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Fixing Nhs

Fixing Nhs

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Published by Brian Ahier

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Published by: Brian Ahier on Mar 24, 2010
Copyright:Attribution Non-commercial


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ISBN 978-1-907635-04-5
2020health83 Victoria StreetLondonSW1H 0HW
admin@2020health.orgwww.2020health.orgPublished March 2010© 2020health.org March 2010
6. National Infrastructure & Organisation 39
6.1 National Infrastructure and Services 39N3 (Contract: BT 2004-2011) 39NHSmail (Contract: Cable & Wireless 2004-2013) 39PACS 40Spine (Contract: BT 2003-2013) 40Choose and Book (CaB) (Contract: ATOS 2003-2009) 42EPS (Contract part of BT Spine) 42HealthSpace - and Personal Health Records 436.2 Future National IT Organisation & Structure 44
Fig 6.1 Required Future National IT Organisations
45NHS IT Set-up 46 A. Appendix: List of Contributors 47B. Appendix: Glossary 48C. Appendix: Relevant EC Communications on EHRsand Telemedicine 50The EHR IMPACT Study 50Telemedicine 50D. Appendix: Case Study - Transformation through Collaborationand Communication Technology 52E. Appendix: Case Study Developing an ICP-based EPRsystem in the Independent Sector 53F. Appendix: LSP Recent History & Developments 54London LSP (BT as LSP) 54North Midlands East (CSC as LSP) 54South (formerly Fujitsu as LSP) 55G. Appendix: EPR Architectural Options 56H. Appendix: Open Source as an Option 57 About 2020health 58
Contents 4 About This Publication 6 About The Authors 7
1. Executive Summary 9
1.1. Background 91.2. Key Drivers 91.3. The Programme in Overview 91.4. Local Service Providers 91.5. Under-exploited Opportunities beyond the Programme 101.6. National/Local IT Services 11
Fig1.1 Plan for Action
2. Introduction 14
2.1 Background 142.2 Governments responsibility for Health IT 142.3 This Report 15
3. Where can Healthcare IT Offer most Opportunity? 17
3.1 Electronic Health Records 17
Fig3.1 Organisational Challenges affecting the CRS
183.2 Telemedicine 193.3 Collaboration and Communication Technology 193.4 Prescribing Value Chain 203.5 Document & Record Management 213.6 Shared Services 22
4. NHS IT / NPfIT in Overview
234.1 The NHS Needs for IT 234.2 What NPfIT intended to do 244.3 The Situation now 254.4 Guiding Principles for the Future 27
5. Localised NHS IT 28
5.1 The Original LSP Model in Concept 285.2 Why have there been such Difficulties? 295.3 LSP Progress and Recent Developments 305.4 The LSP way forward 315.5 What alternatives exist to the LSP model? 32 Architecture 33Interoperability, Standards and Open Source 33DeliveringSharedCareacrossLocalHealthCommunities 35Procurement and Catalogues 36

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