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Journal of Information Technology

, Volume 22, Issue 3, pp 212–221 | Cite as

‘The biggest computer programme in the world…ever!’: time for a change in mindset?

Research Article

Abstract

In this paper we offer a critique of ‘The National Programme for Information Technology’ (NPfIT) currently being undertaken in the National Health Service (NHS) in the UK. We begin by offering a brief introduction to the project. Next, we review the lessons learned from a wide range of experience with IT and business change projects and comment on why changes in the NHS are likely to be harder than in most other organizations. We then elaborate the implications of these ideas and identify potential areas for change, with particular focus on the current guiding mindset that this project is about the provision of a technical infrastructure. We argue that this is, thus far, a technology project and question whether the current strategy is the most appropriate way forward to achieve service improvements. We suggest changes in the underlying mindset, along with the leadership, ownership, metrics and labelling of the project.

Keywords

IT business change mindsets National Health Service 

Notes

Acknowledgements

The authors would like to thank Frank Land, Malcolm Peltu and Tom Stewart for their advice and comments on earlier drafts of this paper.

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Copyright information

© Association for Information Technology Trust 2007

Authors and Affiliations

  1. 1.Leeds University Business School, The University of LeedsLeedsUK

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