Download or read book The NHS IT Project written by Sean Brennan and published by CRC Press. This book was released on 2022-01-26 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emphasis on primary care in health service development requires both academics and professionals involved in research to apply the highest standards in qualitative and quantitative methodology. This book provides accurate and up to date information in an easy to follow and clear way. Guidance is given on appropriate methods specialist advice and where to find it. All chapters include exercises to relate the reader's own experiences and review understanding. Primary Care Research series is aimed at developing the knowledge expertise and skills of all practitioners in primary care. Each book is based on contributions from experts in their field and is supported by practical facts personal insight support and advice. They enable all primary care practitioners to realise the potential of exploring information used in everyday working practice.
Download or read book The national programme for IT in the NHS written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2011-05-18 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rate at which electronic care records systems are being put in place across the NHS under the National Programme for IT is falling far below expectations and the core aim that every patient should have an electronic care record under the Programme will not now be achieved. Even where systems have been delivered, they are not yet able to do everything that the Department intended, especially in acute trusts. Moreover, the number of systems to be delivered through the Programme has been significantly reduced, without a commensurate reduction in the cost. This report concludes that the £2.7 billion spent so far on care records systems does not represent value for money. And the NAO has no grounds for confidence that the remaining planned spending of £4.3 billion on care records systems will be any different. The systems the Department contracted its suppliers, BT and CSC, to deliver by 2010 are now not all expected to be in place until 2015-16. Progress in delivering care records systems varies dramatically between regions. And where care records systems are in place, they are not yet delivering what the Department had expected. In acute trusts, the systems are mainly providing administrative benefits, rather than the expected clinical ones, such as prescribing and administering drugs in hospitals. The Department has now moved away from its intention to replace systems wholesale, instead, building on and using trusts' existing systems. To do this will cost at least £220 million to get the systems to work together.
Download or read book The National Programme for IT in the NHS written by House of Commons Public Accounts Commi and published by The Stationery Office. This book was released on 2009 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Programme for IT is dependent on the deployment of systems in an increasingly devolved NHS. This report examines the progress being made in delivering the Programme, including the termination of Fujitsu's contract as the Local Service Provider for the South. Some systems are being deployed across the NHS. The Care Records Service, however, is at least four years behind schedule, with the Department's latest forecasts putting completion at 2014-15. At 31 August 2008, new care records systems had been deployed in 133 of the 380 Trusts. Trusts in the North, Midlands and East have been receiving an interim system and will have to go through a further deployment in due course to implement Lorenzo, the care records software for the North, Midlands and East, which has suffered major delays. By the end of 2008, Lorenzo had not been deployed throughout any Acute Trust and in only one Primary Care Trust. Fujitsu's contract covering the South of England was terminated in May 2008. Negotiations to reset the contract had failed because the two sides were unable to agree on the price and commercial terms. The future arrangements for the South remain under discussion, but Trusts which have not yet implemented a new care records system will be allowed to choose between those offered by the two remaining Local Service Providers, BT and CSC. The estimated cost of the Programme is £12.7 billion, including £3.6 billion of local costs, although this figure remains uncertain. Keeping patient data secure is crucial to the reputation and success of the Programme, and the Department is confident that the mechanisms it is putting in place will provide a high level of security.
Download or read book The national programme for IT in the NHS written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2011-08-03 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Programme for IT in the NHS is an ambitious £11.4 billion programme of investment. This report is concerned with a central part of the Programme, where the aim was to create a fully integrated electronic care records system, which is expected to cost around £7 billion in total The Department has failed to demonstrate the benefits achieved for the £2.7 billion spent to date on care records systems and has accepted it is unable to deliver its original vision. It is now relying on individual NHS trusts to develop systems compatible with those in the Programme. Furthermore the Department could not explain how potential inconsistencies would be dealt with or what it will cost local NHS organisations to connect up. The Department has not got the best out of its suppliers, despite having paid them some £1.8 billion so far. One supplier, CSC, has yet to deliver the bulk of the systems it is contracted to supply and has instead implemented a large number of interim systems as a stopgap. The Department has been in negotiations with CSC for over a year, but conceded that it may be more expensive to terminate the contract than to complete it. The Department has also revised its contract with BT reducing the number of systems and increasing the price for each system delivered. This has resulted in BT being paid £9 million to implement systems at each NHS site, even though the same systems have been purchased for under £2 million by NHS organisations outside the Programme. The Committee is further concerned about the problems in getting timely and reliable information from the Department. Information provided has frequently been late, has contained inconsistencies and has contradicted other evidence.
