icowden
Squire
I agree, although I think that is slowly increasing.For example, Steve Black argues that there are just one or two hospitals in the country that have a computer system that can monitor the progress of each patient from admission to discharge in real time. This means that they can't identify where the bottle necks are in real time, and can't direct resources to clearing the holdups in real time. Therefore a large amount of labour goes to waste nursemaiding patients whilst they're stuck in traffic jams.
Part of the issue is that every Trust has to manage it's own IT procurement, contracts and importantly legal redress. IT companies often get away with stuff because contracts haven't been tightly drafted or the legal costs of suing a tech company would be prohibitive.Just recently, Paul Johnson of the IFS commented on the parlous state of NHS IT, and also pointed out that the NHS is the most undermanaged health service in the world.
Scotland and Wales both went for countrywide solutions which work much better and allow much easier records transfer and access. But - as I pointed out there is a lot of money wastage as well.