Content
- Confidential NHS paper on the health of the National Programme for IT (21 Dec
- Who lost our data expertise? (29 Nov
- How will IT be paid for? ask doctors (28 Nov
- MPs urge rethink of NHS records project (31 Aug
- Re-configuring the health supplier market: Changing relationships in the primary care supplier market in England (9 Mar
- NPfIT ’misconceived’: O’Brien (30 Oct
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”The National Audit Office has outlined ways in which bosses can avoid a repeat of the glitches that have plagued some recent government computer projects. Its findings come after a series of high-profile delays involving public sector IT schemes. These include the £6.2bn upgrading of NHS computer networks, as well as a new IT system for the Child Support Agency. It says public sector bosses need to show more leadership in such projects, but it also points to good examples. . .” ”The NPfIT ’top down’ approach has been criticised for appearing to ignore the complexity and diversity of local requirements and developing a ’one size fits all’ solution. Whilst the NPfIT goals of information sharing and interoperability across the NHS are laudable, its centralised planning approach has resulted in a shift of the locus of control to management consultants, rather than users or suppliers.” Create and implement short-term tactical plans to meet SLAs, through the efficient use of human resources, technology and maximization of workforce.Work closely with the account service delivery HR lead on people programs and initiatives which are cross-services, and other HR professionals on site.Work very closely with our world class wellbeing team to ensure implementation/program execution. Provide feedback and input for improvement of all programs, processes and policies. ADB supports projects in developing member countries that create economic and development impact, delivered through both public and private sector operations, advisory services, and knowledge support. Admittedly, the company’s flagship ClearPath mainframe platform is still a significant factor in its business. But Unisys has done a nice job of porting ClearPath to modern server technologies such as Java.
Confidential NHS paper on the health of the National Programme for IT (21 Dec
Contracts are held centrally, and suppliers are accountable to the Secretary of State. The new Minister should first suspend all new work under the contracts, and then announce a termination date for all contracts that are not for genuine national purposes, such as N3 and Choose & Book. Trusts that wish to continue to use LSP services can contract for them locally and ensure that they provide value for money. ”An executive who has IT responsibilities for several large hospitals has phoned to enthuse over the Private Eye special report on the National Programme for IT . He described it as very well informed. Not everyone connected with the NPfIT who reads the report will be quite so enthusiastic. Whatever your reaction to the report there is one thing in particular that should be mentioned. In the Spring of 2002 when the NPfIT was announced by ministers either they or their officials deceived Parliament, taxpayers, and the NHS. This deception has never been explained by the Department of Health. Its lack of interest in the matter could give the impression that such deceptions are the norm. This deception was significant because it involved a document that launched the world’s largest civilian IT programme, and it also triggered a public consultation over the scheme. There were two versions of the document. Both were called Delivering 21st Century IT Support for the NHS. The published document had an risk-assessment appendix missing. It wasn’t simply removed. It was carefully cut out. The remaining appendices were then renumbered and the text of the main document which referenced the excised appendix was altered. . .” Abstract The changing field of Information and Communication Technology has resulted in the development of different applications that are based on heterogeneous platforms, standards and architectures.
Nol Group Signs Outsourcing Agreement With Accenture will manage and operate a number of financial operations for Resort Condominiums International, LLC Europe, a leading timeshare service provider, under the terms of a seven-year Business Process Outsourcing agreement announced by the two companies. La Rinascente and Accenture today announced that the two companies will provide finance, account processing and technology services to all divisions of Gruppo Rinascente through a company that will include the employees, operations and infrastructure of the retail group’s existing service center operations. Exel, the global leader in supply chain management , has awarded Accenture a five-year outsourcing contract to manage and operate its pan-European financial shared services centre.
