Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Sep 26, 2023
Open Peer Review Period: Sep 26, 2023 - Nov 21, 2023
Date Accepted: Dec 2, 2023
(closed for review but you can still tweet)
A Call to Reconsider a Nationwide Electronic Health Record System: Correcting the Failures of The National Programme for IT
ABSTRACT
The National Programme for IT (NPfIT) was launched in 2005 to implement seven nationwide IT services across the National Health Service (NHS). Despite the success of many of these so-called “deliverables”, the establishment of a single nationwide electronic health record (EHR) system never fully materialised. Healthcare practitioners are all too often left without access to large sections of their patients’ medical records due to their being recording on any one of a plethora of alternative EHR systems. This not only limits their ability to make well-informed clinical decisions, but also the quality of care they are able to provide. This article evaluates the medical, economic and bureaucratic implications of an NHS-wide EHR system before exploring how the shortcomings of the NPfIT should be addressed when attempting to introduce such a system in future.
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© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.