In 2005 the National Health Service (NHS) in the United Kingdom began deployment of electronic health record systems in NHS Trusts. The goal was to have all patients with a centralized electronic health record by 2010.[1] Lorenzo patient record systems were adopted in a number of NHS trusts. While many hospitals acquired electronic patient records systems in this process, there was no national healthcare information exchange.[2] Ultimately, the program was dismantled after a cost to the UK taxpayer was over $24 billion (£12 billion), and is considered one of the most expensive healthcare IT failures.[3]
In November 2013 NHS England launched a clinical digital maturity index to measure the digital maturity of NHS providers[4] but 40% of NHS managers surveyed by the Health Service Journal did not know their ranking, and the same proportion said improving their ranking was of low or very low priority.[5] in 2022 the 211 trusts progress was assessed. 43 trusts had an EPR meeting NHSE’s required standard, 138 had an EPR requiring “extension/optimisation” and 30 trusts did not have an EPR. Of those 30, 23 were procuring or developing plans to procure new EPRs and 7 were in the process of rolling out record systems. [6]
Electronic palliative care coordination systems have been developed by Marie Curie Cancer Care and the Royal College of General Practitioners which mean that terminally ill patients no longer have to explain their circumstances afresh to every new professional they meet and are less likely to be inappropriately taken to hospital.[7]
^"NHS Connecting for Health:Delivering the National Programme for IT". Archived from the original on 10 August 2006. Retrieved 4 August 2006.
^
Quinn I. "Electronic records are less efficient than paper, finds DH research lead". Pulse Today.
Triggle, Nick (16 June 2010). "Health e-records 'struggling to fulfil potential'". British Broadcasting Corporation.
Bewley S, Perry H, Fawdry R, Cumming G (October 2011). "NHS IT requires the wisdom of the crowd not the marketplace". BMJ. 343: d6484. doi:10.1136/bmj.d6484. PMID 21994300. S2CID 20468418.
"Dismantling the NHS National Programme for IT". Department of Health Media Centre. 22 September 2011. Retrieved 29 September 2011. "The government today announced an acceleration of the dismantling of the National Programme for IT, following the conclusions of a new review by the Cabinet Office's Major Projects Authority (MPA) ... The MPA found that the National Programme for IT has not and cannot deliver to its original intent."(sic)
^Say M (26 September 2011). "Cabinet Office review pleads stay of execution for NHS IT". London: Guardian. Retrieved 29 September 2011.
^Evenstad, Lis (3 November 2015). "NHS trusts to self-assess their digital maturity". Computer Weekly. Retrieved 14 November 2015.
^Read, Claire (13 October 2015). "Survey: Funding pressures are holding up the paperless NHS". Health Service Journal. Retrieved 14 November 2015.
^"Revealed: The 35 trusts looking to replace their electronic patient records". Health Service Journal. 5 September 2022. Retrieved 27 October 2022.
^Nightingale P (21 November 2014). "Coordinated systems help ensure people die where they choose". Health Service Jpurnal. Retrieved 14 December 2014.
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