Chapter

Integration at Any Price

Justin Keen

in Paradoxes of Modernization

Published in print June 2010 | ISBN: 9780199573547
Published online September 2010 | e-ISBN: 9780191722677 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199573547.003.0008
Integration at Any Price

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This chapter examines the unintended consequences of a huge technology-based modernization project: the NHS National Programme for Information Technology in England. The project was envisaged by policy-makers in the Department of Health as a major rationalization of the NHS, gathering together all patient information in a single record for every citizen, accessible to health practitioners from across a range of services. It relied on the development of a huge, centralized, integrated IT system that would be used by all health practitioners. However, seven years after its conception and a huge outlay of resources, the project remains only partially implemented and appears to have introduced additional complexity and uncertainty to the NHS information environment. A national ‘spine’ of basic information about citizens exists, but none of the stakeholders seem to know what kinds of patient information should be attached to it.

Keywords: NHS; patient information; integrated IT system; technology projects

Chapter.  7182 words. 

Subjects: Public Management and Administration

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