As the National Programme for IT grinds to a halt NHS CIOs have a pressing issue to deal with; formerly centrally procured contracts are to be procured and managed at Trust level.
The recent warning from CSC to its investors regarding NPfIT contract awards has not come as much of a surprise.
The Government position is clear, to give NHS Trusts autonomy through Foundation Trust status and to support them in procurement and implementation of the systems they believe they need to be independently successful.
We believe giving Trusts and their local health economies the independence to establish their own local vision and strategy, and to manage their own destiny is critical to modernising the NHS.
This is an exciting time for the NHS. With the end of the current NPfIT contracts imminent and most NHS Trusts already strategically assessing their options it presents opportunities to step change the delivery and support for better and more efficient healthcare delivery.
Many aspects of healthcare delivery are far behind patient and consumer expectations.
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Engagement through digital and internet TV, support groups through Facebook, integrated working with local authorities, social care and third sector integration are a few examples of the innovation that NHS Trusts are examining to bring integrated NHS services closer to patients.
This break from the NPfIT allows these options to be explored and implemented.
While this presents an opportunity for grass-roots innovation to thrive there are also a number of significant risks should it not be carried out in the correct manner.
Whilst there is a need for guidance and assistance in establishing such models, the benefits to the Trusts and clinical services are significant.
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