Implementing electronic records in NHS secondary care organisations in England: policy and progress since 1998

Arabella Scantlebury; Ian Scot Watt; Laura Sheard; John  Wright; Joy Adamson

doi:10.1093/bmb/ldw055

Implementing electronic records in NHS secondary care organisations in England: policy and progress since 1998

Arabella Scantlebury, Ian Scot Watt, Laura Sheard, John Wright, Joy Adamson

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Background: A number of different policies have aimed to introduce electronic records into National Health Service secondary care organisations in England over recent years. There has been little formal attempt to explore the overall impact of these policies (as opposed to evaluations of individual initiatives) and how they have developed and progressed over time.

Sources of data: National NHS IT policy documents and evaluations of national NHS IT policy between 1998 and 2015.

Areas of agreement: There has been limited progress in implementing integrated electronic records in secondary organisations since 1998
.
Areas of controversy: The management and execution of NHS IT policy has been poor, with over ambitious aims contributing to the limited success.

Growing points: Detailed guidance on how to implement electronic records in secondary care organisations is required. The ambitions of current policy should be revisited.

Areas timely for developing further research: Research exploring the costs and benefits of different approaches to introducing electronic records is needed.

Original language	English
Number of pages	13
Journal	British Medical Bulletin
Early online date	9 Jan 2017
DOIs	https://doi.org/10.1093/bmb/ldw055
Publication status	E-pub ahead of print - 9 Jan 2017

Bibliographical note

© The Author 2017. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details

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Cite this

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abstract = "Background: A number of different policies have aimed to introduce electronic records into National Health Service secondary care organisations in England over recent years. There has been little formal attempt to explore the overall impact of these policies (as opposed to evaluations of individual initiatives) and how they have developed and progressed over time. Sources of data: National NHS IT policy documents and evaluations of national NHS IT policy between 1998 and 2015. Areas of agreement: There has been limited progress in implementing integrated electronic records in secondary organisations since 1998. Areas of controversy: The management and execution of NHS IT policy has been poor, with over ambitious aims contributing to the limited success. Growing points: Detailed guidance on how to implement electronic records in secondary care organisations is required. The ambitions of current policy should be revisited. Areas timely for developing further research: Research exploring the costs and benefits of different approaches to introducing electronic records is needed. ",

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