Information Technology (NHS)

Neil Carmichael Excerpts

Tuesday 14th June 2011 Westminster Hall

[Neil Carmichael (Stroud) (Con)]

I congratulate my hon. Friend the Member for South Norfolk (Mr Bacon) on the important and fascinating debate. The detail he went into about the past 10 to 15 years was striking.

[Annette Brooke in the Chair]

There are some key issues that we need to consider. Procurement on this scale has to be properly thought out. The purposes of the project itself have to be properly defined. The question of value for money is obviously a key one. Let me go back to the introduction of the fax machine to illustrate my point. When the fax machine was first launched, lawyers found it difficult to accept that instant results could happen. They went through court cases to test the validity of a fax result, because it could deteriorate and so on. None the less, the problems had little to do with the technology and rather more to do with the culture of lawyers. There is a thread running through this whole sorry episode. We need not only better information sharing in the NHS, but the right culture and desire for it. Above all, we need a real reason for the system. I have been to one or two meetings about this whole scheme, and I have never yet really heard a proper description of its central purposes, except of course to exchange information. Obviously, one of the purposes is integration. I am talking about integrating the systems and the parts of the NHS that need to talk to each other rather more than they do at the moment.

Yesterday, I went to the Care Week event in the Jubilee Room and I met several carers, all of whom had similar stories to tell. One said, “The person I have been caring for has been going to two departments, but neither of them knew about each other.” That is the sort of cultural issue that we must tackle and think about when we talk about IT. The real danger about IT is that people think it is a good idea so they must use it and apply it, but it is actually the other way round. We must be careful and set out the proper parameters and purposes for this IT project, and ally it to value for money. My hon. Friend’s story shows that that has not been happening. We need to be much more careful about procurement, setting out commissioning requirements, understanding the need for cultural change, and properly looking at these contracts.