TOC o 1-3 h z u HYPERLINK l _Toc382892269 Executive summary
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Findings/Results and Discussions
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PAGEREF _Toc382892274 h 10 HYPERLINK l _Toc382892275 Appendix 1
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PAGEREF _Toc382892276 h 12 Executive summary This report describes experiences of the UKs National Health Service (NHS) - one of the most extensive healthcare systems in the world launching its ten-year National Program for IT (NPfIT). The purpose of this program is to provide an accessible and transparent medical records system for patients in England. This enormous scale project has cost almost 13 billion up till now, resulting in worse performance of the NHS Trusts and thousands of complaints from patients. The findings from this study suggests why project fails, the lessons from its failure and recommendations for further plans. Group work Theory of project management failure critical factors Introduction The United Kingdoms National Health Service (NHS) is one of the worlds largest funded health services, which was launched in 1948 (The NHS in England, 2013) It is also one of the most comprehensive and efficient systems. With the root idea is the concept of equal healthcare regardless of wealth or social status, the NHS is in charge of providing free healthcare service for all residents in the UK, except for some charges in prescription, optical and dental care. The NHS creates employment for more than 1.7 million people, of which the NHS in England is the major part with more than 1.35 million employees involved. The frequency of patient is 1 million cases every 36 hours. To cover such health demands, NHS is funded by the taxation and is granted by the Department of Health by Parliament (The NHS in England, 2013). In 2002, the Treasurys 2000 Wanless on the future of the health service reported that the NHS IT record did not perform well enough due to the insufficient IT budget and inadequate settings of central IT standard, resulting in a range of incompatible systems across the NHS (Parliament Office of Science and Technology, 2004 HYPERLINK file///C/Users/Anh/Downloads/POST-PN-214.pdffile ). As a consequence, the National Program for IT (NPfIT) was set up by the Government in England to cover the four main project Electronic patient records, Electronic appointment booking, Electronic transmission of prescriptions, and Communication network. For being considered as the biggest computer program in the world (Brennan, 2005 HYPERLINK http//library.brunel.ac.uk/uhtbin/cgisirsi/x/UXBRIDGE/0/57/5user_idWEBSERVERsearchdata13619697Bckey7D ) , NPfIT is a challenging project as it involve an enormous number of people, including people working for it, from the staffs to suppliers, and people using its services. The scale of this project is giant as NHS is a complicated system, nevertheless, the NPfIT is applied to NHS in England only, as Wales, Scotland and North Ireland embark their own programs (Brennan, 2005). However, the NPfIT did not meet the expectation nor proved to worth the giant investment of the government, and was said to be the IT nightmare (the Lancet, 2011). Consider the ineptness that form this project, failure is foreseen, as it lacks leadership, oversight and accountability. This project not only wasted 11.4 billion sterling pounds, but also created chaos and affected the performance of the NHS Trust (Bloxham, 2008). Concerning the massive scale of NPfIT, the failure of this national program comes from many reasons, hence studying about those reasons may help prevent further mistakes and provide deeper insights for experience and...
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