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Thursday May 29 2008 |
![]() |
Thursday May 29 2008 |
By Stanley Pignal and Nicholas Timmins
Fresh blow to £12.7bn patient record plan
Protracted talks with Japan group are ended
The NHS's £12.7bn programme to provide every patient in England with an
electronic care record suffered a severe blow yesterday as the project fired one
of its key suppliers after failing to resolve a wrangle over the contract.
Ten months of renegotiations with Fujitsu, which holds the £896m 10-year
contract for installing the record across the whole of the south and west of
England, have broken down, according to both the company and the NHS.
The dispute centred on the NHS's demand for more flexibility in delivery of the
services - a request that would cost more. Fujitsu wanted either more money or a
return to the original contract specifications.
Connecting for Health, the NHS IT programme, said it is now to issue a
termination notice to Fujitsu in a move that could cost the Japanese-owned
services company an estimated £300m.
It is the second time the programme has lost one of its big four suppliers after
Accenture withdrew in 2006 at a substantial cost to the company.
BT, which runs the programme in London, is the favourite to take over from
Fujitsu as Computer Sciences Corporation, which runs the whole of the north and
Midlands, uses different software to BT and Fujitsu for the record.
The breakdown is a blow to the programme, although its defenders will argue that
the original contract structure of not being reliant on one supplier for the
whole programme has been vindicated as BT or CSC is likely to step in.
But the breakdown can only further delay a programme whose core product - the
electronic record - is already running more than four years late.
Connecting for Health said: "Regrettably, it has not been possible to reach an
agreement on the core Fujitsu contract that is acceptable to all parties. The
NHS will therefore end the contract early by issuing a termination notice."
That is understood to give Fujitsu 20 days to register a counter claim, with the
possibility that differences will have to be settled in court.
Connecting for Health said Fujitsu had made a commitment "to providing a smooth
transition to new arrangements", without specifying what those would be.
BT must be the clear favourite to take over if it wants the business. Given that
it uses the same Cerner software that Fujitsu has been installing in the south,
BT will be in a strong negotiating position during any takeover talks.
A switch to CSC would be likely to involve a switch to iSoft's as yet unproved
Lorenzo software. BT said last night it would consider any approach from the NHS
to take on the extra work.
Fujitsu confirmed that talks had broken down and the company had wanted to
revert to the original contract, which provided less flexibility than the NHS is
now seeking. Failure to agree a price for that lay behind the breakdown, a
Fujitsu official confirmed.