Below are some of the main points in today's NAO report on the NPfIT detailed care records systems.
- Main aims of the NPfIT won’t be achieved
- System deliveries to 3,197 NHS organisations are outstanding
- Cuts have been made in the number of systems and functionality being delivered and to be delivered - but there has not been a commensurate cut in costs
- The NPfIT has not been value for money
- The £4.3bn as yet unspent may not prove to be value for money
- The DH and NHS Connecting for Health have paid, but not fully understood, supplier invoices
- About £6.4bn spent so far on the NPfIT
- Need to re-evaluate the business case for the NPfIT
- Many uncertainties and risks
- Funds to cover the NPfIT are guaranteed until 2012 - what then?
- Contract renegotiations with CSC will reduce number of deployments and functionality of systems that are deployed.
- CSC’s contract may be terminated.
- Local costs may increase as a result of the need to make systems provided outside of the Programme compatible with systems provided through the Programme.”
- Much work is still needed before care records systems are able to do what the DH expected at the outset of the Programme.
- By 2012, as part of the reorganisation of the NHS, strategic health authorities will be abolished and the existing governance structure for the delivery of care records systems will disappear.
- There is “uncertainty over the future of NHS Connecting for Health”.
- There are cost overruns - but overall NPfIT costs are to be cut by £1.3bn
- Fujitsu received more money after its contract termination than before - £71m before and £80m after.
- The Summary Care Record is expected to cost £150m
- Lack of transparency
- CfH and DH still overly optimistic on progress
- Joined up healthcare may not happen under the NPfIT
- Officials have not measured progress against the original NPfIT aims
- The NPfIT vision has been compromised
- In CSC’s area only 10 out of 97 acute systems delivered
- By 31 March 2011, the Department of Health will have paid CSC £854m for delivery of care records systems.
- More than 3,000 defects were found in Lorenzo - against a contractual limit of 700
- There have been disagreements with CSC
- Did CfH and DH delay giving NAO information until it was too late to evaluate?
- Can the £9m cost of RiO be justified?
- £817m is the central Programme cost to 31 March 2011 - which excludes payments to BT and CSC.
- Interoperability could costs NHS trusts £172m
My summary of the NAO's findings today is here.