Download or read book House of Commons Committee of Public Accounts The Dismantled National Prorgamme For IT In The NHS HC 294 written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2013-09-18 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although officially 'dismantled', the National Programme for IT in the NHS continues in the form of separate component programmes which are still racking up big costs. The original contracts with CSC totalled £3.1 billion for the setting up of the Lorenzo care records system in trusts in the North, Midlands and East. Despite the contractor's weak performance, the Department of Health is itself in a weak position in its attempts to renegotiate the contracts. It couldn't meet the contractual obligation to make enough trusts available to take the system. We still don't know what the full cost of the National Programme will be. The Department's latest estimate of £9.8 billion leaves out the future costs of Lorenzo or the potential large future costs arising from the Department's termination of Fujitsu's contract for care records systems in the South of England. Parliament needs to be kept informed not only of what additional costs are being incurred, but also of exactly what has been delivered so far. The Department estimates £3.7 billion of benefits to March 2012, just half of the costs incurred. There is still a long way to go before government departments can honestly say that they have learned and properly applied the lessons from previous contracting. Given the Department's track record with the National Programme, it is very hard to believe that the paperless NHS towards which the Department is working has much chance of being achieved by the target date of 2018
Download or read book Simple Architectures for Complex Enterprises written by Roger Sessions and published by Microsoft Press. This book was released on 2008-05-07 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dismantle the overwhelming complexity in your IT projects with strategies and real-world examples from a leading expert on enterprise architecture. This guide describes best practices for creating an efficient IT organization that consistently delivers on time, on budget, and in line with business needs. IT systems have become too complex—and too expensive. Complexity can create delays, cost overruns, and outcomes that do not meet business requirements. The resulting losses can impact your entire company. This guide demonstrates that, contrary to popular belief, complex problems demand simple solutions. The author believes that 50 percent of the complexity of a typical IT project can and should be eliminated—and he shows you how to do it. You’ll learn a model for understanding complexity, the three tenets of complexity control, and how to apply specific techniques such as checking architectures for validity. Find out how the author’s methodology could have saved a real-world IT project that went off track, and ways to implement his solutions in a variety of situations.
Download or read book The National Programme for IT in the NHS written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2006-06-16 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Programme for Information Technology in the NHS (the Programme) is a ten year programme to use information technology (IT) to reform the way the NHS in England uses information, and hence to improve services and the quality of patient care. The core of the Programme will be the NHS Care Records Service, but other elements include x-rays accessible by computer, electronic transmission of prescriptions, and booking of first outpatient appointments. The Programme was launched in 2002, and is now run by an agency, NHS Connecting for Health. This report examines: the progress made in delivering the systems against the original plans and costs (part 1); steps taken by the Department of Health, the agency and the NHS to deliver the Programme (part 2); how the IT systems have been procured (part 3); how the NHS is preparing to use the systems (part 4). The NAO estimates the gross cost of the Programme will be £12.4 billion to 2013-14. Although the pilot NHS Care Records Service will not be in place until late 2006, almost two years late, and other milestones have been deferred, the NAO reports substantial progress with the Programme. Management systems are in place, contracts were placed quickly and achieved large reductions in prices from bidders, and contract terms include important safeguards to secure value for money. Deployments of operational systems have begun, and several additional tasks have been delivered that were outside the original brief. Three key areas are identified which present significant challenges to the successful implementation of the Programme: ensuring IT suppliers continue to deliver systems that meet the needs of the NHS, to agreed timescales without further slippage; ensuring NHS organizations play a full part in implementing the systems; winning the support of NHS staff and the public in making the best use of the systems to improve services. The NAO report makes a number of recommendations for future management of the Programme.
Download or read book Equity and excellence written by Great Britain: Department of Health and published by The Stationery Office. This book was released on 2010-07-12 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty
Download or read book The New Politics of the NHS written by Rudolf Klein and published by Radcliffe Publishing. This book was released on 2006 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'The New Politics of the NHS' is not a history of the NHS. It concentrates on those issues that seem best to illuminate the analytic themes and to provide the most insight into political processes.
