The UK government today brought an end to the national IT healthcare scheme stating that IT decisions should be made at a local level. The £12billion programme has received significant criticism since inception for increasing costs, limited functionality and poor delivery. I have never worked directly in the programme so can not comment on these criticisms but I do have several questions.
Will there be a central set of standards published that all health providers must adhere to? To give an example all health organisations will eventually deploy Instant Messaging and Presence. Given that all the health organisations need to communicate will there be a central standard? What happens if a surgery has Sametime, a hospital has Jabber and the trust has OCS? Without central standards the IT provision within the system we be chaotic.
How will de-centralised costs be tracked? While centralised costs by their very nature create large top line figures that can attract significant attention. De-centralised costs are extremely difficult to track and monitor, how will we know that the health organisations are procuring effectively?
Again no idea if this is the right thing for the UK government to do, I just hope they understand the ramifications of their decisions. Strong central standards and close understanding of costs are required and it can prove very difficult to implement with many different autonomous organisations making decisions on IT infrastructure that ultimately have to work together to make the system work for patients and tax payers.
I do have one customer service question. Technology is clearly going to play a significant role in the provision of services to patients in the future. How within a system that is specifically and intentionally designed to provide a standard level of service to all patients can the UK government ensure a consistent level of service across the nation. What happens if the North West implement IT 200% more effectively than the South West? Will citizens from the South West have to travel 500 miles to the North West to receive more effective care?
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Android set to be 2nd largest mobile OS: what next?
by admin on September 12, 2010 in Android, Google
Google may not yet be monetizing Android but they are laying a huge platform for future growth. Microsoft built a multi billion annual business off the back of Windows. If Google can replicate their mobile success story in the browser and PC market they may well be set to take some of those billions off of Microsoft. Within a couple of years we will have Android TV’s, Phones, PCs and probably any other device that requires an OS. Android Cars anyone?
What does this mean for Enterprise?
I believe the consumer market is now a leading indicator for Enterprise IT. Google and Android are still very much on an Enterprise learning curve but they are coming and more fundamentally the principles that Google deploy (cloud with an open client platform) will prove just as important as other vendors look to mimic their offer.
IT is going to go through significant change in the next 2 – 5 years. Here are some of the trends that I think will become evident:
So a fascinating time is set for Enterprise IT, CIOs that can react quickly to the new IT industry will add business value and create competitive advantage, those that don’t will not only disadvantage their own career but also the business they serve.
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