Feeds

NHS chief explains NPfIT delays

Complexity and customisation demands fingered

Secure remote control for conventional and virtual desktops

The chief executive of the National Health Service has told MPs that complexity and customisation have been the main causes in delaying England's National Programme for IT.

David Nicholson was speaking to Parliament's Public Accounts Committee at its hearings on the programme on 16 June 2008.

Committee chair Edward Leigh MP highlighted the delays in key elements of the programme, notably the delivery of patient administration systems to hospitals and the development of the Care Record Summary, and asked why this had occurred.

In response, Nicholson said that three factors have undermined the delivery of the programme. One was a preoccupation with creating public confidence by piloting systems, subjecting them to independent evaluation and making sure the public will use them.

Another was that the programme was "incredibly ambitious technically", and that suppliers have found it difficult to deliver products that work. The third was that there has been a heavy degree of customisation to meet the demands of individual trusts.

"We are trying hard to work with organisations to see what they need," Nicholson said. "The customisation has been more extreme than we envisaged at the beginning of the programme."

When Leigh asked why the MPs should have more confidence in the new time scales, which forecast NPfIT's implementation by 2012, Nicholson responded that Connecting for Health (CfH), the agency in charge, is now more experienced and coordinated. It is working better with the two remaining local service providers, CSC and BT, and believes that work on the Lorenzo and Cerner Millenium software products is now showing results.

Leigh pointed out that hospital trusts have the right to use other systems if they wish and asked what potential liabilities the NHS faces if they do so. Nicholson said he thought the trusts would choose the NPfIT systems, and that none had made a viable long term business case for an alternative. He cited the case of Bradford Teaching Hospitals NHS Foundation Trust, which had considered alternatives but decided against them, and claimed that Newcastle Hospitals Trust has only chosen another system as an interim measure.

He also resisted a suggestion from Alan Williams MP that the software suppliers had breached their obligations and should be dropped from the programme. Nicholson argued that that there had been over 130 deployments of patient administration systems around England, although most had been in mental health and primary care trusts and only 30 in hospital trusts.

"It would be ludicrous at the moment to drop them when we are close to doing what we have been trying to do for several years," he said.

The MPs also took a close interest in the events leading up to the recent termination of Fujistu's contract as local service provider for the southern region. The company's public services managing director Peter Hutchinson said: "The project was not run the way the company originally envisaged. We worked together hard to find a way forward and felt we were close to it, but in the end we couldn't agree on a price."

He said a major problem had been that trusts had wanted a series of changes - totalling 650 for the region - in the patient administration systems before signing off on the delivery. This had amounted to a case of "contract creep" which had undermined the company's financial case for the programme.

Gordon Hextall, the NHS's interim director of IT programmes, told the committee that no decision had yet been made about a replacement for Fujitsu in the southern region. There has been speculation that BT would take over the region, largely because it is also using the Cerner Millenium system in its London cluster, but Hextall said southern trusts could also possibly choose the Lorenzo software being developed for the north, east and Midlands, which are under CSC.

This article was originally published at Kablenet.

Kablenet's GC weekly is a free email newsletter covering the latest news and analysis of public sector technology. To register click here.

The essential guide to IT transformation

More from The Register

next story
Hello, police, El Reg here. Are we a bunch of terrorists now?
Do Brits risk arrest for watching beheading video nasty? We asked the fuzz
Snowden on NSA's MonsterMind TERROR: It may trigger cyberwar
Plus: Syria's internet going down? That was a US cock-up
UK government accused of hiding TRUTH about Universal Credit fiasco
'Reset rating keeps secrets on one-dole-to-rule-them-all plan', say MPs
Caught red-handed: UK cops, PCSOs, specials behaving badly… on social media
No Mr Fuzz, don't ask a crime victim to be your pal on Facebook
e-Borders fiasco: Brits stung for £224m after US IT giant sues UK govt
Defeat to Raytheon branded 'catastrophic result'
Yes, but what are your plans if a DRAGON attacks?
Local UK gov outs most ridiculous FoI requests...
Felony charges? Harsh! Alleged Anon hackers plead guilty to misdemeanours
US judge questions harsh sentence sought by prosecutors
This'll end well: US govt says car-to-car jibber-jabber will SAVE lives
Department of Transportation starts cogs turning for another wireless comms standard
Munich considers dumping Linux for ... GULP ... Windows!
Give a penguinista a hug, the Outlook's not good for open source's poster child
UK fuzz want PINCODES on ALL mobile phones
Met Police calls for mandatory passwords on all new mobes
prev story

Whitepapers

Implementing global e-invoicing with guaranteed legal certainty
Explaining the role local tax compliance plays in successful supply chain management and e-business and how leading global brands are addressing this.
Top 10 endpoint backup mistakes
Avoid the ten endpoint backup mistakes to ensure that your critical corporate data is protected and end user productivity is improved.
Top 8 considerations to enable and simplify mobility
In this whitepaper learn how to successfully add mobile capabilities simply and cost effectively.
Rethinking backup and recovery in the modern data center
Combining intelligence, operational analytics, and automation to enable efficient, data-driven IT organizations using the HP ABR approach.
Reg Reader Research: SaaS based Email and Office Productivity Tools
Read this Reg reader report which provides advice and guidance for SMBs towards the use of SaaS based email and Office productivity tools.