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Assignment for NHS National Program for IT

Task:

Write the topic n "NHS national program for IT"

Activity A -

The key activities that will help you complete all of this assignment are:  

1.Selection – thinking about which program to examine based upon your knowledge and interests

2.Collaboration – working with a group and exchanging ideas with your colleagues, friends and mentors and testing out your ideas and concepts with others.

3.Information – researching further, using your existing knowledge, using academic journals and industry publications, the internet, business and the materials presented in this course.  



Answer

Introduction 

The National program for IT in the NHS was one of the major public sector IT program that has been ever implemented in UK. The program was dismantled because of different stakeholders’ opposition, delays and mostly several implementation issues. Conservative Liberal Democrat Government has dismantled in 2011 after ten years of implementation. The primary aim of NPT has been majorly to incorporate NHS’ use of technology by incorporating electronic patient record systems, completely computerized prescription systems. Many of these services failed to serve the purpose that the policy initially proposed. After such failure government and taxpayers experienced several tax related issues for this program. Such issues include exit costs and contract transition that continued to ensue till 2014. In this paper an overview of the program has been presented along with the critical analysis of the program. 


Choice of the program 

The government of United Kingdom has announced acceleration for dismantling the NHS National Program for IT. It follows all the aspects of new review of Major Project Authority mostly abbreviated as MPA. The Program was firstly created in the year 2002 under the supervision of last government and the MPA has recommended that it is not able to provide the all the modern IT services that the NHS requires. In the year 2011, it has been announced that MPA would review the NHS National Program for IT (Waterson, 2014). The government is committed to provide citizens a greater choice and control over the health care. However, the original vision of National Program for IT in case of NHS will not be actually realized (Behar et al. 2015). The rate at which all the electronic care records management and systems are being put under the National Program across the NHS for IT is falling far below than expectations. Thus, the actual aim to deliver electronic care record to every patient under such National Program will not be achieved. In fact, the places where systems have already been delivered, they are not able to perform everything that the department indeed should. In accordance with recent good practice, procurement, activity and development of the program focused on output based specification. This specification is a statement of the functions that all the IT system is intended to do (Simpson et al. 2015). Therefore, it is necessary to correctly choose all the aspects of National Program under NHS. A key lesson from various unsuccessful IT projects in the previous years is that the NHS requires seeing the Program as a business change Program with crystal clear objectives and goals along with benefits rather than an IT project. 


Overview of the NHS program 

The National Health Service (NHS) is closely dependant on the accomplishments of tackling sufficient amount of information for the suitable functioning of the organisational services. The National Program for Information Technology in the NHS is a supposedly ten year program, which represents immense opportunity towards the usage of Information Technology (IT). The program also reforms the way, which is being undertaken by England for using information. Therefore, in order to improve the services and the quality of patient care.  The core strategy of this program was the NHS Care Records Services. This program made the relevant aspects of a patient’s clinical record to be available for the people treating the patients. On the other hand, the program also includes other aspects such as electronic transmission of prescriptions, electronic booking of first appointments of patients. Furthermore, it has also been speculated that, previously, NHS made same initiative of maintaining own IT systems of the organisation. However, the entire process turned out to be quite haphazard. Thus, the department considered it to be unsuccessful along with the main objective of the project being the provision of strong central direction of the development of IT b(Edwards et al. 2015).


On the other hand, it has also been found that, the program undertaken by the NHS had strong senior management as well as ministerial management.  NHS and the departments connecting for health have carried out the best structures of practices in order to deliver the program. Furthermore, it has also been found that, the program that was implemented by the NHS for improving their care services is necessary for enabling significant ministerial commitments.  It is also important to note that, the program had the potential of generating benefits, which are predominantly substantial for the patients of NHS (Fabritz et al. 2016)


The NHS connecting for health predominantly brought the systems at a definite fixed price, which was competitive in the transferring of delivery and financial risk to the suppliers.  This project was considered to be one of the most ambitious policies, centering on reforms of the government. Tony Blair however failed to meet the aspirations that were formulated for the project initiative. Unfortunately, it has been found that, NPT could not meet the predominant needs of the NHS as each of the care setting required different and contrasting requirements. On the other hand, the interoperable needs of the NHS were also not met by NPfIT. Therefore, it leads to the wastage of the money of the taxpayers of NHS after a top down IT system was implemented on the local NHS, which did not fit their necessities.