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book Breast Disease Management written by James Harvey and published by OUP Oxford. This book was released on 2013-10-31 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer affects 1 in 10 women and the majority of UK women will attend a breast clinic at least once during their lives. The patient's journey through assessment and management is one that involves a huge range of healthcare professionals, in which the truly multidisciplinary management style required has previously been only sparsely addressed. This book provides a practical guide on how to investigate and manage common breast problems for all members of the breast disease team, whether surgeons, nurses, pathologists or support workers. Its focus is on providing easy access to the most up-to-date evidence, allowing healthcare workers to make the best decisions possible and encouraging a team approach to patient support. 26 chapters cover the whole of the patient journey from assessment through to surgery and adjuvant treatments, giving a practical overview of the whole process of care. The coverage guides the reader from clinical examination and investigation of the breast patient to pre-operative workup and post-operative complication guidance. To enable swift and effective decision-making, clear management plans are provided for common breast problems. The book also includes the latest evidence, guidance and references on breast disease, together with discussions on current controversies in the field including the management of margins, management of the axilla and the evidence surrounding the NHS Breast Screening Programme. To give practical advice on the realities of being part of a breast care team, the book also has several chapters devoted to leadership and management including MDT requirements, audit and research, avoiding complaints and the organisation of a breast unit. Enabling every healthcare professional to respond to patients' needs accurately and knowledgeably, Breast Disease Management is a practical guide for the whole team in providing truly patient-centred, effective care.
Download or read book Organization and Financing of Public Health Services in Europe written by Who Regional Office for Europe and published by World Health Organization. This book was released on 2018-06-29 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).
Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-03-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Download or read book The National Health Service written by Charles Webster and published by Oxford University Press, USA. This book was released on 2002 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: The foundation of the National Health Service on 5 July 1948 was a momentous development in the history of the United Kingdom. Issues of health care touch the lives of everyone, and the NHS has come to be regarded as the cornerstone of the welfare state and as a model for state-organisedhealth care systems elsewhere. Yet throughout its history, the Service has existed in an atmosphere of crisis. Charles Webster's political history is an entirely new and original examination of the NHS from its inception through to its management under the first term of the current Labourgovernment, providing the necessary framewrork for assessing its future as we enter the new millennium.
Download or read book The National Programme for IT in the NHS written by Great Britain. National Audit Office and published by Stationery Office Books (TSO). This book was released on 2008 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second report by the National Audit Office on the Programme: the first (HC 1173, session 2005-06, ISBN 9780102938289) was followed by the Committee of Public Accounts report (HC 390 session 2006-07, ISBN 9780215033628) and Government response (in Cm. 7152, ISBN 9780101715225). This further study reviews the response to the Committee's conclusions and recommendations and examines more generally the progress being made in delivering the Programme. While some parts of the Programme are complete or well advanced, the original timescales for the Care Records Service - one of the key components of the Programme - have not been met. Currently it seems likely to take four years more than planned - until 2014-15 - before every NHS Trust has fully deployed the care records systems. The estimated cost of the Programme is currently £12.7 billion (at 2004-05 prices), which is broadly unchanged. It remains difficult to produce a reliable estimate of local costs. Some benefits from the Programme, including financial savings, are starting to emerge. Suppliers have largely met the targets for service availability and performance deductions have been applied where there have been service failures. The challenges to be managed for the successful delivery of the Programme are: achieving strong leadership and governance; maintaining the confidence of patients that their records will be secure; securing the support and involvement of NHS staff; managing suppliers effectively; deploying and using the systems effectively at local level. Overall, all elements of the Programme are advancing and some are complete. For the Care Records Service, the original timescales proved to be unachievable, raised unrealistic expectations and put confidence in the Programme at risk. While the Programme costs have largely held, the timetable for the Care Records Service has slipped. The original vision for the Programme nevertheless remains intact and still appears feasible.
Download or read book Patient Choice at the Point of GP Referral written by Great Britain. National Audit Office and published by Stationery Office Books (TSO). This book was released on 2005 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: The DoH has a public service agreement target to ensure that by the end of 2005 every hospital appointment in the NHS in England will be booked for the convenience of the patient, making it easier for the patients and their GPs to choose the hospital and consultant that best meets their need. This report examines whether the Department is on track to deliver choice at the point of referral successfully by the target date of December 2005. Contents: Summary 1. Choice at referral needs to work in harmony with other reforms to deliver patient-focused elective care. 2. Progress has been made towards delivering choice at referral 3. The key challenge to to the roll-out of choice at referral is clinical engagement Appendices: 1. Bibliography 2. Methodology 3. Glossary of terms.
Download or read book Commissioning Healthcare in England written by Allen, Pauline and published by Policy Press. This book was released on 2020-03-01 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timely book is the most comprehensive account yet of recent commissioning practice in the English NHS and its impact on health services and the healthcare system. Drawing on eight years of research, expert researchers in the field analyse crucial aspects of commissioning, including competition and cooperation, the development of Clinical Commissioning Groups and contractual mechanisms. They also consider the influence of recent commissioning reforms on public health infrastructure. For academics and policy makers in health services research and policy, this is a valuable collection of evidence that deepens understanding of how commissioning works.
