Election 2015: what do party pledges mean for NHS staff?

The NHS is centre stage in the parties’ manifestos; there are subtle yet significant differences between their commitments

Having read the general election manifestos so you don’t have to, I have written the following piece for Guardian Healthcare Professionals Network. There is an area of significant difference between the parties on the NHS, and – perhaps not a massive surprise – it’s the role of the private sector.

If you do want to read the general election manifestos, which I find is often the best way to get an overview of what each party wants to do, you can do so through the following links, to PDF copies in each case: Conservatives, Labour, Liberal Democrats, Scottish National Party, UK Independence Party, Green Party, Plaid Cymru and National Health Action Party.
Continue reading “Election 2015: what do party pledges mean for NHS staff?”

NHS 111 & decision-support software for ComputerWeekly.com

My latest piece for ComputerWeekly.com looks at the use and limits of decision-support software in healthcare. It certainly has a role; the question is how much it can do, and how much needs to be dealt with by medical professionals.

NHS Direct‘s replacement NHS 111 has, at least initially, made heavier use of software, but is now making greater use of medical professionals. But any software-driven service is likely to be overly cautious, according to my interviewees. “It wasn’t known as NHS Redirect by the ambulance service for nothing,” says Janette Turner of the University of Sheffield.

Continue reading “NHS 111 & decision-support software for ComputerWeekly.com”

Article on NHS IT and The blunders of our governments

ComputerWeekly.com 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 ComputerWeekly.com 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 “Article on NHS IT and The blunders of our governments”

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

Cambridge University Hospitals’ Epic £200m IT project

ComputerWeekly.com has published an article by me on Cambridge University Hospitals NHS Foundation Trust’s £200m installation of software from Epic and hardware and networking kit from HP. I reckon I’m safe describing it as one of the biggest IT projects ever undertaken by a single NHS trust.

A huge amount of work went into deciding how much to alter processes and how much to alter software. As chief clinical information officer Dr Afzal Chaudhry told me: “It wasn’t a question of fitting our hospital to the system, but fitting the system and the workflows to care for our patients.” Continue reading “Cambridge University Hospitals’ Epic £200m IT project”