Article on NHS IT and The blunders of our governments has published an article by me on the options for NHS organisations on bringing in electronic patient record (EPR) systems, such as big bang (Cambridge University Hospitals and Epic), open source, linking up through a portal and improving imaging (both PACS/RIS and scanning paper records). You can read it here, with copious links to more detailed coverage by including my piece on Cambridge University Hospitals from December.

The blunders of our governmentsHowever, the clearest lessons I have passed on come from The blunders of our governments, a detailed study of government idiocy by Anthony King and Ivor Crewe. They describe the National Programme for IT (NPfIT), which failed to provide EPRs to most of England’s trusts, as “the veritable RMS Titanic of IT disasters” and “doomed-from-the-beginning”. As they point out, it was started at a meeting “between a prime minister [Tony Blair] who knew next to nothing about computers and a clutch of computer enthusiasts”; it was “wildly overambitious”, “far from being essential” and was apparently never subjected to “a serious – or even a back-of-the-envelope – cost-benefit analysis”. Continue reading

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Last chance to get free copy of city devolution report

Public Service Intelligence has been offering new subscribers to Council News Monitor a free copy of Devo-City, our report on city devolution, which costs £10 separately. The report, which has history, analysis and a wide range of data on existing and future city regions, has been featured in the Independent on Sunday, local publications and several BBC local radio stations since it came out in December.

We’re closing the offer in the next few days, so now is particularly good time to subscribe to Council News Monitor. For £2 a month, you get an email first thing every morning with news and announcements from every UK nation and English region. There’s a taster of some of today’s stories on The Information Daily (which also today has my latest column for the site, on clearing the deficit).

If you would like to stay in touch with Public Service Intelligence but don’t want to give us any money (for the time being), you can also join what will soon be our regular mailing list below for free. Continue reading

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Charlecote Park and Compton Verney: article for Beacon

My first 2015 article for Beacon is on two mansions in Warwickshire, both just a few miles from Stratford-upon-Avon, and both open to the public after centuries as private homes.

Charlecote Park has inspired the stage set of Love’s Labour’s Lost and Love’s Labour’s Won currently playing at the Royal Shakespeare Company, and is now a National Trust property… Continue reading

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Opening up on Beacon

After a year of writing every week on Beacon, with the articles behind a subscription paywall, in 2015 I plan to publish longer articles every month. I will also open up what I write on Beacon, so everyone can see it. (This has already been the case if you have followed a tweeted link to an article.) A fuller explanation is here, on Beacon.

I have also opened access to some of my favourite articles from 2014 on Beacon, listed below. Hope you enjoy them. Continue reading

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NHS Wales interview, Cardiff’s Senedd and Devo-City on Kindle

On Wednesday, Guardian Healthcare Professionals Network published my interview with Dr Andrew Goodall, chief executive of NHS Wales. He discussed having a bit more money, pay restraint (which will continue despite the bit more money) and how to get people to understand and agree to reconfigurations of services.

He also said it is easier to make things happen in Wales:

We’re able to bring people in a room, and understand their own views on how they want to develop good services… People can talk about what they want to change in Wales, and we’re able to do something about that.

Continue reading

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