Who lost our data expertise? (29 Nov
Delivery of an application or a usable sub-set should, ideally, be within six months – otherwise the users loose interest. Maintaining the interest and enthusiasm of users is vital for a successful implementation. The rate of implementation roll-out is more dependent on the health authority’s willingness and capability than to any capital budget constraints. Consistently called for the power to be given to local providers to choose the IT most suitable for them – an interoperability rather than uniformity paradigm. There are risks to physical security and privacy of content from the NPfIT approach. ”The IT changes being proposed are individually technically feasible but they have not been integrated, so as to provide comprehensive solutions, anywhere else in the world.” All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.
”. . . although new ICT systems have been procured for the NHS, in order for the anticipated benefits to be delivered there will have to be significant changes to the way the NHS works in order to take full advantage of the greater availability of information. There are two potential barriers to the successful completion of this change management process. First, control over NHS ICT might have moved from being too devolved to too centralised. This could potentially make systems insufficiently flexible to take account of useful variations in local working practices and might also lead to trailblazing NHS organisations being held back. Second there may simply be insufficient capacity within the NHS to cope with the magnitude of change that will be required. Managers, health professionals and specialist health informaticians are all extremely busy and may not have the time to make sure that the change is a success. Inadequate funding, insufficient skilled staff and the competition of other priorities may mean that although ICT systems have been procured, the benefits delivered will not be as great as they might have been.” ”. . . Nowhere is this Stalinist mentality clearer than in the looming disaster of the world’s most expensive non-military IT project, to put every NHS patient onto a national database. The costs are out of control, the medical profession hates it, and it will make everyone’s medical records available to any half-competent hacker. . .” ”The Government has admitted that Connecting for Health, the Department of Health agency in charge of its disastrous NHS IT programme, could be scrapped. The admission comes amid growing alarm in the Government at the spiralling cost of the programme which is likely to end up at £20 billion ’ £7.6 billion more than its original budget. . . Connecting for Health is under increasing pressure. John Yard, a respected former head of IT at the Inland Revenue, has been parachuted in by the Office of Government Commerce, a unit of the Treasury, as an adviser. It is understood that in recent weeks senior policy advisers at 10 Downing Street have suggested that IT contractors should bypass Connecting for Health and deal directly with the hospital trusts. Sources close to the programme said ministers were desperate to get a grip on the programme. . .” Abstract.” SMS for Life”, the result of a public-private partnership involving the Roll Back Malaria Partnership, Novartis, Vodafone, IBM and the Tanzanian Ministry of Health and Social Welfare, used mobile and electronic mapping technology to track and manage the delivery and stock levels of antimalarial drugs to health facilities in rural locations in Tanzania.
How will IT be paid for? ask doctors (28 Nov
”A conservative MP has called for the £12.5bn National Programme for IT to be scrapped after he saw a leaked report that said the NHS was better off without the computer system. On Sunday, The Observer reported the contents of a leaked report by David Kwo, who had been in charge of implementing the scheme in London. Kwo, it said, had written that ”the NHS would most likely have been better off without the national programme”. Richard Bacon, MP for South Norfolk, who received the leaked report, called for the NPfIT to be scrapped. ”The billions of pounds already spent could have been used to run 10 district general hospitals for a year,” he told the Observer. ”Now it is clear that patient safety and public health could be at risk. It is time to halt this programme before things get worse.” Kwo’s report described how hospitals were being ”forced” to implement old software, just so it looked like NPfIT was delivering something. The Observer reported that just 12 of 176 major English hospitals had implemented the most basic version of software produced by NPfIT. GPs were implementing their own systems, according to Kwo. He said while NPfIT was meant to join all the NHS’s disparate systems together, they were instead ”fragmenting further”. The National Care Record, the keystone of a conjoined NHS IT system, is also running about two years late, having originally been expected this year. It is being reconsidered, but some means of sharing patient information around the country would have been required whether NPfIT was implemented or not. Connecting for Health, the government body running NPfIT, said in a statement its systems would ”ultimately” improve patient care by giving NHS organisations around the country access to all patient information. ”Currently, with most existing systems, information stays on the computer where it was originated and can’t be accessed by other doctors and nurses to treat patients,” it said. It also said GPs were pleased with the systems they were getting under NPfIT and it knew of none who had chosen to implement their own.”
