Recently in Whitehall near anarchy Category

Clinicians may not access summary care records - today's UCL report

| No Comments
| More

An evaluation of the summary care records scheme by researchers at University College London has concluded that:

"Benefits of centrally-stored electronic summary records seem more subtle and contingent than many stakeholders anticipated, and clinicians may not access them. Complex interdependencies, inherent tensions, and high implementation workload should be expected when they are introduced on a national scale."

BMJ summary of UCL report: 


Choose and Book denies cancer patient an appointment, saying he's dead

| 2 Comments
| More

The danger of wrong data on an NPfIT system: a man with cancer couldn't make an appointment because a local Choose and Book system showed he was dead.

The Daily Mail reports the story under the headline:

"Sorry, you can't have an appointment... you're dead: Hospital refuses to see cancer sufferer because he's deceased."

At first glance the story could be vaguely amusing - if you're not the man involved; and if you ignore the fact that the government is continuing with uploads of incorrect data to NPfIT systems.

A report by University College London is due to be published tomorrow which will highlight inconsistencies, omissions and inaccuracies in data uploaded to the BT-run Summary Care Record database. The uploads will continue despite the well-informed criticisms of the scheme in the report.

The report's research was led by  Professor Trisha Greenhalgh who spoke with force and authority at the Smartgov conference in London yesterday. She criticised the government for continuing with the summary care records without taking any notice of what's in her team's report. This is despite taxpayers having spent nearly £1m on the Greenhalgh-led SCR research.

Did OGC Gateway Review process let down Student Loans Company?

| No Comments
| More

             Or did Student Loans Company tell Gateway reviewers part-truths?


Today's report by the National Audit Office into the Student Loans Company's "Customer First" IT-based programme found that OGC Gateway reviewers got it badly wrong.

A Gateway review in the midst of a crisis, in July 2009, put the "delivery confidence" in the ability of the Student Loans Company to make payments by the start of term in September 2009 at "amber/green".

Yet months before that Gateway review, a crisis had begun to unfold.

Instead of confronting it, the Company appears to have taken the approach of Henry Kissinger who said, "There can't be a crisis next week. My schedule is already full."


Whitehall administration - a variation on anarchy?

| No Comments
| More

It's doubtful there was ever a time when Sir Richard Mottram was the archetypal senior civil servant. I was lucky enough to meet him when he was slightly intoxicated at a party in Whitehall thrown by David Blunkett. Sir Richard speaks his mind, which is a mark, I think, of his character, rather than the drink.

Now the plain-speaking Sir Richard is reported in The Guardian as telling the Public Administration Committee the truth about Whitehall organisation. He said it's a "variation on anarchy".

There is a resistance to reform in Whitehall because, 

"actually it suits some politicians, including some prime ministers, and it suits some officials, to run a system which is frankly a variation on anarchy, and when you have a variation on anarchy funnily enough things do not get decided and implemented in a structured, process-driven way."

Subscribe to blog feed

Archives

-- Advertisement --