IT-Analysis.com
IT-Analysis.com Logo
Enterprise SME Business Issues Technology Services Channels
Module Header
Bob TarzeyQuocirca
Bob Tarzey
5th September - Google at 10
David TebbuttTeblog
David Tebbutt
4th September - Office 2.0 unconference
Judith HurwitzJudith Hurwitz
Judith Hurwitz
4th September - Is Anticipation Management a Game Changer?
Roger WhiteheadOffice Jotter
Roger Whitehead
3rd September - Virtual worlds still a dream?
Peter AbrahamsAbrahams Accessibility
Peter Abrahams
29th August - Non-accessible websites will be costly
Module Header
Q. How many email addresses do you have?
 
  • addtomyyahoo4
  • Subscribe in NewsGator Online
  • Add to My AOL
  • Subscribe with Bloglines
  • Add to netvibes
  • Add to Google
Blogs > Quocirca
Will we come to love the NHS Spine?
Bob Tarzey By: Bob Tarzey, Service Director, Quocirca
Published: 8th March 2007
Copyright Quocirca © 2007
Logo for Quocirca

History is littered with projects that were lampooned during their execution but later delivered assets that came to be valued and cherished. The early history of the Sydney Opera House was fraught with disputes between architects, builders and the government prior to its opening in 1973—but would Australians be without it now? The new Wembley stadium will, in all likelihood, be a treasured national asset in years to come.

Funding is the underlying cause of many of the problems behind such projects; as they run over budget, those paying the bills understandably start to grumble. But once the asset is in place its true value can start to be appreciated.

Some times it is shareholders who lose out—the building of the UK's rail network left many out of pocket in the 19th Century, more recently the Channel Tunnel did the same—but no one is talking about filling it in and today millions enjoy the convenience of crossing the channel by train whoever it was who paid the initial premium.

Perhaps the most expensive asset that shareholders have ever forked out for without getting a return is the public internet. The biggest losers in the 2000 stock market crash were the shareholders of IT and telecoms firms. But there is an argument that goes, just as with the UK rail network, that such stock market bubbles are a way of getting the rich to pay for assets to be enjoyed by masses at a fraction of the price paid for them—maybe, although many of the losers in 2000 were investment funds affecting pensioners and other small investors.

But when it is tax payers who are forking out, the attention paid to expensive projects is rightfully at its greatest. Most tax payers are not rich and they expect to see a return on their investment. The huge amounts being spent in the UK on the NHS' National Program for IT (NPfIT) has put it under close scrutiny. But the project, which will create a whole new IT infrastructure for the NHS based on a dedicated network—or "Spine" as the program calls it—is well underway. Most of the cash required to complete it is committed. History will most likely conclude that the project could have been more efficient and huge sums might have been saved if it had been managed differently.

Whatever the overspend turns out to be, UK tax payers will end up with an asset that should improve the long term delivery of healthcare and make further reform of the NHS easier. Unlike the NHS itself, the infrastructure that results from the NPfIT may not become a national icon, but it will be relied on for delivery of healthcare across the UK for years to come. Future beneficiaries will not grumble about the money spent by today's taxpayer.

Reader Comments

We are no longer accepting comments against this item. We suggest contacting the author directly.

23rd March 2007: 'Simon Tyers' said:

Like many public projects the benefits can only be gained through overcoming significant obstacles...and one of the biggest for the NHS is to overcome the public perception of "Big Brother" computing. Last weeks papers were littered with stories bemoaning the creation of a database that was open to anyone in the health service...what a piece of warped story telling that was.

Personally I look forward to the day when an ambulance crew arriving at the scene of an accident can quickly determine the medical histories of the injured they've been sent to treat, can provide them with the right drugs in full appreciation of their medical history and can then divert them to the most suitable medical reception centre for immediate post traumatic treatment...if that means that, in the right circumstances a records clerk I'll never meet in an area of the country I'll never visit again is accessing my file and passing on vital information then bring it on...the NHS has a long history of removing anyone who makes inappropriate use of the data that they have access to...Big Brother it ain't...more like Big Momma bringing care and attention to all her charges.

Reply to Simon Tyers?

Advertisement



Published by: IT Analysis Communications Ltd.
T: +44 (0)203 051 5760 | F: +44 (0)870 345 9922
Email: