Archive for the ‘NPfIT’ Category

NPfIT systems cost up to “three times market price”

Thursday, December 15th, 2011

An MP for the Public Accounts Committee has stated that Trusts are being vastly overcharged for IT systems procured under the National Programme for IT (NPfIT), reporting instances of Trusts paying over three times the market price.

Richard Bacon MP, an expert on the programme, stated that the original intention for the NPfiT was to deliver complex but standardised systems across the NHS at an affordable price. After reviewing figures from written parliamentary answers, National Audit Office reports and the suppliers’ regulatory filings, he stated that buying from large suppliers such as BT and CSC had actually led to Trusts spending a lot more.

A number of examples were cited, including North Bristol NHS Trust who paid BT £29 million over seven years for their Cerner Millennium Patient Administration System (PAS). Bacon reported that this was “more than three times” the price paid by University Hospitals Bristol Foundation Trust, procured the system outside of the NPfIT for a reported £8.2 million.

Morecambe Bay NHS Trust also reportedly spent £6.2 million through the NPfIT to procure the iSoft Lorenzo PAS.

Bacon reports that the typical internal Trust costs of deploying of a non-NPfIT system, excluding the cost of the system itself but including training, project management and additional corporate reporting tools, “can be about £2 million”.

This announcements comes as it emerged that CSC is expecting to be paid £2 billion more for its work on the NPfIT. CSC has been heavily criticised for its performance in the project, with government committees now advising ministers not to sign any future contracts with the provider. CSC has also insisted the government is unable to legally cancel its contract at will.

BT said its prices were “independently verified” and represented “value for money”.

Bacon now states that it was time the government ensured that Trusts are fully aware of the ongoing costs of NPfIT implementations and associated services. He added that CSC should not be given a contract that commits to a specific number of systems, “so that trusts will not be put under pressure” to buy software in order to fulfil the supplier agreements.

Original Source Computer World UK

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

NPfIT stunted NHS IT

Friday, October 7th, 2011

Katie Davis, the Managing Director of NHS Informatics, has said that the defunct National Programme for IT (NPfIT) has “stunted” the growth of the NHS IT market.

In order to deliver the government’s “connect all” strategy, Davis said that success will depend on reversing this trend and encouraging growth in NHS IT. She says that creating a more vibrant market will require greater openness and transparency, with the focus being placed on value for money, clinical benefits and local choice. Furthermore, she stated the need for the NHS to be an “intelligent customer”.

Despite the fact that the reforms resulting from the controversial Health and Social Care Bill have yet to be implemented, the NHS will require dramatically different IT systems to support restructuring of working processes. It is widely believed that changes to IT are essential if the efficiency savings of £20 billion are to be made over the next four years without the NHS suffering a reduction in quality.

The government consulted on a new information strategy to support its reforms last year, but the strategy itself has never been published. Davis said it remains a work in progress, but should be published this winter.

Davies also emphasised that whilst a marketplace with a diverse range of capable companies supplying proven products still existed, it had been stunted by large scale IT failures.

Commenting on the NPfIT, Davis said that one of the largest factors attributing to it’s failure was that too much emphasis was placed on replacing existing systems rather than connecting up any existing and successful local systems. She admitted to being “surprised” that it has taken so long to begin to redirect the NPfIT to deliver the “connect all” strategy, which is focused on connecting up and building on existing systems, using standards and interoperability. This has been government policy for more than 18 months, and Davis made it clear that she intends to quicken the pace of change.

“NPfIT has never been a single programme, but about 20 different main projects and the majority of these will continue,” she asserted, stating that it was a priority for the government to resolve any unfinished NPfIT business.

Ultimately, Davis stressed that going forward the themes of NHS IT will be both “continuity” of services that the NHS has come to rely on, and “change” in the services that demand it. Across the NHS, it is estimated that there are in excess of 500 programmes that require ongoing support, and she is reviewing how this should be done in the future.

With reduced government backing, the NPfIT will become more optional for Trusts, granting them the ability to allocate their own budget into relevant areas and smaller, tailored solutions. With this in mind, Trust’s could look to implement an Electronic Patient Record (EPR) system such as Therapy Manager, which is highly focused on efficiently capturing and reporting on clinical activity within Therapies. It can also be seamlessly integrated with the majority of Trust-wide solutions and Therapies-specific applications.

Original Source eHealth Insider

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Major Errors in NPfIT Report

Wednesday, September 28th, 2011

The Cabinet Office has published its Major Projects Authority’s (MPA) review of the National Programme for IT (NPfIT) in the NHS following the announcement of it’s dissolution this week, but it has been observed that this report contains a significant number of factual errors and omissions.

The report formed the basis of the government’s decision to dismantle the NPfIT, but contains numerous errors such as misspelling the names of many Trusts and providing only a partial picture of the vendors currently supplying the NHS IT market.

With regards to suppliers of Patient Administration Systems (PAS) to the NHS, the report stated that there were few alternative suppliers to Cerner and iSoft’s existing product ranges, and that only McKesson and GE Healthcare products were ready to use within the NHS trusts. This neglected to consider that many Trusts use a PAS system from a number of other providers or in some cases have internally developed national systems such as some Welsh health boards using Myrddin PAS. It also does not allow for the possibility of individual Trust choice or provision from small and medium enterprises, a move which the Department of Health (DoH) assert they are actively trying to encourage.