As some of the research survey puts it, the project had lack of clinical engagement. The primary focus was placed on technology instead of service change.  On the other hand, the program architects and the suppliers who were appointed for the definite project underestimated the complex aspects of NHS and the power it beholds on the clinical community. Throughout the project management, there has been a continuous issue of politics. This is because, the supposed target that was planned regarding the implementation of NPfIT was approximately 10 years, which was considered to be an unrealistic approach and target. The unrealistic approaches and targets are not being analyzed by the government because of the nature of the planning (Gil et al. 2016)


The localization of NHS It systems was underway over a huge period of time. However, there is a hope regarding the fact that, the local decision making process of the government will ultimately result in embracing of the innovative ways of work process. It also allows the procurement of IT systems, which tends to meet their necessities. It is to be noted that, the procurement of IT systems will not only pave the ways for innovation, but it will also bring several risk, which might also harm the entire process (Johnston et al. 2015)


Critical analysis of the program

National program for IT was announced for substantial progress as the program was supposed to revolutionize the way NHS uses information in order to improve their service and patient care. The program was announced in order to deliver four key elements as discussed at the seminar of 2002. The key elements are:

  1. A well integrated electronic health record system.
  2. Influencing and incorporating electronic prescriptions.
  3. In order to develop an IT structure which has sufficient capacity that can support the local systems and national applications
  4. Developing an electronic appointment booking system. 


Different aspects of the program

This policy was one of the major high aspirant policies which was implemented by the Government and Tony Blair himself played a major role in pushing through the program. The program failed to meet the expectations. From the outset it can be stated that this program evidently lacked clinical engagement as the focus was mainly on the technological advancement not on the service change.


The primary reason for its failure was the over controlling top-down approach. According to the PAC report 2011 failed to provide the high aspirant clinical services that were promised initially. This program was further criticized for inadequate security to the patient security. Both doctors and patients for a matter of fact were concerned with the data security (Rycroft-Malone et al. 2017).


The issue of politics has been there from the very beginning and that NPfIT would take closely ten years to implement was an impossible target to fulfill. The program has been overall a slow one and the failure of the plan was very much expected. Several changes have been applied to the plan for reformation by the new Government. The new government is mainly going to focus in the new planning and also going to work on the old planning of the NHS (Sanderson et al. 2013).


The initial aim of the program was to have electronic care record for each and every patient. The NHS care record service has a set of national services including PDS, SCR and SUS.

  • The Personal Demographic Service or PDS records the demographic information of individual patients and also their NHS number. It is an avoidable procedure about the patients can only mark their individual record as sensitive so that their contact details cannot be viewed.
  • The Secondary Uses Service or SUS it a process that uses the recorded data of the patients for preparing anonymous business reports or statistical data reports for research.
  • The Summary Care Record or SCR records the details of a patient’s clinical information in a summarized format.

NHS care record Service uses the Spine that also offers different security services and it also ensures controlled access over the recorded information. During the early stages of Spine development these policies were queried because of the security issues (Seth & Natarajan, 2014).


The strategic plan of the scheme

The NHS program mainly refers government aided program in the United Kingdom.  The strategic plan was made to improve the planning and action especially in the infrastructure field.  Although, this program does not bring the necessary changes in the over system of the IT field. The strategic plan which was aiming to improve the condition of the overall system was not so satisfactory according to the past studies relating to this particular topic. 


The main was strategic plan for these programs are mentioned below:

This program was used some innovative idea to bring or enhance the level of interest of the infrastructure field. This strategy was sheds light on the gap of the development and use the strategy as per that gap factor. The strangers was mainly designed  on the basis of the political structure of the united kingdom; therefore the study the  this program does not  keep effect on  the overall structure of the society. This program is designed as per the psychological factor of the target group of message receiver.  The main strategies for disseminated is the essence of this program in order to make advancement of the technological factor of the health sector. Many health sectors are unable to implement the most upgraded strategies to bring the improved treatment process and facilitate the entire service user.  The main thing is that upgraded strategies of treatment are facilitating the service user to consume the best outcome; therefore this program NHS program is design their program as per the requirements of this field. The issue of legislative issues has been there from the earliest starting point and that NPfIT would take firmly ten years to actualize was a unimaginable focus to satisfy (Simpson et al. 2015)


The program has been by and large a moderate one and the disappointment of the arrangement was especially anticipated. A few changes have been connected to the arrangement for renewal by the new Government. This methodology was reveals insight into the hole of the advancement and utilizes the procedure according to that whole factor. The outsiders were primarily outlined on the premise of the political structure of the unified kingdom; consequently as er the examination the this program does not keep impact on the general structure of the general public. This program is planned according to the mental factor of the objective gathering of message beneficiary. The fundamental procedures for spread is the substance of this program with a specific end goal to make headway of the mechanical factor of the well being area. Numerous well being part can't execute the most overhauled techniques to bring the enhanced treatment process and encourage all the administration client. The primary concern is that redesigned systems of treatment is encourage the administration client to expend the best result hence this program NHS program is outline their program according to the prerequisites of this field (Stephenson & Hale, 2017)


