tag:blogger.com,1999:blog-5467119.post6525104254011544257..comments2023-10-24T10:09:22.146+01:00Comments on The Yorkshire Ranter: shooting bits off the zombiesAlexhttp://www.blogger.com/profile/17153530634675543954noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-5467119.post-28672872395441337942009-04-20T14:21:00.000+01:002009-04-20T14:21:00.000+01:00"Yet the programme was set up so that the NHS..."Yet the programme was set up so that the NHS IT community, to say nothing of the NHS clinicians, and even less of the patients, had absolutely no input to it."<br /><br />Whilst there are many problems with the NPfIT, actually what you describe here is not really one of them. A great many clinicians & patients have been consulted for many aspects of NPfIT. However, there are an estimate 3/4 million clinicians in the NHS and around 70 million potential patients! So it is rather easy to find someone that hasn't been consulted & hard to find someone who has.<br /><br />Furthermore, with so many people and so many organisations involved (several hundred hospitals, 10k GP & 10k dentist surgeries, pharmacies, etc.) - there is no "one size fits all".<br /><br />The vast number of organisations and people that need to be consulted to design and deliver a monolithic application like Lorenzo Regional Care for example makes it infeasible to deliver it in any kind of a timescale that is useful. Before the consultancy & design periods are over the NHS has moved on - this happens in all modern organisations not just the NHS. It is why large scale IT implementations fail so often, have a look at the track record of SAP implementations for example.<br /><br />So there are plenty of problems with the NPfIT programme (and plenty of successes too actually) that you could highlight but this particular statement isn't quite on the ball.<br /><br />Please bear in mind that NPfIT is a large programme of work and isn't just about the more controversial bits of it - some parts like Choose and Book, Patient Demographics and the authorisation and authentication parts have been working very well for some years now.<br /><br />As I've said though, there is plenty more to pick at!<br /><br />-- <br />Regards,<br />Julian Knight, http://it.knightnet.org.ukJulianhttps://www.blogger.com/profile/16293799532055615971noreply@blogger.com