Wednesday, 18 September 2013

Read this and weep.


Abandoned NHS IT project costs taxpayers £10bn - and there may be more to come

 

   
This catalogue of woe comes from Computing News, 18/9/13. They aren’t exactly free of bias; their readers make their living selling IT systems, but even they are ashamed by what happened.

Incidently, CSC was a principle contractor in Iraq following the last Iraq war, they are more famous for their division that provided services for extraordinary rendition as well as everything else. They’ve made some disposals since then.

My view is that this was a relatively simple system to create.

All you needed to do was have an IT committee who would lay down mandatory guidelines for every hospital and G.P’s surgery – you all have to have the same computers and systems, preferably bought centrally as much as possible to keep costs down.

You then create a system, not unlike the current one for moving paper files around – for requests for files to be sent over the internet and for files to be copied electronically and sent down the line.

That would involve delays but also give us safeguards. Essentially it would be the current system converted to an electronic version. Slow but quicker and cheaper.
After a number of years of successful operation, you then move up a stage to open up secure access to files across the NHS.

Cost? Very little extra to the current system.

Gains? A working system that grew up organically.

The alternative? Read this and weep;

     

By Peter Gothard     18 Sep 2013

A grand NHS patient record system that was intended to computerise every patient record - before being abandoned - has cost UK taxpayers £10bn so far.

 

Furthermore, hundreds of millions of pounds more in costs are expected to emerge from the rubble of the project, according to a report from a government public spending watchdog, the Public Accounts Committee (PAC).

 

Launched in 2002, the National Programme for IT (NPfIT) project was plagued from the start by constantly shifting specifications, technical hurdles and disputes with suppliers.

 

As the project fell behind schedule, the rate of technological advancement outside the project also affected progress.

 

By September 2011, ministers said the project would be cancelled, but that parts would be salvaged and used, with separate management and accountability structures.

 

The new report has examined these spin-off projects, and discovered what it calls even more "extraordinary" failures in the government's decision to renegotiate an original £3.1bn contract with IT systems provider Computer Science Corporation (CSC), which have undermined all the spin-off projects.

 

The report explains how the Department of Health initially failed to meet contractual obligations, which made the government less able to negotiate.

 

The main project based on the £3.1bn contract is the Lorenzo system, which was meant to store and manage data for 220 health trusts in the north, east and Midlands. However, 10 years down the line, says the report, "not a single trust has a fully functioning Lorenzo care records system".

 

It is suggested that the final bill for Lorenzo will cost the Department for Health another £2.2bn on top of the £10bn written off - but cover only 22 trusts instead of 220.

 

Conservative MP and member of the PAC Richard Bacon called the project and its expensive failures one of the "most protracted and worst contracting scandals in the history of the public sector... both in the scale of money involved and the scale of mistakes".

 

Robbie Hughes, CEO of practice management software firm Qinec, said: "We need proper industry engagement and open standards to allow the market to create its own solutions that last and evolve with changing needs.

 

"With the proper incentives, this won't be a challenge, but while prescriptive requirements are being issued centrally and suppliers continue to be encouraged to build bespoke to these, the bills will simply keep going up and up and the systems will be out of date as soon as they are launched."

 

Neil Harris

(a don’t stop till you drop production)
Home:  helpmesortoutthenhs.blogspot.com

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