{"id":273,"date":"2006-05-30T09:52:05","date_gmt":"2006-05-30T09:52:05","guid":{"rendered":"http:\/\/irdial.com\/blogdial\/?p=273"},"modified":"2006-05-30T09:52:05","modified_gmt":"2006-05-30T09:52:05","slug":"no-surprises","status":"publish","type":"post","link":"https:\/\/irdial.com\/blogdial\/?p=273","title":{"rendered":"No Surprises!"},"content":{"rendered":"<p><a href=\"http:\/\/news.ft.com\/cms\/s\/d8aca40c-ef49-11da-b435-0000779e2340.html\">NIR electronic records are two years late<\/a><\/p>\n<blockquote><p>By Nicholas Timmins, Public Policy Editor<br \/>\nPublished: May 29 2009 21:54 | Last updated: May 29 2009 21:54<\/p>\n<p>Plans to give all 70m residents in England a full electronic biometric record are running at least two to two-and-a-half years late, Lord Dithup, the Home Office minister who oversees the project, has confirmed.<\/p>\n<p>He also admitted that the full cost of the programme was likely to be nearer \u00a320bn than the widely quoted figure of \u00a36.2bn. The latter figure covered only the national contracts for the systems\u2019 basic infrastructure and software applications, he said.<\/p>\n<p>The Passpoert Service and other &#8216;clients&#8217; of the NIR would, however, spend billions more on training staff, buying PCs and upgrading and assimilating existing systems over the decade-long programme, Lord Dithup said in an interview with the Financial Times.<\/p>\n<p>The extra money did not mean the programme would cost more than expected, he said, but instead reflected the full expense of switching existing IT spending from outdated systems to the new ones.<\/p>\n<p>The delays to the electronic biometric record, which mean it may not be in place until early 2011, come in part because of delays in providing the software, which is being developed by *Soft and other companies.<\/p>\n<p>But the record\u2019s introduction is also being stalled by a fierce and unresolved dispute within the Home Office over what could be included on the National Identity Register, and how citizens data should be accessed. Some see it as threatening to \u201cderail\u201d the programme.<\/p>\n<p>Lord Dithup said some parts of the programme \u201care going pretty well and pretty much to time\u201d.<\/p>\n<p>But others, he admitted, \u201care going more slowly than we would otherwise like\u201d. The government has had to \u201cre-group\u201d over the national summary record, meant to make patients\u2019 data available \u201cwherever and whenever\u201d it is needed.<\/p><\/blockquote>\n<p>etc. (all below becuase the FT requires registration and is unreasonably slow to load).<\/p>\n<p>Today it&#8217;s the NHS tomorrow it will be the NIR  &#8211; and you can be sure that the attendant databses held by the police, DVLA and (groan) the NHS again, will also require costly overbudget upgrades when everything is updated to access the NIR. Not just a useless moneypit the NIR will be a blackhole of government spending, unremittingly sucking everything related to its operation into its centre.<\/p>\n<p>Or perhaps:<\/p>\n<p><img decoding=\"async\" src=\"http:\/\/ffmedia.ign.com\/starwars\/image\/article\/608\/608596\/star-wars-episode-iii-revenge-of-the-sith-20050429010731565.jpg\"><\/p>\n<blockquote><p>Winners feel the pain from billion-pound contracts<\/p>\n<p>The programme originally proposed that the summary record would include major diagnoses, operations and recent tests, as well as current medications and allergies. It was also proposed that patient data would be added on an \u201copt out\u201d model, implying that consent to have the basic data added would be assumed, but with patients retaining the right to opt out.<\/p>\n<p>Ministers recently agreed, however, that the initial upload of data, in pilot schemes to be run next year, would cover only current prescriptions, allergies and contra-indications, and that patients would then be asked if they were happy to have other information added.<\/p>\n<p>But the British Medical Association family doctors\u2019 committee has recently rejected that proposal, saying patients\u2019 consent should be sought even before their medications are added to the summary record.<\/p>\n<p>The programme had reached \u201ca pivotal point\u201d, Lord Warner said, and with many hospital doctors favouring a much richer summary record, \u201cthe medical profession have to come together\u201d to agree on what data will be included and how it is added.<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>NIR electronic records are two years late By Nicholas Timmins, Public Policy Editor Published: May 29 2009 21:54 | Last updated: May 29 2009 21:54 Plans to give all 70m residents in England a full electronic biometric record are running at least two to two-and-a-half years late, Lord Dithup, the Home Office minister who oversees [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[34],"tags":[],"_links":{"self":[{"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=\/wp\/v2\/posts\/273"}],"collection":[{"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=273"}],"version-history":[{"count":0,"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=\/wp\/v2\/posts\/273\/revisions"}],"wp:attachment":[{"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/irdial.com\/blogdial\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}