The MPA document goes on to state that there are no next-generation solutions fully developed for use in the NHS, and that iSoft’s Lorenzo is the most developed. It also suggests that the NHS should continue to invest in Lorenzo, despite widespread concerns about it’s implementation and use-ability. The review does call for a statement of agreed delivery and penalties for non-delivery, and says that if this cannot be agreed this part of the programme should be axed as cost effectively as possible. Just this morning however, Birmingham Women’s NHS Foundation Trust has refused to to sign off on its deployment of Lorenzo because it is not satisfied with the level of functionality delivered.

The MPA report takes a far more positive view of Cerner Millennium, describing it as a fully mature product in London, where it is being deployed to trusts by local service provider BT.
This is also the DoH view, as expressed in a statement issued alongside the government’s announcement last week. This view is not universally acknowledged however, as it has been reported that a number of senior clinicians at several ‘mature’ Cerner sites have described the system as clunky, poorly used and requiring numerous work-arounds.

There are also a number of omissions surrounding mental health, asserting that there is only one mental health system in the market, and then attributes this to the wrong supplier. In reality, there are a number of mental health systems available from different suppliers, all of which are currently in use by mental health trusts on a wide scale.

Overall, the report has caused concern as it is the basis on which the future of the NPfIT and it’s remaining funding will be decided.

Original Source eHealth Insider

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

DoH and Intellect collaborate to stimulate NHS IT

Friday, September 23rd, 2011

The Department of Health (DoH) is to collaborate with Intellect in order to stimulate the market for NHS IT following the announcement that the National Programme for IT (NPfIT) is to be scrapped.

A press release issued by the DoH this morning says that the new partnership will explore ways to stimulate a market place that will no longer exclude small and medium sized companies from participating in significant government healthcare IT projects.

Intellect also issued a statement saying that it wanted the DoH to focus on helping the market to deliver interoperable systems and to develop a “central focus on clinical information sharing in the NHS Information Strategy.” It has published the “’We should talk – interoperability and the NHS” paper which outlines a number of recommendations for helping the NHS to share clinical information more effectively.

Paul Cooper and Martin Whittaker, the paper’s authors, said that Trusts should also work with suppliers in order to improve the Interoperability Toolkit (ITK) programme. They stated that for the benefits of ITK to be realised, the NHS will need to make it central to its promised information and technology strategies, which should encourage managers to engage with suppliers. If this occurs, ITK could become an “encouragement to succeed, not a barrier to entry.”

Katie Davis, the Managing Director for Informatics at the DoH, said that they wanted to work towards the development of a “vibrant market place”, and stop the centralised delivery of IT unless a single, clear requirement across the NHS emerges. She said that the DoH was also undertaking a full review of its informatics applications and services, and will work towards publishing a framework later in the autumn for how IT support will be provided to the modernised NHS.

Commenting on the dissolution of the NPfIT, BT said that they welcomed the move from centrally led to locally and clinically led healthcare. They added that “we have already changed our approach to respond to this and were the first supplier to do so.”

Vice president of Cerner, Matthew Swindells, also praised the decision, saying that it was always clear that the NPfIT had many challenges, and what was really required was a radical rethink of NHS IT. He asserted that successes of the NPfIT, such as Choose and Book, will be extended, whilst simultaneously increasing clinical engagement in IT and suggesting alternatives for those areas of the programme that have failed to deliver.

Swindells stressed that investment in IT was essential if the NHS was to make £20 billion efficiency savings over the next four years to bridge the gap between flat funding and rising demand, while delivering better quality for patients.

Original Source eHealth Insider

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

NHS to overhaul NPfIT

Thursday, September 22nd, 2011

Following a review of the £12.7 billion National Programme for IT (NPfIT), the government has announced that the project will be scrapped, allowing hospitals to choose their own computer systems.

Health secretary Andrew Lansley, Cabinet Office minister Francis Maude and NHS chief executive Sir David Nicholson have collectively decided it is better to discontinue the programme at this level of investment rather than to continue to spend on a project that may ultimately fail.

The NPfIT was originally set up in 2002 and aimed to link all parts of the NHS in England under one electronic record system, however this began to quickly run over allotted time and budget. The original objective was to ensure that every patient had an individual electronic care record which could be rapidly transmitted between different parts of the NHS.

Ministers worked to reconfigure the scheme last year, but after a fresh review have decided to let hospitals choose their own systems rather than relying on a nationally imposed programme. The decision comes as the review panel decided that there was no confidence that the NPfIT plans could still be delivered.

In July, the Commons Public Accounts Committee (PAC) criticised the programme for failing to deliver the promised universal system. A PAC report concluded that the provider’s ability to deliver the promised product had proved beyond their capacity. At the time, the report stated that
“implementation of alternative up-to-date IT systems has fallen significantly behind schedule and costs have escalated.”

“It was meant to be a very helpful thing for NHS staff and patients but instead has become this amazingly top-heavy, hideously expensive programme. The problem is, it didn’t deliver”, said a Department of Health source.

A government source said elements of the programme would remain but ministers would take direct control. Trusts will still be have to ability to share patient information, and the appointment service and email system will remain despite the lack of an overarching integrated care records system.

Health Secretary Andrew Lansley commented on the decision saying that the implementation of an all-encompassing top-down IT system for the local NHS was not fit for purpose and was not in line with individual Trust needs. He asserted that the government will take a new strategy, moving to an innovative new system driven by local decision-making. “This is the only way to make sure we get value for money from IT systems that better meet the needs of a modernised NHS” he said.

Health Minister Simon Burns, said that the government will now allow hospitals to use and develop the IT they already have and add to their environment either by integrating systems purchased through the existing national contracts or elsewhere. Providers of NHS care such as hospitals and GP surgeries will now be told to strike IT deals locally and regionally to get the best programmes they can afford.

Original Source BBC News

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

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