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Letters NHS national programme for IT

Time for a reality check of NPfIT’s problems

BMJ 2009; 338 doi: (Published 17 February 2009) Cite this as: BMJ 2009;338:b643
  1. Claudia Pagliari, senior lecturer in primary care1,
  2. Peter Singleton, principal research fellow2,
  3. Don E Detmer, professor emeritus and professor of medical education3
  1. 1Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX
  2. 2Centre for Health Informatics and Multiprofessional Education, University College London, Archway Campus, London N19 5LW
  3. 3Public Health Sciences, University of Virginia, PO Box 800717, Charlottesville, VA 22908, USA
  1. claudia.pagliari{at}

    Problems with technology, contracts, timescales, organisational change, and user acceptance have continually dogged the NHS national programme for IT (NPfIT),1 but critics need to get these into perspective before seeking to tear down the enterprise.

    Similar difficulties have historically beset most large information technology projects in the corporate and public …

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