seem to be equally, if not more adept, at failing to make the most of them.

Sad but true :(

 

1

Positive or negative difference?

davespod@yahoo.co.uk

03 Jul 09 08:33

As ever, the result may not tell us much about what people really think. I've voted yes, but I think the difference will be negative. It will simply make it more difficult to revise the target if it becomes obselete due to innovation in healthcare practice or technology; and its legally binding nature will ensure resources are devoted to meeting the target, rather than rolling out said innovations.

1

other aspects of NPfIT might have been better chopped

18 Jun 09 23:33

Like the perpetual dumbing down of LSP delivery at expanding costs per active user.

Some aspects of the expanded Healthspace that I'd heard talked about, like email communication between doctor and patient isolated from other clinical records were rather poorly founded.

But if it is to prove useful, it is important to build on the very thin summary record available thusfar.

And at CfH inflated prices, it is at least comforting that sometimes those in control of the cash can and do say no. I just can't believe they agreed to the South Live8, which leaves most Acutes, Community and GPs out in the cold.

But I was never of the faith that the NPfIT dinosaur could fly.

 

1

get some external advice

04 Jun 09 13:21

This sounds like an interesting area - one the health service should perhaps commission some independent expertise to examine on its behalf...