A report from the Commons public accounts committee has again exposed the Government's folly in committing huge sums of taxpayers' money to centralised databases that are neither effective, nor secure, nor even necessary. A £12 billion NHS computer project to link more than 30,000 GPs to nearly 300 hospitals in England is reportedly on the brink of failure after "disappointing progress" in deploying a new care records system. The NHS is forecasting a completion date of 2015 – four years later than originally planned, though the MPs said even this revised schedule looks overly optimistic.
Not only is this an appalling waste of money, it also reflects the Government's penchant for a statist solution to any problem. The best approach would be to let people own their own medical records and carry them, should they choose to, on a personal data card. That would obviate the need for a costly centralised data system, would minimise the chances of confidential medical information going astray and still be of advantage to the patient and doctors alike. Instead, the Government chose the most expensive and least effective option, with consequences that were both predictable and predicted.
Ministers have also decided to proceed with another IT
folly, the ContactPoint system that will hold details of all
our children. Well, not quite all. The offspring of
"celebrities", including MPs, will be excluded on
confidentiality grounds. Why is this necessary if the system
is secure, and why are the children of MPs entitled to more
privacy than the rest of us? Here is a classic Labour
cocktail: the snooping state reaches new, and unacceptable,
levels of intrusion but ensures special privileges for the
political classes and their celebrity friends. These
databases and the new data-sharing laws now before
Parliament must be scrapped.
The Telegraph is spot on.
I am a 'several' hundred pound a day consultant and in my defence it is the market that sets this rate, not me. Also, I build IT systems, just like engineers build oil-rigs and thus the decisions I make whilst not being solid like a rig, have similar and thus multi-million pound impacts.
I have fixed the mess created by off-shoring and agree with the comments of others. Communication with programmers is difficult when they are sat at the opposite side of the table - imagine the situation when they are halfway around the world. Buy cheap - buy twice. You can't even manage the building of a house unless you are on-site so why should an IT system be different?
My advice for the procurement people in the government is this - look at the successful IT projects and figure out why they were successful.
It is easy to blame the consultants and the contractors but you would be amazed at how often a fundamental system design decision is made by somebody who has absolutely no concept of its gravity. You would perhaps be less amazed by how easily that decision is accepted by the consultancy - kerching!!!
I am a 'several' hundred pound a day consultant and in my defence it is the market that sets this rate, not me. Also, I build IT systems, just like engineers build oil-rigs and thus the decisions I make whilst not being solid like a rig, have similar and thus multi-million pound impacts.
I have fixed the mess created by off-shoring and agree with the comments of others. Communication with programmers is difficult when they are sat at the opposite side of the table - imagine the situation when they are halfway around the world. Buy cheap - buy twice. You can't even manage the building of a house unless you are on-site so why should an IT system be different?
My advice for the procurement people in the government is this - look at the successful IT projects and figure out why they were successful.
It is easy to blame the consultants and the contractors but you would be amazed at how often a fundamental system design decision is made by somebody who has absolutely no concept of its gravity. You would perhaps be less amazed by how easily that decision is accepted by the consultancy - kerching!!!
Were you one of those of "much lower rank" by any chance? Your post smacks of typical "if only the chiefs let themselves be run by the indians" crap.
Time to vote these fools out!
Manufactured vox populi?
Just wait until the oppression reaches new heights with ID cards and PC Plod demanding "Papers!" on street corners.
Astonishing that the sheeple of Britain are happily sleepwalking into the gulags.
on January 28, 2009
Why heap this praise on Indian technocrats? I have managed a large engineering project in India and would never place an Indian company in any position of responsibility, they have a habit of 'outsourcing' any thing you tell them to do.
This means they will blame someone else down the line when things start going wrong.
Try driving a TATA car for an example of their 'quality' engineering.
We are assured by this government of demonstrated incompetence that the system will be totally secure and that CDs containing sensitive information will not be sent by post, left in computers on buses, and that no one will be able to ask a member of the House of Lords for favours in accessing personal information or anything else. Obviously our government has no more confidence in themselves than we have, and the same with the ID card system.
On the IT side of things, as a system user rather than an IT guru, I know that there are plenty of off the shelf applications designed to handle enormous volumes of personal data, any one of which could be used, if this is really necessary, which it probably is not. If the multi-million pound (at our cost) consultants don�t know this, who is conning who into wasting our tax payers� money?
This has been cause by a failure to understand what was actually needed, a failure to manage the process properly and a failure write contracts properly. There is a lot of good talent in this country and Mr. Cameron does it a disservice.
Incidentally a significant proportion of the Indian Graduates Mr. Cameron refers to trained at UK Universities...
When a project goes over budget it is a management problem, not a problem of the IT guys. As for importing Indian students, half of our work is fixing the mess made to software outsourced to the sub-continent. Mr Cameron's post just highlights how little he understands.
Incidentally, the conservatives plan to put a cap on the value of all IT projects and set it at a relatively low level. No project will be considered if its cost is over 100 million. That seems quite sensible to me as the vast majority of government projects that ended up costing several billions each could actually have been delivered within such a budget. All it needed was better management and more honest companies to do it.
Cameron should pledge to scrap the Childrens' Database, along with the ID Database when he is elected. Any Company bidding for the Contracts should know in advance that they will be scrapped.
Our solutions were pragmatic. No monolithic all singing all dancing solution which did everything for everyone and everywhere was built. Instead, needs were boiled down and a set of criteria determined to interface very different existing systems.
The situation is no different with NHS data. You need to define the data set entities for patients, the servicing locations (GP surgeries and hospitals etc) the practitioners and the procedures.
It is not rocket science and an application front end could be knocked up to work on any PC. Provided the data set has been rigorously tested as exportable every point of access could then be networked.
You then get into the issue of whether data storage is local or central or both - the point at which current IT thinking is now changing even for casual PC users (the 'cloud' etc).
The task here has been made massive by lack of understanding on the part of those commissioning it - who will surely have created a parallel universe of consultants on day rates that would make you swoon - essentially to tell them how to do jobs for which they are being well paid.
All this before you even consider the task of converting existing data on record cards into the electronic system - bulk scanning or whatever. Then you could link in prescribing records (and tests, checks and balances) and have all the dispensing chemists able to access and renew drug scripts for patients. Where is the big thinking here?
Thank to the "King's new Clothes" principle, they will, if they ever deliver, be late, incomplete, and it will 'fall over' almost immediately - and the consultants will all walk away, the civil servants will be promoted to another project and so on.
Here in Spain, we walk into the surgery, we are on their computer, having booked appointments remotely, and our data is up in front of the person we see, including test results, wherever we attend.
This sounds like a solution in search of a problem to me - a classic Labour IT monolith farce.
280109-09:04
This is why they need exceptions. The MPs are not willing to see their status get closer to the great unwashed and they do not wish to be associated with the electorate.
One rule for us, another for them.