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Letters There IT goes again

Moving beyond the cathedral model for IT development

BMJ 2011; 343 doi: (Published 12 October 2011) Cite this as: BMJ 2011;343:d6480
  1. Trisha Greenhalgh, professor of primary health care1,
  2. Tom Bowden, chief executive2
  1. 1Queen Mary, University of London, London, UK
  2. 2HealthLink New Zealand
  1. p.greenhalgh{at}

We’re finally abandoning England’s so called cathedral model for NHS IT.1 It is worth looking at New Zealand, which has achieved high levels of computerisation, such as laboratory tests, discharge summaries, and outpatient letters routinely sent to general practitioners electronically; remote access to laboratory and other reports from any public sector hospital in the country; and patient remote access to their GP record. All this at, from 1994-2008, an estimated cost of £15m …

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