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Published 19 November 2008, doi:10.1136/bmj.a2596
Cite this as: BMJ 2008;337:a2596
| The first 150 words of the full text of this article appear below. |
Such is the pace of modern technology that the paper by Greenhalgh and colleagues is already out of date.1 They did not mention the launch of Googles web based personal health record on 20 May 2008 or the collapse of the NHS records system.2
Web 2.0 technology will no doubt disrupt the grand aspirations of the NHS IT project. Techno-savvy patients using Google style applications might soon ask doctors to access their personal health records on the web.
Like the music industry, the NHS seems to have become self importantly complacent. We are deluding ourselves if we think that "the world is waiting to see" how the NHS IT programme unfolds. The world has already seen that, six years into the programme, NPfIT is overbudget and behind schedule. The NHS isnt the global gold standard. Instead, it is a hugely wasteful, inefficient, and bloated monopoly that needs some serious competition.
Suparna Das, locum consultant anaesthetist1
1 Kings College Hospital, London SE5 9RS
suparna.das@btinternet.com