Execution of the plan and the outcomes

The planning and the execution phase are very important so that the proposed plan is implemented in a well structured manner. It is noted that through the NHS program, the government of United Kingdom plans to provide the individuals working in the hospitality sector with expert knowledge and skills. In addition to that, it is seen that, through the conduct of this program the authorities aims to enhance the skills of the employees as well as provide quality services. The concerned authorities needed to ensure that the strategic scheme of NHS must be implemented and executed in a proper manner in order to achieve the desired result. In order to achieve the desired result then organization needs to focus on the key areas that needs improvement, identify any key issues and accordingly formulate action plan in order to mitigate the same. In addition to that, a critical analysis of the proposed plan must be conducted such that the viability of the plan is verified. Moreover, the concerned authority needs to conduct a proper risk assessment of the proposed plan that will help to foresee any kind of contingencies in the future and avoid the same. The next step that the management needs to undertake is to conduct thorough market analysis of the proposed plan that needs to implement. This will help to get a clear understanding of the needs and the expectations of customers in the market and improve on the initial plan (Waterson, 2014)


Any critical business system includes some level of alter which alludes in course, center, structure, process, or various different variables. What makes it effective is the manner by which well it's supported by senior administration, both in words and in activities. For example a gas and electric utility Bob worked with was having an exceptionally troublesome time executing a far reaching Enterprise Resource Planning framework since representatives at bring down levels in the association declined to utilize it. Be that as it may, the issue wasn't the workers as it was senior administration. While every official talked about the venture's general vital significance, when it came to setting work needs for their kin, the key undertaking was knock down the rundown. That is ITs task as they would tell their kin and one need you to take a shot at the activities. 


Therefore, the methodology was in risk of coming up short. One have to ensure your responsibility framework fortifies the practices expected to execute the methodology. At the point when associations force extensive and bureaucratic systems to complete something and consider venture administration when individuals dismiss what the outcome is on the grounds that they are everlastingly following procedure, getting signs off and doing printed material as opposed to concentrating on comes about. What's more, when that happens, you have occupied individuals getting wore out without truly fulfilling anything, and they mistake contributions for yields. Set up a reasonable framework for setting responsibility, building up how results will be measured and overseeing progress (Seth & Natarajan, 2014).


Opportunities for such future programs 

Therefore, it can be speculated that, there are certain recommendations and opportunities, which NHs must incorporate in order to formulate effective practices within the premises of the IT system program. The first and foremost recommendation is ensuring the confidence towards patients, who seeks to attain care services. The care services must be reliable and must have a rapid access to the personal information, which must be relevant. On the other hand, it is also important to note that, the patients must be provided with proper access to independent and accredited advice about the patient’s current condition (Stephenson & Hale, 2017)


On the other hand, it is also important to note that, an IT system will help to keep a track of all the patients’ records, which needs to be evaluated by the caregivers later. Furthermore, it will also help in the tracking of financial records, and will be beneficial for NHS for implementing effective management systems. Therefore, it can be speculated that, after the implementation of the IT system, it will facilitate the organisation for the smooth working process of NHS (Simpson et al. 2015).


SWOT analysis 


SWOT ANALYSIS
STRENGTH
Improved expansion of healthcare services.
Continuous monitoring of waiting lists.
WEAKNESS
Inability to cope with the increasing demand due to the   increment of population
OPPORTUNITIES
Usage of marketing strategies in order to increase the   profile management of NHS
THREATS


Conclusion 

The National Program for IT under NHS is one of the largest public sectors IT program which has ever attempted in United Kingdom. All such program is budgeted to approximately 6 billion pound over the life long major contracts. It makes a history by getting delays, implementation issues and stakeholder opposition. After getting all such drawbacks, the Program was reopening by Conservative Liberal Democrat Government in the year 2011. The core aim of the dismantled Program was to use information technology through the incorporation of electronic patient record systems and computerized referral and prescription systems. Despite the failure of several services, ultimately the government and taxpayers integrate significant costs for such National Program that involves contract transition.


The assessment has paid attention on the NHS National Program for IT department in United Kingdom. For this purpose, the entire strategic plan has made in order to improve the action planning especially in the infrastructure field. In addition, the assignment focuses on the critical analysis for such National Program under NHS along with different aspects and strategic planning of the Program. Moreover, SWOT analysis has been made in this ground for the scope of improvement of such Government Program. 

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