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The Biggest Computer Programme in the World…Ever!’: Time for a Change in Mindset?

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Information Technology Governance and Strategy Health Services Management and Policy Information Systems Theories and Implementation

Abstract

In this paper we offer a critique of The National Programme for Information Technology’ (NPfIT) currently being undertaken in the National Health Service (NHS) in the UK. We begin by offering a brief introduction to the project. Next, we review the lessons learned from a wide range of experience with IT and business change projects and comment on why changes in the NHS are likely to be harder than in most other organizations. We then elaborate the implications of these ideas and identify potential areas for change, with particular focus on the current guiding mindset that this project is about the provision of a technical infrastructure. We argue that this is, thus far, a technology project and question whether the current strategy is the most appropriate way forward to achieve service improvements. We suggest changes in the underlying mindset, along with the leadership, ownership, metrics and labelling of the project.

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References

1993Reengineering the corporation: A manifesto for business revolution 1995Performance measurement system design 1994Reengineering the Corporation: A Manifesto for Business Revolution 1998Beyond the productivity paradox 1987We’d better watch out 2000Sociotechnical principles for system design 2000Systems Thinking, Systems Practice: Includes a 30-Year Retrospective 1987Principles of Sociotechnical Design Revisted

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