Intended for healthcare professionals

Letters There IT goes again

NHS IT is at the mercy of the civil service and “gifted amateurism”

BMJ 2011; 343 doi: (Published 15 November 2011) Cite this as: BMJ 2011;343:d7037
  1. Grant S-B Kelly, general practitioner, hospital quality adviser1
  1. 1NHS South East Coast, Horley RH6 7DE, UK
  1. grant{at}

Greenhalgh and Bowden comment on New Zealand’s learning environment for health informatics versus our own cathedral approach.1 2 I suggest we are unlikely to change our approach until we escape from the civil service.

As a clinical adviser to the NHS National Programme for IT, I was repeatedly told that civil …

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