A report by the British Computer Society is being widely reported at the moment. I wish to do little else than add my voice to those who say "here here". I believe it is a very rounded review and I would urge anyone in the NHS, DH or Healthcare IT to read the full version- and not just what they read in the press.
The only thing I would add is that a move away from monolithic systems to interoperable standards will require an evolution in the maturity of healthcare IT (See There be Dragons in Phase 4). The commercial environment required to enable this out-of-cashflow investment would probably be too large to run alongside NPfIT. As expensive as it is, the systems being implemented through LSPs are only an incremental improvement at a functional level rather than a fundamental rearchitecting. We need to focus on some core areas and keep them simple if this is to work.
Tags: technology, healthcare IT, health care IT, IT, information technology, NPfIT, CfH, NHS, BCS, British Computer Society, IT architecture, interoperable, monolithic