A Liberal Democrat policy blueprint on the NHS has proposed severe cuts to the National Programme for IT . The policy document, published by the party’s shadow health spokesman Norman Lamb, has proposed scrapping the Care Records Service , reducing the scope of the troubled Choose and Book scheme and shutting down Connecting for Health – the organisation overseeing the NPfIT’s implementation. Its proposals in general all point towards removing central control over IT systems. More specifically, the document called for CRS’s abandonment as it is four years late, has encountered enormous technical challenges and has raised serious concerns over the confidentiality of patient records. ”Most fundamentally, the clinical and business case has still not been satisfactorily made for establishing a national database,” the document said. Turning its attention to the Choose and Book service, the document said it should be scaled back after the government’s late changes caused serious technical difficulties.
MPs urge rethink of NHS records project (31 Aug
Before that, as CEO of the leading IT reseller Compucom, he oversaw that company’s transformation from a product pusher to a services provider and then sold the company to a private equity firm. (As management consultants in the high tech industry, the writers of this article became familiar with Compucom’s operations and its successful transformation). The National Aeronautics and Space Agency has completed a major agency-wide financial system upgrade with the help of Accenture that is designed to improve the way the agency manages its projects, achieve cost savings through more efficient financial management processes, and enhance its ability to adhere to federal cost accounting standards. Telecom Italia Group and Accenture today announced a seven-year, $200 million business process outsourcing agreement under which Accenture will provide outsourced payroll processing and administration services to Telecom Italia.
As value investors, we look at stocks as ownership stakes in real businesses, not merely as symbols with fluctuating ticker prices. Before founding KMF Investments in 2008, we were executives in the Strategy practice of Accenture for many years. As strategic and operational advisers to many of the world’s top companies, we helped clients create value for shareholders by developing innovative new products and services, improving sales and marketing, streamlining supply chain operations, and executing mergers and acquisitions. We apply our deep business and financial knowledge towards finding compelling investment opportunities. As governments in Europe undertake austerity measures and the US federal government stand-off points the country toward a ”fiscal cliff, there will no doubt be some turmoil. But at the end of the day, Unisys contracts are in non-discretionary areas. The company has achieved its turnaround goals in spite of winding down some big contracts such as the 2002 TSA deal which rolled off in 2010. Investor fear in this area seems overdone and should eventually subside. Accenture announced today that it has signed a contract enabling it to increase its outsourcing and information technology services capabilities in Switzerland by acquiring key assets of Systor. NOL is a global transportation and logistics company engaged in shipping and related businesses.
Re-configuring the health supplier market: Changing relationships in the primary care supplier market in England (9 Mar
The new Minister should transfer to local Trust posts at least half of all central and SHA IT management, thereby slimming down the expensive centralised bureaucracy, whose achievement record is suspect. At the HC2009 Healthcare IT conference at Harrogate last month Martin Bellamy, head of CfH, spoke of learning the lessons from the go-live of the Cerner Millennium Care Records Service at the Royal Free hospital in Hampstead.
- ”I can assure you that it is a rigorous, extensive and authoritative document that will address many of the issues we are discussing today, and propose alternative solutions to the current set up of the National Programme for IT,” he said, although declining to provide any details.
- Currently, very few Trusts have direct contracts of consequence with the Local Service Providers .
- ”They also use it in the medical admissions unit and two other places in the hospital. It’s crude in the sense that you see the lot but the evidence is it has been well received by clinical staff and patients alike.” The model is successful because it has been built from the bottom up with the consent of all involved, and NPfIT would do well to take note, said Herbert.
- Stern Stewart & Co. today announced that Accenture has become the co-publisher of the Journal of Applied Corporate Finance , Stern Stewart’s quarterly publication for corporate managers devoted to the practical application of the best current research in finance.
- Trusts and GPs should have the authority to make their own choice of IT systems and suppliers as long as they meet nationally agreed standards.