University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Lessons from the English National Programme for IT about Structure, Process and Utility.

Swindells, M and de Lusignan, S (2012) Lessons from the English National Programme for IT about Structure, Process and Utility. Stud Health Technol Inform, 174. pp. 17-22.

[img] Text
Restricted to Repository staff only
Available under License : See the attached licence file.

Download (140kB)
[img] Text (licence)
Restricted to Repository staff only

Download (33kB)


Sharing of health data though the effective deployment of information systems should allow safer and more efficient health systems. However, to date many large IT system deployments in health care have had major short comings. This paper critically appraises the UK National Programme for IT and suggests where there are important lessons of for other large scale eHealth projects. Our method combined the classic evaluation methods of Donnabedian with Pawson's realistic review to analyze the impact of the program at health service, locality or major provider, and client-service impact levels. Financial incentives promoted uptake and use of IT systems at all levels. Health service level interventions that were capable of incorporation into clinical workflow were used. These included: a national unique identifier, creation of national registries and electronic transfer of data, records, and results. At the regional and major provider level we identified how vendors offer very different electronic patient record (EPR) systems which influence what is recorded and health care delivery. Using the EPR at the point of care takes longer, but this investment of time creates a more usable record and facilitates quality. National IT systems need to be clinically orientated, patient accessible, and underpinned by a secure, standardized back office system that enables messaging and information sharing between authenticated users. Learning the lessons from the UK and other large system deployments might enable other countries to leap to the forefront of health care computing.

Item Type: Article
Divisions : Surrey research (other units)
Authors : Swindells, M and de Lusignan, S
Date : 2012
DOI : 10.3233/978-1-61499-052-9-17
Depositing User : Symplectic Elements
Date Deposited : 28 Mar 2017 14:42
Last Modified : 24 Jan 2020 11:41

Actions (login required)

View Item View Item


Downloads per month over past year

Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800